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BILLING_PRE 2019
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PR0231848
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BILLING_PRE 2019
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Entry Properties
Last modified
12/27/2023 1:24:48 PM
Creation date
11/5/2018 9:17:33 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
BILLING
FileName_PostFix
PRE 2019
RECORD_ID
PR0231848
PE
2361
FACILITY_ID
FA0002052
FACILITY_NAME
NuStar Terminals Operations Partnership L.P.
STREET_NUMBER
3505
STREET_NAME
NAVY
STREET_TYPE
DR
City
STOCKTON
Zip
95206
APN
16203004
CURRENT_STATUS
01
SITE_LOCATION
3505 NAVY DR
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
KBlackwell
Supplemental fields
FilePath
\MIGRATIONS\N\NAVY\3505\PR0231848\BILLING.PDF
QuestysFileName
BILLING
QuestysRecordDate
11/8/2017 10:40:30 PM
QuestysRecordID
3721530
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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STATE OF CALIFORNI WATER RESOURCES CONTRO --OARD <br /> FORM `B': UNDERGROUND STORAGE TANK PRO RAM <br /> TANK PERMIT APPLICATION INFORMATION <br /> TANK C/ <br /> COMPLETE A SEPARATE FORM WITH THE FOLLOWIN INFORMATION FOR EACH TANK. <br /> MARK ONLY ❑ i NEW PERMIT ❑ 3 RENEWAL PERMIT [kf5 CHANGE OF INFORMATION ❑ 7 PERMANENTLY CL1911177 <br /> ANK <br /> ONE ITEM ❑ 2 INTERIM PERMIT ❑ 4 AMENDED PERMIT ❑6 TEMPORARY TANK CLOSURE El8 TANK REMOVED /, <br /> FACILITY/SITE NAME WHERE TANK IS INSTALLED: V' SIXX lo g,;-nw,3 FARM TANK-YES❑ NO <br /> I. TANK DESCRIPTION COMPLETE ALL ITEMS-IF UNKNOWN-SO SPECIFY <br /> A. OWNERS TANK ID# B. MANUFACTURED BY: <br /> C YEAR INSTALLED D"� D. TANK CAPACITY IN GALLONS: (J O O <br /> 11. TANK CONTENTS IF(A.1),IS MARKED,COMPLETE ITEM C.IF(A.1),IS NOT MARKED,COMPLETE ITEM D. <br /> A. ❑ 1 MOTOR VEHICLE FUEL ❑ 2 PETROLEUM B. C. ❑ 1 UNLEADED ❑ 2 LEADED ❑ 3 DIESEL <br /> ❑ 3 EMICAL PRODUCT ❑ 4 OIL ❑ 1 PRODUCT ❑ 4 GASAHOL ❑ 5 JET FUEL El AVIATION GAS <br /> 5 HAZARDOUS ❑ 80 EMPTY [:] 95 UNKNOWN WASTE ❑ 7 METHANOL Ftr99 OTHER(DESCRIBE IN ITEM D,BELOW) <br /> D. IF NOT MOTOR VEHICLE FUEL,ENTER NAME OF �� <br /> HAZARDOUS SUBSTANCE STORED&C.A.S.# 5 C.A.S.#: <br /> III. TANK CONSTR TION MARK ONE ITEM ONLY IN BOX A,B,C,&D <br /> A. TYPE OF 1 DOUBLE WALLED ❑ 3 SINGLE WALLED WITH EXTERIOR LINER ❑ 95 UNKNOWN <br /> SYSTEM ❑ 2 SINGLE WALLED ❑4 SECONDARY CONTAINMENT ❑ 99 OTHER <br /> F-] 1 STEEL/IRON E]2 STAINLESS STEEL 3 FIBERGLASS F]4 STEEL CLAD W/FIBERGLASS REINFORCED PLASTIC <br /> B.TANK ❑ 5 CONCRETE F-1 6 POLYVINYL CHLORIDE ❑ 1 ALUMINUM F-] 8 100%METHANOL COMPATIBLE FRP <br /> MATERIAL <br /> ❑ 9 BRONZE ❑ 10 GALVANIZED STEEL ❑95 UNKNOWN ❑ 99 OTHER <br /> ❑ 1 RUBBER LINED ❑2 ALKYD LINING ❑ 3 EPDXY LINING ❑ 4 PHENOLIC LINING <br /> C NKNOWN <br /> INTERIOR <br /> ❑ 5 GLASS LINING ❑6 UNLINED r9,9 <br /> THER <br /> ❑ IS LINING MATERIAL COMPATIBLE WITH 100%METHANOL? ❑YES ❑ NOTHER <br /> D. CORROSION ❑ 1 POLYETHLENE WRAP ❑ 2 TARORASPHALTV95 <br /> INYLWRAP ❑ 4 FIBERGLASS REINFORCED PLASTIC <br /> PROTECTION ❑ 5 CATHODIC PROTECTION ❑91 NONE UNKNOWN ❑99 OTHER <br /> IV. PIPING INFORMATION CIRCLE A IF ABOVE GROUND, U IF UNDERGROUND,BOTH IF APPLICABLE <br /> A. SYSTEM TYPE A U 1 SUCTION A OJL 2 PRESSURE A U 3 GRAVITY A U 91 NONE A U 95 UNKNOWN A U 99 OTHER <br /> B. CONSTRUCTION A U 1 SINGLE WALLED AU 2 DOUBLE WALLED A U 3 LINED TRENCH A U 91 NONE A U 95 UNKNOWN A U 99 OTHER <br /> A U 1 STEEL/IRON A U 2 STAINLESS STEEL A U 3 POLYVINYL CHLORIDE(PVC) <,u)4 FIBERGLASS PIPE A U 91 NONE <br /> C. MATERIAL A U 5 ALUMINUM A U 6 CONCRETE A U 7 STEEL CLAD W/FRP A U 8 100%METHANOL COMPATIBLE FRP <br /> A U 9 GALVANIZED STEEL A U 95 UNKNOWN A U 99 OTHER <br /> V. LEAK DETECTION SYSTEM CIRCLE P FOR PRIMARY,OR S FOR SECONDARY,A PRIMARY LEAK DETECTION SYSTEM MUST BE CIRCLED. <br /> 6 P S 1 VISUAL CHECK P S 2 INVENTORY RECONCILIATION P S 3 VADOSE WELL P S 4 ELECTRONIC MONITOP P S 5 GROUND WATER MONITORING WELLS <br /> 2 P S 6 PRECISION TESTING P S 7 PRESSURE TESTING P S 91 NONE S 95 UNKNOWN P S 99 OTHER <br /> VI. INFORMATION ON TANK PERMANENTLY CLOSED IN PLACE <br /> 1. ESTIMATED DATE LAST USED(MO/YR) 2. ESTIMATED QUANTITY OF 3.WAS TANK FILLED WITH <br /> SUBSTANCE REMAINING IN GALLONS INERT MATERIAL? ❑YES [-] NO <br /> THIS FORM HAS BEEN COMPLETED UNDER PENALTY OF PERJURY,AND TO THE BEST OF MY KNOWLEDGE,IS TRUE AND CORRECT. <br /> APPLICANT'S NAME(PRINTED&SIGNATURE) DATE <br /> LOCAL AGENCY USE ONLY <br /> COUNTY# JURISDICTION# AGENCY# FACILITY ID# TANK ID# <br /> [a] <br /> /V I ;�[n <br /> 10 <br /> 10 <br /> CURRENT LOCAL AGENCY FACILITY I � APPROVED BY NAME PHONE#WITH AREA CODE <br /> r 15 <br /> PERMIT NUMBER PERMIT APPROVAL DATE PERMIT EXPIRATION DATE f <br /> CHECK# PERMIT AMOUNT SURCHARGE AMT. FEE CODE RECEIPT# BY:�� <br /> FORM B(6-29-88) THIS FORM MUST BE ACCOMPANIED BY A FACILITY/SITE APPLICATION, FORM 'A',UNLESS 7 CURRENT FORMA' HAS BEEN FILED <br /> DATA PROCESSING COPY <br />
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