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Jan 22 03 06: 45p Ro Robertson 209-''72-3176 p. 5
<br /> nl 11 uI IUU.j 11:11 lrlyw33 FIFTH FI C1r1R oz;�
<br /> PAGE 04
<br /> UNIFIED PROGRAM CONSOLIDATED FORM I'ANx: an0251901
<br /> PRM; PRO737519
<br /> VNDERGROUND STORAGE TANKS -TANK P 1 �nV PAC 0: TA0000493
<br /> ) 3( (/-3 (IWp)lid:il,Gila7,lt)
<br /> TYPO OF ACTION L�1 Nt:W SITF.PEJLg1T q hp
<br /> i.2
<br /> ❑ AMENUtDrLRMTI (j15CHANGEOr'INPOP_MnTION ❑0T£.N?ORARYSR2CLOSLRZ PJe2y(T
<br /> ❑7 PERVIANEVTLY CLOSLD ON S1TE
<br /> �3RENEWAL PILLI-11 SsP1kdb* a�agY °J .1�.., a41y I
<br /> tli[_�iC+..0:; :JSM, ]tel X 7r, .;..... '.`;9 p b TA74x REMOVED ,30
<br /> BUSIRNESS NANMI=IS—+e FACILITY NA54E&DNA.Do:ap 9U6-Aa) FACILITY ID: PR p:
<br /> NORM'S 76' ) FA0000483 PRD232519
<br /> 6531$VICTOR RD A,LODI
<br /> U1
<br /> ... PHONE
<br /> 1.TANK DESCRIPTION(A,e- plot plan wi,q d,c Sec.tiae of 11,c LIST rys<¢n,mclu b6In ikliugl and 13Rdinarky vluR bn svbn Kd b 1116(061 asgrxy.1
<br /> TANK.Mir Tank 10: 1 432 TANK MANUFACTURER i13 COMPAMINiLNIALIZED TANK
<br /> ❑Y. ❑Na A34
<br /> 7AOZ91901 I(Yr.•:comoMra.�ae�oMexhcarPeA-ar
<br /> DA tNSTnLtr)(YEARNO) ,Is TANK C A AC'I'1 Y IN G q,� NUNIDER OF CUMPARI'Mk,*i rS
<br />' AUUII'1 ,ALUYSCR.IrTION,wrloo;p.,,,)y1 -"'__
<br /> I2,OOp ��
<br /> +ae
<br /> TANK US 11'LANK CONT$NT$
<br /> PeTlwl_ELM l Year'
<br /> fb� I.MOTOR V 4e0
<br /> lJ EH)CLa PULL � 1,RPf.UI AR LX-FADED �:..LEADED Lj,t,JET?U15L
<br /> ( om,gkw Pe,mirw Tm)
<br /> !.]1b.PREMIUM UNLEADED ❑?.DIESELE] 6.AVIATION;`U&
<br /> ❑7.NON-FUEL PYTROLCUM
<br /> C Ic.M1DGRADF.IINI f•AOED j=J 4.1iASOl10L ❑ 99.OI)I7JI
<br /> ❑3.CHF-MIC AL.PRODUCT _
<br /> COMYipNNAMEI,wn+ru,,,A,.M.,o41,rn.,npyP )
<br /> 4 IlA7aal CAS1i(ramllco,doaMrMWilr,axeynlgt)
<br /> ❑ ..+.RDOUS WASTr rr:
<br /> (1"ckdR U;Id OiI)
<br /> ❑93.UNKNOWN .._.�� .... .... t
<br /> III.TANK CONSTRUCTION
<br /> 'r7P60?TANK n 1 SNOLE WALL ❑3 SINGLE WALT.Wi'rN Q 5SINGLE WALL WITl7 INTERNIAj,BLADDER SYSTEM 05
<br /> iCyae6 ar,e na„onbl T'•X7ERJ0AMEMBR.ANEL(NER U 05.UNKNOwv
<br /> ®z.DOW ULC WAJ,L [�4.SINGLE WALLIN VAULT (J 49 p'rHER
<br /> TANK MATERIAL•pAn-ry+nk I.BARE STILL ❑'FW"OLASS/PLASTIC ❑S.CONC'RUE ❑YS•UNKNOWN 444
<br /> (c^ttL°""°-"^'y> ❑2.STAINussSTIEL
<br /> ❑STEL CLAD wiF(EERGLAS� 8.NlI•CC7MPTIDLD w)ro0u.trF.7HA*1At.
<br /> RENFO)(CED PLASTIC(FRP) ❑PP.DTI MR
<br /> TANK MATERTAL-,I ndwy link ❑ 1 BARESIL'CI. n 3.R(3EKGLASS I PLASTIC © N.C..0Nr .RFTr.. L 95.UNKNOWN «r
<br /> (cr.a m.:y...nlyy l 2 SIATINLL'SSSTFP.I. e.STsrL CLAD W)1"1115RGLASS ❑a.TRA COMPTIPILE Wy100%.1AETHANOL
<br /> PMNIURCPDPLASTIC(FRP) ❑,O COATEDSTFRI. ❑99OTNFR
<br /> S•CGNCAETT.
<br /> TANK INTERIOR LNING r' I.RVH3kRL)Nk'n
<br /> OR COAT 40 U ❑ T.rm-c'L miNIG L,,,j 5.CLASS LINING ❑93.uNKNc3wN u4 nATE rNSTALLED ~'
<br /> (Clwe6 oae aan anlY) ❑1ALKYD I,rNING ❑4 PHENOLIC LINING ❑6UNINFn ❑09.0rilfut _
<br /> (Fer bol VA an[0
<br /> OTTICRCORROSIcily ❑ I MANUfAMRINGCATIIOD1C ,al
<br /> PkOTECTION IF APPLICABLE PROTECTION D i FIBERGLASS((ENP r.)RCED PLASTIC ❑95 UNKNOWN +.A DATE JNSTALUD
<br /> (Chock on;ileomonly) ❑2 SACIUNUAL Awm ❑4IMPRESSED CURRENT ❑9?01Am
<br /> _.. _ (Far bo+I lNe pll))
<br /> SPILL AND OVEN 11.1. YEAR INSYALLM"TYPE(Iaul,caorJy) 451 OVERFILL PRDTF.CTION$QWnN6N 1:YLAR WSTALLED +}�
<br /> (L,aL.a.h.eIrPyr,) ❑ I SPILL CLTNTARNMRNT -_ ❑ I ALARM ❑ 3 FILL TUSe SHUT OFF VAL`
<br /> (j 2'DROP wi
<br /> ❑ ?STRIKER PLATE ❑.^GALL _©q LXCMrr
<br /> I-WAT
<br /> IV.TANK LEAK DEFECTION IA6ranyeon,fJr„yrw�aarr ,kyl♦Asbtmud101he6 al,snty.)
<br /> IF SINGLE WALL TANK(Ckctal,M,"Iy) o53 IF DOUBLE WALL TANK OR TANK W1T11 DLADD,ER +M
<br /> f� [VISUAL(EXPOSED PORTION ONLY) ❑5 MA14UAL TANX GAUGNC(MTO) (Cha ....,-,-%,)
<br /> Q 2 AU'rOMATIC TANX(:AUGI:NG(ATG) ❑$VADOSE ZONL L,1 VISUAL(SINfill WALL N VAULI'OVLY)
<br /> ❑3CONTINUOUSATG ❑TCROUNOWATER ®SCONTINUDT7SINTER-STrTrAt MONITORING
<br /> ❑4STATISTICAL R+VENTORYhECO!ICILiATIOv ❑ RTA*IKTQSTNG
<br /> (SIR)BI£NN)AL TANK IESTNO ❑OTI ILA 3 MANUAL MON)TONNO
<br /> ❑9,9
<br /> V.TANK CLOSURE E4F0RNTAT[ON I I1:01 NIA.NF,YT CLOSURE IN PLACE
<br /> CSTIMATEODAT6LNST USED(YRl40IDAY) 453 EST]MkrrnQIiANTrTYOFSL'RS'iANCEREMA)NNr. ua 7A3'+KI'JLLCDWITH INERTMATERIAL? 457
<br /> [D Yes L]N0
<br /> IIPCF(12199 revised)
<br />
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