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co rco NIFIED PROGRAM CONSOLIDATED 10M UNDERGROUND STORAGE TANK OPERATING PERMIT APPLICATION-TANK INFORMATION(one form ST) TYPfc OF ACTION (Check one item only. For an UST permanent closure or removal,complete only this section and Sections L IL 111,IV,and IX 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 DATE UST PERMANENTLY CLOSED: °30a I DATE EXISTING UST DISCOVERED: 439b I. FACILITY INFORMATION FACILITY ID#(Agency Use Only) I I I _ I I I I _ 3 7 39 1 BUSINESS NAME(Same as FACILITY NAME or DBA-Doing Business As) 3 Tower Mart#886 BUSINESS SITE ADDRESS 1°3 CITY IN W.Yosemite Ave. Manteca CA IL TANK DESCRIPTION TANK ID# RU-886 432 TANK MANUFACTURER 433 T K CONFIGURATION. TWS TANK IS 434 Modem Welding 1.A STAND-ALONE TANK �� 7�-'' ❑ 2.ONE IN A COMPARTMENTED UNIT. Complete one for each ie am unt. DATE UST SYSTEM INSTALLED 435 TANK CAPACITY IN GALLONS 436 NUMBER OF COMPAR'T'MENTS IN THE UNIT 437 Jan 1991 12,000 Gal I One 1 III.TANK USE AND CONTENTS TANK USE la MOTOR VEHICLE FUELING ❑ Ib.MARINA FUELING ❑ Ic.AVIATION FUELING 439 ❑ 3.CHEMICAL PRODUCT STORAGE ❑ 4.HAZARDOUS WASTE(Md.Uxd OH) ❑ 5.EMERGENCY GENERATOR FUEL[FLOC§25281.5(c)) 0 ' 0 '.OTHER GENERATO ❑ 95.UNKNOWN ❑ 99.OTHER (Specify): 43% CONTENTS WT-ROL.EIJM: a REGULAR UNLEADED ❑ lc.M[DGRADE UNLEADED ❑ 1b.PREMIUM UNLEADED 440 ❑ 3.DIESEL ❑ 5.JET FUEL ❑ 6.AVIATION GAS ❑ 8.PETROLEUM BLEND FUEL ❑ 9.OTHER PETROLEUM (Specify): a4aa NON-PETROLEUM:❑ 7.USED OIL ❑ 10.ETHANOL ❑ 11.OTHER NON-PETROLEUMS 440b IV. TANK CONSTRUCTION TYPE OF TANK ❑ 1.SINGLE WALL 2.DOUBLE WALL ❑ 95.UNKNOWN 443 PRIMARY CONTAINMENT .STEEL ❑ 3.FlBERGLASS ❑ 6.INTERNAL BLADDER 444 ytl- ❑ 7.STEEL+INTERNAL LINING ❑ 9 . OWN ❑ 99.OTHER (specify): 444• SECONDARY CONTAINMENT ❑ 1.STIII. ❑3.FIBERGLASS 6.EXTERIOR MEMBRANE LINER ❑ 7.JACKETED 445 ❑ 90.NONE ❑ 95.UNKNOWN [199.OTHER(S i 445a OVERFILL PREVENTION ❑ 1.AUDIBLE 8r VISUAL ALARMS U 2.BALL FLOAT 3.FILL TUBE SHUT-OFF VALVE 452. ❑ 4.TANK MEETS REQUIRIIv1ENTS FOR EXEMPTION FROM OVERFILL PREVENTION EQUIPMENT V. PRODUC /WASTE PIPING CONSTRUCTION PIPING CONSTRUCTION ❑1 SINGL&WALLED .DOUBL&WALLED ❑99.OTHER 460 SYSTEM TYPE 1.PRESSORE ❑ 2.GRAVITY ❑ 3.CONVENTIONAL SUCTION ❑ 4.SAFE SUCTION[23 CCR§M36(a)(3] 458 PRIMARY CONTAINMENT ❑ 1.STEEL. .FIBERGLASS L18.FLEMBLE [Il0.RIGIDPLASTIC 464 [190.NONE 9 .UNKNOWN ❑ 99.OTHERS ify): 464a SECONDARY CONTAINMENT ❑ 1.STEEL W4.FIBERGLASS ❑ S.FLEXIBLE ❑ 10.RIGID PLASTIC 464b ❑ 90.NONE ❑ 95.UNKNOWN ❑ 99 OTHER(Specify): 464c PIPINGITURBINE CONTAINMENT SUMP TYPE LP1.SINGLE WALL LF2.DOUBLE WALL ❑ 90.NONE 4694 VL VENT,VAPOR RECOVERY(VR)AND RISER/FILL PIPE PIPING CONSTRUCTION VENT PRIMARY CONTAINMENT Wr I.STEEL 0 4.FIBERGLASS ❑ 10.RIGID PLASTIC ❑ 90.NONE U 99.OTHER(Specify) 464e 464e1 VENT SECONDARY CONTAINMENT ❑ 1.STEEL ❑ 4.FIBERGLASS ❑ 10.RIGID PLASTIC ❑ 90.NONE ❑ 99.OTHER(Specify) 464E 464n VR PRIMARY CONTAINMENT 1.STEEL ❑ 4.FIBERGLASS ❑ 10.RIGID PLASTIC ❑ 90.NONE 99.OTHER(Specify) 4648 464 1 VR SECONDARY CONTAINMENT ❑ 1.STEEL ❑ 4.FIBERGLASS ❑ 10.RIGID PLASTIC ❑ 9D.NONE 0 99.OTHER(Specify) 464h 4Whl VENT PIPING TRANSITION SUMP TYPE 171 1.SINGLE WALLX ❑ 2.DOUBLE WALL ❑ 90.NONE 4Mi. RISER PRIMARY CONTAINMENT ❑ 1.STEEL Lff 4.FIBERGLASS ❑ 10.RIGID PLASTIC ❑ 90.NONE ❑ 99.OTHER(Specify) 4641 4641 RISER SECONDARY CONTAINMENT' ❑ L STEEL 0 4.FIBERGLASS 0 10.RIGID PLASTIC 0 90.NONE El 99.OTHER(Specify) 4Mk 464kl FI-L COMPONENTS INSTALLED 1.SEE:BUCKET 3.STRIKER PLATE/BOTTOM PROTECTOR ❑ 4.CONTAINIMENT'SUMP 451st VII.UNDER DISPENSER CONTAINMENT(UDC) CONSTRUCTION TYPE L SINGLE W ALL ❑ 2 UBLE WALL ❑ 3.NO DISPENSERS ❑ 90.NONE 469' CONSTRUCTION MATERIAE, ❑ 1.STEEL ❑ 4.FIBERGLASS 10.RIGID PLASTIC ❑ 99.01HER S 4696, VIII, CORROSION PROTECTION STEEL COMPONENT PROTECTION ❑ 2.SACRIFICIAL ANODF(S) ❑ 4.IMPRESSED CURRENT ❑ 6.ISOLATION a4a. 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 legal Vquiremema. APPLICANT SIGNATURE DATE 3/3/08 "°- / APPLICANTNAME(print) Paul Cheva ier 491. APPLICANTTITLE Maintenance Manager 472, UPCF UST-B-112 Rev.(122007)