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RE UNIFIED PROGRAM CONSOLIDATED FORM UNDERGROUND STORAGE TANK JUL 16 cWD OPERATING PERMIT APPLICATION-TANK INFORMATIQNQ r+WWflf�7o TYPE OF ACTION (Check one item only. For a UST closure or removal,complete only this section and Sections f,!I,III,IV,and LY be ow CEE ® 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: d30a1 DATE EXISTING UST DISCOVERED: 430b' I. FACILITY INFORMATION FACILITY ID It(Agency Use Only) Q 1 7 $ 1 9 1. BUSINESS NAME(Same as FacilityName or DBA-Doing Business As) 3 GASSPECS, INC. dba GREAT AMERICAN GAS & CAR WASH BUSINESS SITE ADDRESS103 cITY 100- 2115 W. Yosemite Ave. Manteca II. TANK DESCRIPTION TANK ID R 432. TANK MANUFACTURER 033- TANK CONFIGURATION.THIS TANK IS 434- 1 Containment Solutions 0 L A STAND-ALONE TANK concise one Pete for eazh ❑ 2.ONE IN A COMPARTMENTED UNIT cPspen +nt.,he it DATE UST SYSTEM INSTALLED 435, 1 TANK CAPACITY IN GALLONS 436_ NUMBER OF COMPARTMENTS IN THE UNIT 430_ 2007/12 20,000 1 III. TANK USE AND CONTENTS TANK USE ® Is.MOTOR VEHICLE FUELING 0 Ib.MARINA FUELING 0 Ic AVIATION FUELING 439. 0 3.CHEMICAL PRODUCTSTORAGE 0 4.HAZARDOUS WASTE(Includes Used Oa) 0 5.EMERGENCY GENERATOR FUEL BISC§25281.5(c)) --__0_6_OTHER GENERATOR FUEL -., EI 95.UNKNOWN _ 099 OTHER ISeecify). 439' CONTENT'S PETROLEUM: ® Ie.REGULAR UNLEADED ❑ Ic MIDGRADE UNLEADED ❑ Ib PREMIUM UNLEADED ado. ❑ 3.DIESEL 0 5.JET FUEL 0 6.AVIATION GAS __ ❑ 8_PEM(OLEUM,BLENDFUEL _0,.9:OTHERPETROLEUM_(Specifp): 440x. NON-PETROLEUM:0 7.USED OIL ❑ 10.ETHANOL ❑ II.OTHER NON-PETROLEUM(Specify). 4406. IV. TANK CONSTRUCTION TYPE OF TANK ❑ 1.SINGLE WALL ® 2 DOUBLE WALL 0 95 UNKNOWN ____ UJ- PRIMARY CONTAINMENT ❑ 1.STEEL ® 3.FIBERGLASS 0 6.INTERNAL BLADDER 444' 0 7,STEEL+INTERNAL LINING _0,-95 UNKNOWN 0 99 OTHER(Spxify): -d64• SECONDARY CONTAINMENT ❑ 1.STEEL ®3.FIBERGLASS ❑ 6 EXTERIOR MEMBRANE LINER ❑ 7.JACKETED 445' ❑ 90.NONE 0 95.UNKNOWN 0 99..OTHER(Spec_fy): 445. OVERFEVENTION ❑ L AUDIB ILL PRLE&.VISUAL ALARMS ❑ 2.BALL FLOAT ® 3.FILL TUBE SHUT-OFF VALVE 453. 0 4,TANK MEETS REQUIREMENTS FOR EXEMPTION FROM OVERFILL PREVENTION EQUIPMENT V. PRODUCT/WASTE PIPING CONSTRUCTION PIPING CONSTRUCTION ❑ L SINGLE WALL ® 2.DOUBLE WALL 0 ".OTHER 60. SYSTEM TYPE ® L ES PRSURE ❑ 2:GRAVITY _ 0 3. CONVENTIONAL SUCTION ❑ 4 SAFE SUCTION[E3 CCR 82636()(l)] _.__.458. PRIMARY CONTAINMENT ❑-1.STEEL ® 4.FIBERGLASS ❑ B.FLEXIBLE ❑ 10.RIGID PLASTIC 460- 0 90.NONE 0 95.UNKNOWN _ ❑ 99.OTHER(Specify): 464' __ _ ... ..............a-eb_. SECONDARY CONTAINMENT 0 L STEEL 0 4.FIBERGLASS ❑ 8 FLEXIBLE ❑ I0.RIGID PLASTIC 0 90.NONE ❑ 95.UNKNOWN 0 92OTHER(Specify): 464, PIPINGh URBINE CONTAINMENT SUMP TYPE 0 1.SINGLE WALL ® 2.DOUBLE WALL 0 90.NONE 464d. VI. VENT, VAPOR RECOVERY (VR)AND RISER/FILL PIPE PIPING CONSTRUCTION VENT PRIMARY CONTAINMENT ❑ 1.STEEL ® 4.FIBERGLASS ❑ 70.RIGID PLASTIC ❑ 90.NONE ❑ 99.OTHER(Specify); 4,6 4e] ... _ _...._...._ ._. ._-_ ...... ___ ................ . .._-....._.. .........._.... .. _......... VENT SECONDARY CONTAINMENT 0 1.STEEL 0 4 FIBERGLASS 0 10 RIGID PLASTIC 0 90.NONE 0 99.OTHER(Specify): 464n ............... _..... .......- ...._....... ............... ..___. VR PRIMARY CONTAINMENT 0 1.STEEL 0 4 FIBERGLASS 0 10.RIGID PLASTIC 0 90.NONE 0 99.OTHER(Specify). 46aj' ...- ........_ .............. ._.._-.......................____. _--.......... _x__ VR SECONDARY CONTAINMENT ❑ L STEEL ® 4 FIBERGLASS C 10 RIGID PLASTIC 0 90.NONE 0 99.OTHER(Specify): 464h1. .._. ..........._... _.... .. _-------- ..... ._.._______ .._... ................ ....._........_ .-46Gi-_ VENT PIPING TRANSITION SUMP. TYPE 0 1.SINGLE WALL 0 2 DOUBLE WALL 0 90.NONE RISER PRIMARY CONTAINMENT ® t STEEL 0 4 FIBERGLASS 0 10 RIGID PLASTIC 0 90.NONE ❑ 99 OTHER(Spectfy): 464 j RISER SECONDARY CONTAINMENT ❑ L STEEL 0 4.FIBERGLASS 0 10RIGID PLASTIC 090.NONE ❑ 99.OTHER(Specify): mak' FILL COMPONEN75 INSTALLED ® 1 SPILL BUCKET ® 3.STRIKER PLATE/BOTTOM PROTECTOR ® 4.CONTAINMENT SUMP 451n-` VII. UNDER DISPENSER CONTAINMENT (UDC) CONSTRUCTION TYPE 0 1 SINGLE WALL ID 2 DOUBLE WALL 0 3.NO DISPENSERS 0 90.NONE 469+ .........______ .._......_ ................ _-...... ......._. . .......... ..._.. ........... .. ........_ _-......._..._._....t6l CONSTRUCTION MATERIAL ❑ 1.STEEL ID 4.FIBERGLASS 0 10.RIGID PLASTIC 0 99 OTHER(Specify) 469c VIIL CORROSION PROTECTION STEEL COMPONENT PROTECTION 0 2.SACRIFICIAL ANODE(S) 0 4.IMPRESSED CURRENT ® 6.ISOLATION 448. IX. APPLICANT SIGNATURE CERTIFICATION: I certify th is ST system is c p e with the hazardous substance stored and that the information provided herein is true, accurate,on ' ul o lianc ith 1 re ements. APPLICANT SIGNATURE DATE 470. °U APPLICANT NAME(print) SYED ED °71. APPLICANTTITLE Vice President