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JJVFTED PROGRAM CONSOLIDATEDFed �\ 0 31 UNDERGROUND STORAGE TANK l OPERATING PERMIT APPLICATION-TANK INFORMATION(One form per UST) OF ACTION (Check one hem only. For an UST permanent closure or removal,complete only this section and Sections 1,II,BI,IV,and LK below) 430 1 NEW PERMIT ❑ 3 RENEWAL PERMIT ❑ 5.CHANGE OF INFORMATION ❑ 6.TEMPORARY UST CLOSURE ❑ 7.UST PERMANENT CLOSURE ON SITE ❑ 8.UST REMOVAL 4106 DATE UST PERMANENTLY CLOSED: 430aI DATE EXISTING UST DISCOVERED: L FACILITY INFORMATION FACILITY ID k(Agency Use Only) - 0 0 911 1 3 BUSINESS NAME(Same as FACILITY NAME or DBA-Doing Business As) Tower Mart#876 BUSINESS SITE ADDRESS 103 CITY 'p° 14000 E.Hwy 88 Lockeford,CA 11 TANK DESCRIPTION TANK ID# D-876 432 TANK MANUFACTURER 431 TANtj.¢ONFIGURATION: THIS TANK IS 434 Modem Welding ASTAND-ALONE TANK O/ ��C O ❑ 2.ONE IN A COMPARTMENTED UNIT. Co lete.. efbr..h. a intheuvit. DATE UST SYSTEM INSTALLED 435 TANK CAPACITY IN GALLONS 036 NUMBER OF COMPARTMENTS IN THE UNIT 437 Jan 1991 10,000 Gal One 1 M.TANK USE AND CONTENTS TANK USE la.MOTOR VEHICLE FUELING ❑ Ib.MARINA FUELING ❑ Ic.AVIATION FUELING 439 ❑ 3.CHEMICAL PRODUCT STORAGE ❑ 4.HAZARDOUS WASTE Occludes urea a0 ❑ 5.EMERGENCY GENERATOR FUEL[HSC 425291.5(`)] 4399 ❑ 6.OTHER GENERAT R EUEL ❑ 95.UNKNOWN ❑ 99.01HER (Specify): CONTENTS PETROLEUM: „r REGULAR EADED ❑ Ic.MIDGRADE UNLEADED ❑ 1b.PREMIUM UNLEADED 44u I .DIESEL �I/ ❑ 5.JET FUEL ❑ 6.AVIATION GAS ❑ 8.PETROLEUM BLEND FUEL ❑ 9.OTHER PETROLEUM NON-PETROLEUM:❑ 7.USED OIL ❑ 10.ETHANOL 4406 ❑ 11.OTHER NON-PETROLEUM S PV. TANK CONSTRUCTION TYPE OF TANK ❑ 1.SINGLE WALL Lif 2.DOUBLE WALL ❑ 93.UNKNOWN 443 PRIMARY CONTAINMENT 1.STEEL ❑ 3.FIBERGLASS ❑ 6.INTERNAL BLADDER 444 ❑ 7.STEEL+INTERNAL LINING ❑ 95.UNKNOWN ❑ 99.OTHER Specvfy444° SECONDARY CONTAINMENT ❑ 1.STEEL ❑3.FIBERGLASS 6.EXTERIOR MEMBRANE LINER ❑ T JAC JE 445 ❑ 90.NONE ❑ 95.UNKNOWN ❑99.OTfIBR S 445a OVERFILL PIMEVENTION 1.AUDIBLE&VISUAL ALARMS 2.BALL FLOAT 3.FI.L TUBE SHUT-0FF VALVE 452. [1 4.TANK MEETS REQUIREMENTS FOR EXEMPTION FROM OVERFILL PREVENTION EQUIPMENT V. PRODUCT/WASTE PIPING CONSTRUCTION PIPING CONSTRUCTION ❑1.SINGLE-WALLED 2.DOUBT.&WALLED ❑99OTHER 460 SYSTEM TYPE 1.PRESSURE ❑ 2.GRAVITY ❑ 3.CONVENTIONAL SUCTION ❑ 4.SAFE SUCTION U CCR§2636(-X3)] 458 PRIMARY CONTAINMENT ❑ 1.STEEL 4.FIBERGLASS ❑ 8.FLEXIBLE ❑ 10.RIGID PLASTIC 464 ❑ 90.NONE ❑ 95.UNKNOWN ❑ 99.OTHMS fy): 4699 SECONDARY CONTAINMENT ❑ 1.STEEL 4.FIBERGLASS [18.FLEXIBLE [1 10.RIGID PLASTIC 4646 ❑ 90.NONE ❑ 95.UNKNOWN ❑ 99.OTHER(Specify): a6x PIPING/TURBINE CONTAINMENT SUMP TYPE 1.SINGLE WALL ❑ 2.IXTUBIB WALL ❑ 90.NONE 4644 VL VENT,VAP O RECOVERY(VR)AND RISER/FILL PIPE PIPING CONSTRUCTION VENT PRIMARY CONTAINMENT 1.STEEL ❑ 4.FIBERGLASS ❑ 10.RIGID PLASTIC 90.NONE ❑ 99.OTHER(Specify) ab4e 464e1 VENT SECONDARY CONTAINMENT ❑ 1.STEEL ❑ 4.FIBERGLASS ❑ 10.RIGID PLASTIC ❑ 90.NONE ❑ 99.OTHER(Specify) a64f 464fl VR PRIMARY CONTAINMENT I.STTJ:L 4.FIBERGLASS ❑ 10.RIGID PLASTIC 90.NONE 99.OTHER(Specify) 4646 1 VR SECONDARY CONTAINMENT ❑ 1.STEEL 4.FIBERGLASS 10.RIGID PLASTIC 90.NONE ❑ 99.OTHER(Specify) 464h 469hl VENT PIPING TRANSITION SUMP TYPE ❑ 1.SINGLE WALL 2.DOUBLE WALL ❑ 90.NONE RISER PRIMARY CONTAINMENT ❑ LSTEEL 4.FIBERGLASS ❑ 10.RIGID PLASTIC ❑ 90.NONE ❑ 99.OTHER(Specify) 4641 4691 RISER SECONDARY CONTAINMENT ❑ 1.STEEL ❑ 4.FIBERGTASS 10.RIGID PLASTIC 90.NONE 99.OTHER(Specify) 464k 464kl FILL COMPONENTS INSTALLED 1.SPILL BUCKET I STRIKER PLATE/BOTTOM PROTECTOR ❑ 4.CONTAINMENT SUMP 451e-c VII.UNDER DISPENSER CONTAINMENT(UDC) CONSTRUCTION TYPE 1.SINGLE WAIL ❑ 2.DOUBLE WALL ❑ 3.NO DISPENSERS ❑ 90.NONE 469e CONSTRUCTION MATERIAL ❑ 1.STEEL ❑ 4.FIBERGLASS 10.RIGID PLASTIC ❑ 99.OTHER(Specify) 4691'` VIII. CORROSION PROTECTION STEEL COMPONENT PROTECTION ❑ 2.SACRIFICIAL ANOURS) ❑ 4.IMPRESSED CURRENT ❑ 6.ISOLATION 448' IX. APPLICANT SIGNATURE CERTIFICATION: 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 1 al requirements. APPLICANT SIGNA -' DATE 3/3/08 APPLICANT NAME(print) Paul Chevalier "` APPLICANT TITLE Maintenance Manager 472' Rev.(12/2007) UPCF UST-B-1/Z