COMPLIANCE INFO_1989-2010 - Laserfiche WebLink

Home Browse Search

NIFIED PROGRAM CONSOLIDATED FO : TA0425104 P1(#: PR0234251 FA0003508 UNDERGROUND STORAGE TANKS - TANK PA;P �! 3 (two pages per tank) 12d TYPE OF ACTION ❑ I NEW SITE PERMIT ❑ 4 AMENDED PERMIT ❑ 5 CHANGE OF INFORMATIONPage 4 of 5 ❑ 6 TEMPORARY SITE CLOSURE (check only item only) ►E' y Y!',I ❑ 7 PERMANENTLY CLOSED ON SITE 3 RENEWAL PERMIT } ❑ 8 TANK REMOVED 430 BUSINESS NAME (Same as FACB.rrY NAME or DBA - Doing Business As) FACILITY ID: PR #: I ACE TOMATO CO INC 3 FA0003508 PR0234251 LOCATION WITHIN SITE (optional) 2771 E FRENCH CAMP RD, MANTECA 431 PHONE 1. TANK DESCRIPTION (A scaled plot plan with the location of the UST system including buildings and landmarks shall be submitted to the local agency.) TANK ID# Tank #: 4 432 TANK MANUFACTURER 433 COMPARTMENTALIZED TANK Yes No 434 TA0425104 1 QXA J If "Yes", complete me page for each emnpattrrcnt. DATE INSTALL (YEAR/MO) 435 TANK CAPACITY IN GALLONS a36 NUMBER OF COMPARTMENTS 437 6,000 ADDITIONAL DESCRIPTION (For local use only) 438 H. TANK CONTENTS TANK USE 439 PETROLEUM TYPE 440 ® 1. MOTOR VEHICLE FUEL 1 a. REGULAR UNLEADED ❑ 2. LEADED ❑ 5. JET FUEL (If marked complete Petroleum Type) ❑ lb. PREMIUM UNLEADED3. DIESEL ❑ 6. AVIATION FUEL ❑ 2. NON -FUEL PETROLEUM ❑ I c. MIDGRADE UNLEADED ❑ 4. GASOHOL ❑ 99. OTHER ❑ 3. CHEMICAL PRODUCT COMMON NAMEfrom Harardms Materials Inventory ory page) 441 CAS# (from Harardous Materials Inventory page) 442 ❑ 4. HAZARDOUS WASTE (btcludes Used Oil) ❑ 95. UNKNOWN III. TANK CONSTRUCTION TYPE OF TANK ❑ 1. SINGLE WALL ❑ 3. SINGLE WALL WITH ❑ 5. SINGLE WALL WITH INTERNAL BLADDER SYSTEM 443 (Check one item only) EXTERIOR MEMBRANE LINER ❑ 95. UNKNOWN ® 2. DOUBLE WALL ❑ 4. SINGLE WALL IN VAULT ❑ 99. OTHER TANK MATERIAL - primary tank 1. BARE STEEL ❑ FIBERGLASS / PLASTIC ❑ 5. CONCRETE ❑ 95. UNKNOWN 444 (Check one item only) 9-.21. STAINLESS STEEL ❑ STEEL CLAD W/FIBERGLASS ❑ 8. FRP COMPTIBLE W/ 100% METHANOL REINFORCED PLASTIC (FRP) ❑ 99. OTHER TANK MATERIAL - secondary tank ❑ 1. BARE STEEL ❑ 3. FIBERGLASS / PLASTIC ❑ 5. CONCRETE ❑ 95. UNKNOWN 445 (Check one item only) ❑ 2. STAINLESS STEEL 4. STEEL CLAD W/FIBERGLASS ❑ 8. FRP COMPTIBLE W/100 % METHANOL REINFORCED PLASTIC (FRP) ❑ 10. COATED STEEL ❑ 99. OTHER ❑ 5. CONCRETE TANK INTERIOR LINING ❑ 1. RUBBER LINED ❑ 3. EPDXY LINING ❑ 5. GLASS LINING ❑ 95. UNKNOWN 446 DATE INSTALLED 447 OR COATING (Check one item only) ❑ 2 ALKYD LINING ❑ 4 PHENOLIC LINING K6 UNLINED ❑ 99. OTHER local (For use only) OTHER CORROSION ❑ 1 MANUFACTURING CATHODIC ❑ 3 FIBERGLASS REINFORCED PLASTIC 95 UNKNOWN 448 DATE INSTALLED 449 PROTECTION IF APPLICABLE PROTECTION (Check one item only) ❑ 4 IMPRESSED CURRENT ❑ 99 OTHER ❑ 2 SACRIFICIAL ANODE (For local use only) SPILL AND OVERFILL YEAR INSTALLE450 TYPE (local me only) 451 A, 1 SPILL CONTAINMENT t,-� f btyNeVo OVERFILL PROTECTION EQUIPMENT: YEAR INSTALLED 452 (Check all that apply) [-]2 1 ALARM F]3 FILL TUBE SHUT OFF VAL` DROP TUBE sTU M,2 BALL L . q ❑ 4 EXEMPT ❑ 3 STRIKER PLATE FLOAT IV. TANK LEAK DETECTION (A description of the monitoring program shall be submitted to the local agency.) IF SINGLE WALL TANK (Check all that apply) 453 IF DOUBLE WALL TANK OR TANK WITH BLADDER 454 ❑ 1 VISUAL (EXPOSED PORTION ONLY) ❑ 5 MANUAL TANK GAUGING (MTG) (Check one item only) ❑ 2 AUTOMATIC TANK GAUGING (ATG) ❑ 6 VADOSE ZONE ❑ I VISUAL (SINGLE WALL IN VAULT ONLY) ❑ 3 CONTINUOUS ATG ❑ 7 GROUNDWATER ® 2 CONTINUOUS INTERSTITIAL MONITORING ❑ 4 STATISTICAL INVENTORY RECONCILIATION ❑ 8 TANK TESTING ❑ 3 MANUAL MONITORING (SIR) BIENNIAL TANK TESTING [-]99 OTHER V. TANK CLOSURE INFORMATION / PERMANENT CLOSURE IN PLACE ESTIMATED DATE LAST USED (YR/MO/DAY) 455 ESTIMATED QUANTITY OF SUBSTANCE REMAINING456 TANK FILLED WITH INERT MATERIAL? 457 1 ❑ Yes ❑ No UPCF (12/99 revised)