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RECEIVED UNIFIED PROGRAM CONSOLIDATED FORM JUL 16 2N UNDERGROUND STORAGE TANK GUUO OPERATING PERMIT APPLICATION-TANK INFO a k Wfy_YUST) TYPE OF ACTION (Check one item only. For a UST closure or removal,complete only this section and Sections 1,I!,III,IV,and 7X below) ® 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. 430a I DATE EXISTING UST DISCOVERED: 430b_ I. FACILITY INFORMATION FACILITY ID#(Agency Use Only) _ 7 $ 9 1 1, BUSINESS NAME(Same as Facility Name or DBA-Doing Business As) 3. GASSPECS, INC. dba GREAT AMERICAN GAS & CAR WASH BUSINESS SITE ADDRESSI°3. CITY lod. 2115 W. Yosemite Ave. Manteca II. TANK DESCRIPTION TANK ID 432. TANK MANUFACTURER 433_ TANK CONFIGURATION:THISTANKIS 434_ 2 Containment Solutions ❑ L A STAND-ALONE TANK Comieeonepeeforeach 2.ONE INA COMPARTMENTED UNIT wMma nt in the mit. DATE UST SYSTEM INSTALLED 435_ TANK CAPACITY IN GALLONS 436. NUMBER OF COMPARTMENTS IN THE UNIT 4n. 2007/12 12,000 2 III. TANK USE AND CONTENTS TANK USE ® la.MOTOR VEHICLE FUELING ❑ If.MARINA FUELING ❑ Ic.AVIATION FUELING 435_ ❑ 3.CHEMICAL PRODUCT STORAGE ❑ 4.HAZARDOUS WASTE(Includes Used Oi) ❑ 5.EMERGENCY GENERATOR FUEL IBSC§252915(c)] ❑ &OTHER GENERATOR FUEL ❑ 95:UNKNOWN ❑ 99 OTHER(Specify} 439. _._-___.- . . ........ -..D.E .... _ ... -_""-- CONTENTS PETROLEUM ❑ Ia.REGULAR UNLEADED ❑ Ic MIDGRADE UNLEADED Ib PREMIUM UNLEADED ❑ 3.DIESEL ❑ 5.JET FUEL ❑ 6.AVIATION GAS E,8;PETROLEUM BLEND FUEL [19 OTHER PETROLEUM(Spemfy); 440n _---_- NOWETROLEUM ❑ 7.USED OIL ❑ 10.ETHANOL ❑ 11.OTHER NON-PETROLEUM(Specify): 440b. IV. TANK CONSTRUCTION TYPE OF TANK ❑ 1.SINGLE WALL ® 2 DOUBLE WALL ❑ 95 UNKNOWN 443. 01 - _._. ._. . . .. ._ .-- E . ................ ...........-. PRIMARY CONTAINMENT ❑ 1.STEEL ® 3 FIBERGLASS ❑ 6.INTERNAL BLADDER ❑ 7.STEEL+INTERNAL LINING ❑ 95.UNKNOWN ❑ 99.OTHER(Specify): SECONDARY CONTAINMENT ❑ I.STEEL ®3 FIBERGLASS ❑ 6 EXTERIOR MEMBRANE LMER ❑ 7.JACKETED 445. ❑.,90.NONE ❑ 95 UNKNOWN ,(].99 OTHER(S,pecifyI. 445. OVERFILL PREVENTION ❑ LAUDIBLE&VISUAL ALARMS ❑ 2.BALL FLOAT ® 3.FILL TUBE SHUT-OFF VALVE d52. ❑ 4.TANK MEETS REQUIREMENTS FOR EXEMPTION FROM OVERFILL PREVENTION EQUIPMENT V. PRODUCT/WASTE PIPING CONSTRUCTION PIPING CONSTRUCTION ❑ 1.SINGLE WALL M 2.DOUBLE WALL ❑ 99.OTHER 460. .__-.T . ....... ......_.--_-__. _._.__ .._ .. .. _SYSTEM TYPE _ ® L PRESSURE ❑ 2 GRAVITY ❑ 3 CONVENTIONAL SUCTION ❑ 4.SAFE SUCTION[v CCR 62636fa)(3)7 458. ....I..... -..-____-- ... ..-_,.__.. _. PRIMARY CONTAINMENT ❑ L STEEL ® 4.FIBERGLASS ❑ 8 FLEXIBLE ❑ 10.RIGID PLASTIC 464. ❑ 90.NONE ❑ 95 UNKNOWN _ Q 99 OTHER(Specify} 464. SECONDARY CONTAINMENT ❑ 1.STEEL ® 4 FIBERGLASS ❑ 8 FLEXIBLE ❑ 10.RIGID PLASTIC 4646. ❑ 90.NONE ❑ 95.UNKNOWN ❑ 99.OTHER(Specify): 4640 PIPINGITURBINE CONTAINMENT SUMP TYPE ❑ 1 SINGLE 16a ® 2.DOUBLE wALL ❑ 90.NONE 4Wd VI. VENT,VAPOR RECOVERY (VR)AND RISER/FILL PIPE PIPING CONSTRUCTION VENT PRIMARY CONTAINMENT ❑ I.STEEL ® 4.FIBERGLASS ❑ 10.RIGID PLASTIC ❑ 90.NONE ❑ 99.OTHER(Specify): 46ae1 vi ____.__.. . . .............. .---_-_..._ _.. ._......... ....--...--...... ................ _......-_...... _ _.__. gbgf VENT SECONDARY CONTAINMENT ❑ L STEEL ® 4.FIBERGLASS ❑ 10 RIGID PLASTIC ❑ 90.NONE ❑ 99.OTHER(Specify): 46441. -----_......-_.. ----"__. .._............_ ........."-_ ....-_.._.... VR PRIMARY CONTAINMENT ❑ t STEEL ® 4.FIBERGLASS ❑ 10 RIGID PLASTIC ❑ 90.NONE ❑ 99.OTHER(Specify): 46641. VR SECONDARY CONTAINMENT ❑ 1-STEEL ® 4.FIBERGLASS ❑ 10 RIGID PLASTIC ❑ 90.NONE ❑ 99.OTHER(Specify): 464hl VENT PIPING TRANSITION SUMP TYPE ❑ 1.SINGLE WALL ® 2 DOUBLE WALL ❑ 90.NONE 464i .-_.._..-----_.. _ _... _..-_...-_ .......--..._ -.............. ._.. _..... --49j- RISER PRIMARY CONTAINMENT ® 1 STEEL [14.FIBERGLASS El 10.RIGID PLASTIC [190.NONE ❑ 99.OTHER(Specify): 464j _ RISER SECONDARY CONTAINMENT ❑ 1.STEEL ® 4 FIBERGLASS ❑ 10 RIGID PLASTIC ❑ 90.NONE ❑ 99.OTHER(Specify): 46ak' 464k1_ FILL COMPONENTS INSTALLED ® 1 SPILL BUCKET ® 3.STRIKER P1:,VMBOTTOM PROTECTOR ® 4 CONTAINMENT SUMP 451a<. VII. UNDER DISPENSER CONTAINMENT (UDC) CONSTRUCTION TYPE ❑ 1.SINGLE WALL ID 2.DOUBLE WALL ❑ 3.NO DISPENSERS ❑ 90.NONE 469. CON$TRUGTION MATERIAL ❑ I STEEL ® 4.FIBERGLASS ® 10 RIGID PLASTIC [199 OTHER(Specify) 469b VIIL CORROSION PROTECTION STEEL COMPONENT PROTECTION ❑ 2.SACRIFICIAL ANODE(S) ❑ 4.IMPRESSED CURRENT ® 6.ISOLATION 448. APPLICANT SIGNATURE CERTIFICATION: I certify th t ' UST syste is 1 e with the haeardous substance stored and that the information provided herein is true, accurate,a NIt coo lian th at re imments. APPLICANT SIGNATURE DATE '7 447. //1 470 APPLICANT NAME(print) SYE ED 471 APPLICANT TITLE Vice President 472