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5/28/2014 UST Program Tank Information Permit Application:CF—'Business <br /> ane/ -t1,M'1,�� <br /> ` <br /> Kulvrinder 7ohal's ACWun[ 51an 0Tools Reports FRIO <br /> California Environmental Reporting System:Business 11L <br /> Hec,.o Submittais Facilities Compliance My Business <br /> UST Tank Information/Monitoring Plan: JIMCO TRUCK PLAZA' <br /> Home 1) Prepare Submittal(10180637) y) UST:UST Tank Inform ation/Monitaring Plan(Draft) <br /> 13* <br /> InstructionsMelp <br /> Use this form to enter data for new UST systems or revise data for an existing UST system.You Tasted mplete a separate form for each affected tank.For tanks that are <br /> part of a com parhmentalized unit,each compartment is considered a separate tank.This information is required within 30 days of permit or facility information changes, <br /> unless your local agency requires approval prior to making the changes. <br /> Select Editto modifWadd your USTtank/system information. <br /> The former paper verslon of this form was called"UST Operating Permit Application-Tank Information'(Form B). <br /> g <br /> Yui Discard View Monitoring Plan Edit Cancel <br /> Type .of-Aoctio <br /> of Action(LIST Tank) <br /> C c-- rctUpd ted Information <br /> JIMCO TRUCK PLAZA' <br /> 1022 E FRONTAGE RD <br /> RIPON , CA 95366 <br /> TankDescriptio <br /> Tank ID# Date UST System Installed Tank Configuration <br /> TA0507886 8/1/1998 One In a Compartmented Unit <br /> Tank Manufacturer Date Existing UST Discovered Number of Compartments In the Unit <br /> MODERN WELDING - 2 <br /> Tank Capacity In Gallons Date UST Permanently Closed Additional Description <br /> 8000 <br /> Ta k-Useand Do to is <br /> Tank Use Tank Contents Type of Tank <br /> MotorVehide Fueling Premium Unleaded Double Wall <br /> Other Petroleum Contents <br /> Primary Containment Secondary Containment <br /> Other Non-Petroleum Contents Steel Steel <br /> Overfill Protection <br /> No Audible/Visual Alarms Yes Fill Tube Shut-Off Valve <br /> No Ball Float No Exempt <br /> roduct I Waste Piping Construction <br /> Piping Construction Primary Contain ® 0 CERS Help ' 5ettlngs My Busines: <br /> Double-walled Fib(rglass --- <br /> Piping System Type - <br /> Pressure <br /> enYVaper-Recovery-(VR)artd Rser FfiII-Pipe-Piping Eo shuctiti <br /> Primary Containment Vapor Recovery Prim ary Containment Mast Pipe Primary Containment Vent Piping Transition Sumps <br /> Fiberglass Fiberglass Steel None <br /> Fill Components Installed <br /> Secondary Containment Vapor Recovery Secondary Containment Poser Pipe Secondary Containment Yes Spill Bucket <br /> None None None No Striker PlatelBottom Protector <br /> No Containment Sump <br /> ispellserCbntarnmeM{HDD ortosfon-ProteeNon <br /> Construction Type Construction Material No Sacrificial Anode <br /> Single-walled - No Impressed Current <br /> Yes Isolation <br /> FApplicant Certification <br /> httizellcersbusiriess2calepa.ca.grn/49409/FWilityl10180637/SutxrlittallDraR/UST/155947/TanWnfurnatiordDetail/512842 12 <br />