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UOIED PROGRAM CONSOLIDATED FORD 0 �jIIS Qy- UNDERGROUND STORAGE TANK rw F71 %/ OPERATING PERMIT APPLICATION- TANK INFORMATION One for er Ls 00, TYPE OF ACTION ❑ 1.NEW SITE PERMIT ❑ 3.RENEWAL PERMIT ❑ 5.CHANGE OF INFORMATION 430 (Check only item only) ❑ 6.TEMPORARY SITE CLOSURE ❑ 7.PERMANENTLY CLOSED ON SITE ❑ 8.TANK REMOVED DATE UST PERMANENTLY CLOSED: DATE EXISTING UST DISCOVERED: 430b 1.FACILITY INFORMATION FACILITY ID#(Agency Use Only) FA0005704 BUSINESS NAME(Same as FACILITY NAME or DBA-Doing Business As) 3 SHINKO ELECTRIC AMERICA INC BUSINESS SITE ADDRESS 103 I CITY I04 551 CARNEGIE ST MANTECA ILTANK DESCRIPTION TANK ID# 432 TANK MANUFACTURER 433 TANK CONFIGURATION:THIS TANK IS 434 ❑% I.A STAND-ALONE TANK TA0503157 ❑ Z ONE M A COMPARTMENTED UNIT DATE UST SYSTEM INSTALLED 435 TANK CAPACITY IN GALLONS 436 NUMBER OF COMPARTMENTS 437 564 III.TANK IISE AND CONTENTS TANK USE ❑ In_MO'I'ORVEIIICLEFUEL ❑ Ib.MARINAF(IELING El Ic.AVIATION FUELING ❑ 3.CHEMICAL PRODUCT STORAGE ❑ 4.HAZARDOUS WASTE ❑ 5.EMERGENCYGENERATOR FUEL ❑ 6.OTHER GENERATOR FULL ❑x 95.UNKNOWN ❑ 99.OTHER(Soecifv) CONTENTS PETROLEUM: ❑ la.REGULAR UNLEADED ❑ Ic.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 ❑ I I.OTHER NON-PETROLEUM(Soecifvl. 4101, IV.TANK CONSTRUCTION TYPE OF TANK ❑I.SINGLE WALL [12.DOUBLE WALL ❑% 95.UNKNOWN PRIMARY CONTAINMENT [11.STEEL ❑ 3.FIBERGLASS ❑6.INTERNAL BLADDER M14 ❑7.STEEL+INTERNAL LINING ❑% 95.UNKNOWN ❑ 99.OTHER 444a SECONDARY CONTAINMENT ❑ I.STEEL ❑ 3.FIBERGLASS ❑6.EXTERIOR MEMBRANE LINER ❑7.JACKETED 445 ❑98.NONE ❑ 95.UNKNOWN ❑99.OTHER(Specify) OVERFILL PREVENTION ❑ I AUDIBLE&VISUAL ALARMS ❑ 2 BALL FLOAT ❑ 3 FILL TUBE SHUT OFF VALVE 452 ❑4.TANK MIFF FS REQUIREMENTS FOR FXEMPTION FROM OVERFILL PRLVEN'FION EQUIPMENT 6111111 "yw V.PRODUCTAVASTE PIPING CONSTRUCTION PIPING CONSTRUCTION LJ (.SINGLE-WALLED ❑ 2.DOUBLE-WALLED ❑ 99 OFFER 460 SYSTEM TYPE ❑ 1.PRESSURE ❑2.GRAVITY ❑ 3.CONVENTIONAL SUCTION ❑ 4.SAFE SUCTION 458 PRIMARY CONTAINMENT ❑ 1.STEEL [14.FIBERGLASS ❑ S.FLEXIBLE ❑ 10.RIGIDPLASTIC 464 ❑90.NONE [195.UNKNOWN ❑ 99.OTHER 464, SECONDARY CONTAINMENT ❑ L STEEL ❑4.FIBERGLASS ❑ 8.FLEXIBLE ❑ 10.RIGID PLASTIC 4641, [190.NONE 095.UNKNOWN ❑ 99.OTHER 4640 PIPMG/TURBINE CONTAINMENT SUMP TYPE ❑ 1.SINGLE-WALLED ❑ 2.DOUBLE-WALLED ❑ 99.NONE 464d -" VI.VENT.VAPOR RECOVERY(VR)AND RISER/FILL PIPE PIPING CONSI''I.ICTION VLN'1'PIRMARY CONTAINMENT ❑ I.SI EEL ❑ 4.FI13F_RGLASS ❑ 10.RIGID PLAS'UC ❑ 90 NONE ❑ 99.01HER 464e VENT SECONDARY CONTAINMENT ❑ 1.STEEL ❑ 4.FIBERGLASS ❑ 10.RIGID PLASTIC ❑ 90.NONE ❑ 99.OTHER 464E VR PIRMARY CONTAINMENT ❑ 1.STEEL ❑ 4.FIBERGLASS ❑ 12.RIGID PLASTIC ❑ 90.NONE ❑ 99.OTHER 4646 VR SECONDARY CONTAINMENT ❑ 1.STEEL ❑ 4.FIBERGLASS ❑ 12.RIGID PLASTIC ❑ 90.NONE ❑ 99.OTHER 464h VENT PIPING TRANS...SUMP TYPE ❑ 1.SINGLE-WALLED ❑ 12.DOUBLE-WALLED ❑99.NONE 4641 RISER PIRMARY CONTAINMENT ❑ 1.STEEL ❑ 4.FIBERGLASS ❑ 12.RIGID PLASTIC ❑ 90.NONE ❑ 99.OTHER 4Fb RISER SECONDARY CONTAINMENT ❑ 1.STEEL ❑ 4.FIBERGLASS ❑ 12.RIGID PLASTIC ❑ 90.NONE ❑ 99.OTHER 464h FILL COMPONENTS INSTALLED ❑ 1.SPILL BUCKET ❑ 3.STRIKER PLATEfBOTTOM PROTECTOR ❑ 4.CONTAINMENT SUMP 45's', »_„,. , _ VII.UNDER DISPENSER CONTAINMENT(UDC) ":. . CONSRUCI[ON'I YPE ❑ 1.SINGLE-WAI.I.ED ❑ 2.DOUBLE-WALLED ❑ 3.NO DISPFNSFRS ❑ 90.NONE 469a CONTRUCTION MATERIAL ❑ I_STEEL ❑ 4.FIBERGLASS ❑ ID_RIGIDPLASHC 90.NONE ❑ 99.0'IIILR 469b-c VIII.CORROSION PROTECTION STI+I.COMPONF_N"TPRO'TECHON ❑ 2.SACRAFICIAL ANODI3(S) ❑ 4.IMPRESSED CURRENT ❑ 6.ISOLATION IX.APPLICATION SIGNATURE . I certify that this[IS']'system is compatible eith the hazardous subsmnm storcA 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