Laserfiche WebLink
) <br /> FIED PROGRAM CONSOLIDATED F0qF V f=c-b <br /> UNDERGROUNDSTORAGETANK <br /> OPERATING PERMIT APPLICATION-TANK INFORMATION�(Onefnrm per ST) <br /> TYPE OF ACTION (Check one item only. For a UST closure or removal.complete only this.section and Sections 1,11,111,IV,and IX below) 410 <br /> ❑ I.NEW PERMIT ® 3.RENEWAL PERMIT ❑ 5.CHANGE OF INFORMATION <br /> ❑ 6.TEMPORARY UST CLOSURE ❑ 7.UST PERMANENT CLOSURE ON SITE ❑ 8.UST REMOVAL <br /> DATE UST PERMANENTLY CLOSED: 430a. 1 DATE EXISTING UST DISCOVERED: 43nh. <br /> I. FACILITY INFORMATION <br /> FACILITY ID#(Agency Use Only) <br /> _ I. <br /> BUSINESS NAME(Same as Facility Name or DBA-Doing Business As) t <br /> Sprint Stockton Switch <br /> BUSINESS SITE ADDRESS 103. 1 CITY Ino. <br /> 3807 Coronado Avenue Stockton <br /> H. TANK DESCRIPTION <br /> TANK ID# A.A, sy 432. TANK MANUFACTURER 433. <br /> �i-tS✓:r C6�7 TANK CONFIGURATION:THIS TANK IS each <br /> 1 Xerxes ® 1.A STAND-ALONE TANK Complete c one page for each <br /> DATE UST SYSTEM INSTALLED 435. ❑ 2.ONE INA COMPARTMENTED UNIT cnmNa IT in lite unit. <br /> TANK CAPACITY IN GALLONS 436. NUMBER OF COMPARTMENTS IN THE UNIT 433. <br /> 1994/01 10,000 ) <br /> III. TANK USE AND CONTENTS <br /> TANK USE ❑ la.MOTOR VEHICLE FUELING ❑ Ib.MARINA FUELING ❑ lc.AVIATION FUELING 439. <br /> ❑ 3.CHEMICAL PRODUCT STORAGE ❑ 4.HAZARDOUS WASTE(Indadcs Used Oil) ® 5.EMERGENCY GENERATOR FUEL HISC h25281.5eell <br /> ___ ❑ 6 OTHER GENERATOR FUEL ❑ 95.UNKNOWN ❑ 99.OTHERS ci ): 439a. <br /> _-_......... ....._._ - --.-. -----❑ Ic.MIDGRADE UNLEADED <br /> ❑ Ib PREMIUM UNLEADED 440- <br /> ® 3.DIESEL ❑ 5.JET FUEL ❑ 6.AVIATION GAS <br /> ❑ 8.PETROLEUM BLEND FUEL ❑ 9 OTHER PETROLEUM(Specify): 44oa. <br /> NON-PETROLEUM ❑ 7.USED OIL ❑ 10.ETHANOL <br /> ❑ 11.OTHER NON-PETROLEUM(Specify): 4411h. <br /> IV. TANK CONSTRUCTION <br /> TYPEOFTANK ❑ 1.SINGLE WALL ® 2 DOUBLE WALL ❑ 95.UNKNOWN 443, <br /> PRIMARY CONTAINMENT ❑ I.STEEL ® 3.FIBERGLASS 116.INTERNAL BLADDER <br /> Q 7.-STEEL+INTERNAL LINING___ _ El 95.UNKNOWN ❑ 99.OTHER(Specify): 444 <br /> SECONDARY CONTAINMENT <br /> ❑ I.STEEL ®3.FlBERGLASS ❑ 6 EXTERIOR MEMBRANE LINER ❑ 7.JACKETED 445; <br /> ❑ 90.NONE ❑ 95 UNKNOWN ❑99.OTHER(Specify): 445e. <br /> OVERFILL PREVENTION ® LAUDIBLE&VISUAL ALARMS ❑ 2 BALL FLOAT ® 3.FILL TUBE SHUT-OFF VALVE <br /> ❑ 4.TANK MEETS REQUIREMENTS FOR EXEMPTION FROM OVERFILL PREVENTION EQUIPMENT <br /> V. PRODUCT/WASTE PIPING CONSTRUCTION <br /> PIPING CONSTRUCTION 0,l.SINGLE WALL ® 2.DOUBLE WALL ❑ 99.OTHER 460. <br /> - ._ _._ ...... ...... ..-. ........._ ...... <br /> SYSTEM TYPE ❑ I PRESSURE_ ❑ 2 GRAVITY ®-3 CONVENTIONAL SUCTION O OSARIFE SUCTIN[23CCR§2636(.)(3)]§2636(.)(3)] 458. <br /> _ _.- ® 8.FLEX L <br /> PRIMARY_CONTAINMENT ❑ LS ❑ 4.FlBERGLASS E GIDPLAS.T 4 <br /> IC 6J. <br /> -,-_ [3 90.NONE _ ❑ 95 UNKNOWN .❑-99 OTHER(Specify): 464x. <br /> SECONDARY CONTAINMENT ❑ I.-STEEL 4.FIBERGLASS ❑ S.FLEXIBLE ❑ 10.RIGID PLASTIC <br /> _ ❑ 90.NONE ❑ 95 UNKNOWN ❑ 99.OTHER(Specify_):_ 464c. <br /> PIPING/TURBINE CONTAINMENT SUMP TYPE ® I SINGLE WALL <br /> 90.NONE <br /> ❑ 2 DOUBLE WALL ---�� --- <br /> ❑ 46M1. <br /> VI. VENT, VAPOR RECOVERY (VR)AND RISER/FILL PIPE PIPING CONSTRUCTION <br /> VENT PRIMARY CONTAINMENT ❑ L STEEL ® 4.FIBERGLASS ❑ 10.RIGID PLASTIC ❑ 90.NONE ❑ 99.OTHER(Specify): 464c 1. <br /> ....... ..__ ............._. __.-._.._. _-.. <br /> VENT SECONDARY CONTAINMENT ❑ L STEEL ® 4 FIBERGLASS ❑ 10.RIGID PLASTIC ❑ 90.NONE ❑ 99.OTHER(Specify): 4N' <br /> ._ ..... -.... _.. -._.- ""-- .............. ....._. ............._.. - 46411. <br /> VR PRIMARY CONTAINMENT .❑ I STEEL ❑ 4 FIBERGLASS ❑ 10 RIGID PLASTIC ❑ 90.NONE ❑ 99_OTHER(Specify): a4Mg._ <br /> __.. .... - -__ ..-.-. _.-___....... -... ............... __... <br /> VR SECONDARY CONTAINMENT ❑ 1 STEEL ❑ 4 FlBERGLASS ❑ 10 RIGID PLASTIC ❑ 90.NONE ❑ 99.OTHER(Specify): 464E <br /> .. .-.-.-.__. _ _ _ _ <br /> VENT PIPING TRANSITION SUMP TYPE ❑ I.SINGLE WALL ❑ 2.DOUBLE WALL ❑ 90.NONE 464i. <br /> ...... ......_ _.-.-_. --11__ ...... ...__. ...._..._- ..........-- - <br /> RISER PRIMARY CONTAINMENT ❑ 1 STEEL ® 4 FIBERGLASS ❑ 10.RIGID PLASTIC ❑ 90 NONE ❑ 99.OTHER(Specify); 464)' <br /> .-.-. _. _..._ ....._"' .........Y..- 464)1, <br /> RISER SECONDARY CONTAINMENT ❑ I STEEL ❑ 4.FIBERGLASS ❑ 10.RIGID PLASTIC ❑ 90.NONE ❑ 99.OTHER(Specify): 4Mk' <br /> 464k 1. <br /> FILL COMPONENTS INSTALLED ® L SPILL BUCKET ❑ 3.STRIKER PLATE/BOTTOM PROTECTOR 94.CONTAINMENT SUMP 451--c. <br /> VII. UNDER DISPENSER CONTAINMENT (UDC) <br /> CONSTRUCTION TYPE ❑ I SINGLE WALL ❑ DOUBLE WALL ® 3.NO DISPENSERS ❑ 90.NONE 469a. <br /> -_CTI .._ ...... _-.-.... _...-. <br /> CONSTRUCTION MATERIAL ❑ L STEEL ❑ 4.FIBERGLASS ❑ 10.RIGID PLASTIC ❑ 99.OTHER(Speedy) 46 469e. <br /> VIII. CORROSION PROTECTION ;a <br /> STEEL COMPONENT PROTECTION ❑ 2.SACRIFICIAL ANODE(S) ❑ 4.IMPRESSED CURRENT ❑ 6.ISOLATI 44N. <br /> IX. APPLICANT SIGNATURE �n3 <br /> CERTIFICATION: I certify that this UST system is compatible with the hazardous substance stored and [ha[ the informs cm provided herein is true, <br /> accurate,and in full compliance with legal requirements. <br /> APPLICANT SIGNATURE DATE 1/25/2010 470. <br /> APPLICANT NAME(print) Pete Wang 471. APPLICANT TITLE EHS Specialist "^ 471_. <br /> UPCF UST-B Rev.(1712007)-1/2 www.unidocs.org <br />