COMPLIANCE INFO_FILE 11 - Laserfiche WebLink

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007. "7 TT1 UNIFIED PROGRAM CONSOLIDATED FORM u (two pages per tank) 11 TYPE OF ACTION ❑ 1. NEW SITE PERMIT ❑ 4. AMENDED PERMIT ❑ 5. CHANGE OF INFORMATION (Check one item only) ) ❑ 6. TEMPORARY SITE CLOSURE 123. RENEWAL PERMIT (Specify mason - for local use ❑ 7. PERMANENTLY CLOSED ON SITE only) (Soecifv chenoa - mrlmal...a. �� r-1 _ •..n�n�'nV YCV 43u BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) FACILITY ID # --- . Lawrence Livermore National Laboratory Site 3 0 LOCATION WITHIN SITE (OpGontal) 431 West of Building 882 TANK ID # TANK MANUFACTURER I. TANK DESCRIPTION 882-DlUl Modern Welding Co., Inc. COMPARTMENTALIZED TANK ❑ Yes] No If'Yea'. Complete one page for each compartment. DATE INSTALLED (YEAR/MO) TANK CAPACITY IN GALLONS NUMBER OF COMPARTMENTS 88/01 1500 1 ADDITIONAL DESCRIPTION (Forloeal use only) 11. TANK CONTENTS TANK USE 432 PETROLEUM TYPE " 1. MOTOR VEHICLE FUEL ❑ Ia. REGULAR UNLEADED ❑ 2. LEADED ❑ S. JET FUEL (N marked, complete Petrobum Type) ❑ 2. NON -FUEL PETROLEUM 131b. PREMIUM UNLEADED 3. DIESEL ❑ 6. AVIATION FUEL ❑ 3. CHEMICAL PRODUCT ❑ te. MIDGRADE UNLEADED ❑ 4. GASOHOL ❑ 99. OTHER ❑ 4. HAZARDOUS WASTE (Includes COMMON NAME (from Hazardous Materials Inventory page) CAS # (from Hazardous Materials Inventory page) USO Diesel Fuel 64742-80-9 111. TANK CONSTRUCTION TYPE OF TANK ❑ 1. SINGLE WALL ❑ 3. SINGLE WALL WITH ❑ S. SINGLE WALL WITH INTERNAL BLADDER SYSTEM (Check one item only) W 2. DOUBLE WALL EXTERIOR MEMBRANE LINER ' ❑ 95. UNKNOWN ❑ 4. SINGLE WALL IN A VAULT ❑ 99. OTHER TANK MATERIAL -primary tank R1 1 BARE STEEL ❑ 3. FIBERGLASS / PLASTIC ❑ S. CONCRETE ❑ 95. UNKNOWN (Check one item only) ❑ 2. STAINLESS STEEL ❑ 4. STEEL CLAD W/FIBERGLASS ❑ 8. FRP COMPATIBLE W/100% METHANOL ❑ 99. OTHER REINFORCED PLASTIC (FRP) TANK MATERIAL •secondary tank 11 1 BARE STEEL ❑ 3. FIBERGLASS / PLASTIC ❑ 8. FRP COMPATIBLE W/100% METHANOL 1:195. UNKNOWN (Check one item only) ❑ 2. STAINLESS STEEL 0 4. STEEL CLAD W/FIBERGLASS ❑ 9. FRP NON -CORRODIBLE JACKET 1199. OTHER - REINFORCED PLASTIC (FRP) ❑ 10. COATED STEEL ❑ 5. CONCRETE TANK INTERIOR LINING OR COATING ❑ 1. RUBBER LINED ❑ 3. EPDXY LINING ❑ 5. GLASS LINING 1195. UNKNOWN433 DATE INSTALLED (Check one item on) ❑ '2. ALKYD LINING ❑ 4. PHENOLIC LINING 6. UNLINED ❑ 99. OTHER OTHER CORROSION For )Deal use onl ) PROTECTION IF APPLICABLE ❑ 1. MANUFACTURED CATHODIC ❑ 3. FIBERGLASS REINFORCED PLASTIC ❑ 95. UNKNOWN 434 DATE INSTALLED PROTECTION 114. IMPRESSED CURRENT (Check one item only) ❑ 2. SACRIFICIAL ANODE E399. OTHER SPILL AND OVERFILL YEAR INSTALLED TYPE (FwWCal use only) (Forlocal use only) OVERFILL PROTECTION EQUIPMENT: YEAR INSTALLED (Check all that apply) fJ 1. SPILL CONTAINMENT IQ Qom_ ❑ 1. ALARM R1 3. FILL TUBE SHUT OFF VALVE 1 Q Q 9 2. DROP TUBE 1 9 R R ❑ 2. BALL FLOAT ❑ 4. EXEMPT Rf'I1 py 3. STRIKER PLATE 1988 � 1V ^•TANK IEAK"DETEGTtON s IF SINGLE WALL TANK Check a8 that a 131. VISUAL (EXPOSED PORTION ❑ IF DOUBLE WALL TANK OR TANK WITH BLADDER Check one item on* ) : ONLY) 5. MANUAL TANK GAUGING (MTG) ❑ 2. AUTOMATIC TANK GAUGING ❑ ❑ I. VISUAL (SINGLE WALL IN VAULT ONLY) (ATG) 6. VADOSE ZONE ❑ 3. CONTINUOUS ATG ❑ 2. CONTINUOUS INTERSTITIAL MONITORING 7. GROUNDWATER ❑ ❑ 3. MANUAL MONITORING 4. STATISTICAL INVENTORY RECONCILIATION (SIR) a ❑ 8. TANK TESTING BIENNIAL TANK TESTING ' 1399. OTHER V. TANK CLOSURE INFORMATION / PERMANENT CLOSURE IN PLACE ESTIMATED DATE LAST USED (YR/MO/DAY) ESTIMATED QUANTITY OF SUBSTANCE REMAINING 435 TANK FILLED WITH INERT MATERIAL? gallons 1 ❑ Yes ❑ No CUPAFORM (4/99) Formerly SWRCB Form B