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acility/Site - <br />unwest Chevron CERS ID <br />2758 W Kettleman Ln 10748068 <br />Lodi, CA 95242 Tank IDft: TA0520811 <br />ubmittal Status <br />tbmitted on 10/18/2017 by robiolo Padilla of Sunwest Chevron (Lodi, CAI <br />Ibmittal was Accepted; Processed on 10/18/2017 by Garrett Backus for San Joaquin County Environmental Health <br />imments by regulator: This UST submittal was accepted by Garrett Backus, RENS, ICC Certified UST Inspector, San Joaquin County Environmental Health Departmel <br />>ackus@sjcehd.com. The UST information will be verified during the next EHD inspection. <br />fpe of Action <br />Fir of Action (UST Tank) <br />ew Permit <br />rciliry, Information <br />rawest Chevron <br />F58 W Kettleman Ln <br />di, CA 95242 <br />Description <br />Date UST System Installed Tank Configuration <br />4/25/2017 One in a Compartmented Unit <br />lurer Date Existing UST Discovered Number of Compartments in the Unit <br />2 <br />In Gallons Date UST Permanently Closed Additional Description <br />k Use and Contents <br />Use Tank Contents <br />3r Vehicle Fueling Premium Unleaded <br />Other Petroleum Contents <br />Other Non -Petroleum Contents <br />Tank Construction <br />type of Tank <br />rimary Containment <br />Double Wall <br />Riser Pipe Primary Containment <br />Primary Containment <br />Secondary Containment <br />Fiberglass <br />Fiberglass <br />overfill Protection <br />Audible/Visual Alarms <br />Yes Fill Tube Shut -ON Valve <br />Ball Float <br />Exempt <br />Product / Waste Piping Construction <br />Piping Construction Primary Containment Secondary Containment Piping/Turbine Containment Sump <br />Double -walled Fiberglass Fiberglass Double -walled <br />Piping System Type <br />Pressure <br />ent, Vapor Recovery (VR) and Riser / Fill Pipe Piping Construction <br />rimary Containment <br />Vapor Recovery Primary Containment <br />Riser Pipe Primary Containment <br />Vent Piping Transition Sumps <br />Fiberglass <br />Fiberglass <br />Steel <br />Double -walled <br />Fill Components Installed <br />condary Containment <br />Vapor Recovery Secondary Containment <br />Riser Pipe Secondary Containment <br />Yes Spill Bucket <br />fiberglass <br />Fiberglass <br />Fiberglass <br />Yes Striker Plate/Bottom Protector <br />Yes r ntae„nant sn,nn <br />oder Dispenser Containment (UDC) Corrosion Protection <br />onstruction Type Construction Material Sacrificial Anode <br />Double -walled Fiberglass Impressed Current <br />es Isolation <br />Printed on 10/24/2017 11:01 AM <br />