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DUD PROGRAM CONSOLIDATED FORE 11 I s 7UNDERGROUNSTORAGE TANK '11 ?41-L- V �W OPERATING PERMIT APPLICATION -TANK INFORMATION One form Iter US TYPE OF ACTION E] 1.NEW SITE PERMIT ❑ 3.RENEWAL PERMIT ❑ 5.CHANGE OF INFORMATION 430 (Check only item only) TEMPORARY SITE CLOSURE ❑ 7.PERMANENTLY CLOSED ON SITE ❑ 8.TANK REMOVED DATE UST PERMANENTLY CLOSED: 4303 DATE EXISTING UST DISCOVERED: 4301, e L FACILITY INFORMATION FACILITY ID N(Agency Use Only) FA0005704 l BUSINESS NAME(Same as FACILITY NAME or DBA-Doing Business As) 3 SHINKO ELECTRIC AMERICA INC BUSINESS SITE ADDRESS 103 CITY IN 551 CARNEGIE ST MANTECA 11.TANK DESCRIPTION TANK IDN 432 TANK MANUFACTURER 433 TANK CONFIGURATION:THIS TANK IS 434 l0 1.A STAND-ALONE TANK TA0503156 ❑ 2.ONE IN ACOMPARTMENTED UNIT DATE UST SYSTEM INSTALLED TANK CAPACITY IN GALLONS 436 NUMBER OF COMPARTMENTS 437 564 III.TANK IISE AND CONTENTS 'TANK USE ❑ la.MOTOR VEHICLE FULL ❑ Ib.MARINA FUELING ❑ In AVIATION FUELING ' ❑ 3.CHEMICAL PRODUCT STORAGE ❑ 4.HAZARDOUS WASTE ❑ 5.EMERGENCY GENERATOR FUEL ❑ 6.OTHER GENERATOR FUEL ❑x 95.UNKNOWN ❑ 99.OTHER(Specify): CONTENTS PETROLEUM: ❑ la.REGULAR UNLEADED ❑ I c.MIDGRADE UNLEADED ❑ Ib.PREMIUM UNLEADED 440 ❑ 3.DIESEL x❑ 5.JET FUEL ❑ 6.AVIATION GAS ❑ 8.PETROLEUM BLEND FUEL ❑ 9.OTHER PETROLEUM (Specify): NON-PETROLEUM: ❑ 7.USED OIL ❑ 10.ETHANOL ❑ 11 OI'I II!R NON-PETROI.EIJM(Scec,f, . 4401, IV.'TANK CONSTRUCTION TYPE OF TANK ❑ I.SINGLE WALL. ❑ 2.DOUBLE WALL ❑% 95.UNKNOWN PRIMARY CONTAINMENT ❑ I.STEEL ❑ 3.FIBERGLASS ❑6.INTERNAL BLADDER 444 ❑7.STEEL+INTERNAL LINING Q 95.UNKNOWN ❑ 99.OTHER 444. SECONDARY CONTAINMENT ❑ 1.STEEL ❑ 3.FIBERGLASS ❑6.EXTERIOR MEMBRANE LINER ❑7.JACKETED 445 ❑98.NONE ❑ 95.UNKNOWN ❑99.OTHER(Specify) OVERFILL PREVENTION ❑ 1 AUDIBLE&VISUAL ALARMS ❑ 2 BALL FLOAT ❑ 3 FILL TUBE SHUT OFF VALVE 452 ❑-0_TANK MFFI'S RFQU1RF.MFNTS FOR FXFMPTION FROM OVERFILL PREVENTION FOUIPMFNT V.PRODUCTIWAS'FE PIPING CONSTRUCTION PIPING CONSTRUCTION LJ I_SINGLE-WALLED ❑ 2.13OUBLE-WALL1-1) ❑ 99.01HF.R- 460 SYSTEM TYPE ❑ 1.PRESSURE ❑2.GRAVITY ❑ 3.CONVENTIONAL SUCTION ❑ 4.SAFE SUCTION 459 PRIMARY CONTAINMENT ❑ 1.STEEL ❑4.FIBERGLASS ❑ S.FLEXIBLE ❑ 10.RIG1D PLASTIC 4M ❑90.NONE ❑95.UNKNOWN ❑ 99.OTHER 464e SECONDARY CONTAINMENT ❑ 1.STEEL ❑4.FIBERGLASS ❑ 8,FLEXIBLE ❑ 10.RIGIDPLASTIC 4641, 90 NONE NONE ❑95.UNKNOWN El 99,OTHER 464c PIPING/TURBINE CONTAINMENT SUMP TYPI] ❑ I.SINGLISWAI I I J) ❑ 2.DOUBLE-WALLED ❑ 99.NONE 4644 VI.VENT.VAPOR RECOVERY(VR)AND RISER/FILL PIPE.PIPING CONSTUCTION VI N I PIRMARY CON I AINMENT ❑ 1.STEEL ❑ 4.FIBERGLASS ❑ 10.RIGID PLAST IC ❑ 90 NONE ❑ 99.ONIER 461c VENT SECONDARY CONTAINMENT ❑ 1.STEEL ❑ 4.FIBERGLASS ❑ 10.RIGID PLASTIC ❑ 90.NONE ❑ 99.01HER 46,tf VR PlRMARY CONTAINMENT ❑ 1.STEEL ❑ 4.FIBERGLASS ❑ 12.RIGID PLASTIC ❑ 90.NONE ❑ 99.OTHER 46,I3 VR SECONDARY CONTAINMENT ❑ 1.STEEL ❑ 4.FIBERGLASS ❑ 12.RIGID PLASTIC ❑ 90.NONE ❑ 99.OTHER 4Mh VENT PIPING TRANS...SUMP TYPE ❑ 1.SINGLE-WALLED ❑ 12.DOUBLE-WALLED 099.NONE 463 RISER PIRMARY CONTAINMENT ❑ 1.STEEL ❑ 4.FIBERGLASS ❑ 12.RIGID PLASTIC ❑ 90.NONE ❑ 99.OTHER 46,I3 RISER SECONDARY CONTAINMENT ❑ I.STEEL ❑ 4.FIBERGLASS ❑ 12.RIGID PLASTIC ❑ 90.NONE ❑ 99.OTHER 464k FILL COMPONENTS INSTALLED ❑ I.SPILL BUCKET ❑ 3.STRIKERPLAIL301-TOMPRO'fECTOR ❑ 4_CONTAINMIiNISUMP Osla-c VII.UNDER DISPENSER CONTAINMENT(UDC) CONSTRUCTION TYPE ❑ L SINGLE-WALLED ❑ 2.DOUBLE-WALLED ❑ 3.NO DISPFNSFRS ❑90.NONE 469, CON IRUC I ION MA'I ERIN. ❑ I_STEEL ❑ 4_FIBERGLASS ❑ 10.RIGIDPLAS'FIC 90 NONE ❑ 99.011ER 4ti-h, VIII.CORROSION PROTECTION STEEL COMPONENT PROTECTION ❑ 2.SACRAFICIAL ANODE(S) ❑ 4.IMPRESSID CURRENT ❑ 6.ISOLATION IX.APPLICATION SIGNATURE I certify that this UST system is compatible with the hazardous substance stored and that the information provided herein is true,accurate,and in full compliance with legal requirements. APPLICANT SIGNATURE DATE 470 APPLICANT NAME(print) 471 APPLICANT TITLE 472