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1 <br /> UST Program: Tank Informat ermit Application: CERS Business Page 1 of 2 <br /> CERS unavailable from 12:30 PM-1:30 PM <br /> California EnvironmentalSystem:Business Reporting SysteBusiness fn owes se Dods' I SInm Out Tools RecrA Bel_ <br /> Home Submittals Facilities Compliance My Business <br /> UST Tank Information/Monitoring Plan: SAVE ON GAS & LIQUOR <br /> Home N Submutd History H Subm tlal1=5I201311D16C7271 D UST'.UST Tank InformationlMondoring Ptan(Submdted) <br /> t4 ImsttuclionsMelp <br /> Use this form to enter data for new UST systems or revise data for an existing UST system.You must complete a sepamle form for each affected lank.For tanks that are part of a <br /> compartmentalized unit,each compartment is considered a separate tank.This Information is required within 30 days of permit or facility information changes,unless your local <br /> agency requires approval poor to making the changes. <br /> Select Edit to modify/add your UST tank/system Information. <br /> The former paper version of this form was Called'UST Operating Permit Application-Tank Information'(Form B). <br /> r Submittal Element History - --- -- ----� <br /> Submitted for CERS ID 10180727 on 10125/201311:43AM by Saender Dilawd of SAVE ON GAS&LIQUOR(MANTECA,CA) <br /> Vie"[mire Submittal Start New Subminal <br /> ib View Monitoring Plan <br /> [Type of Action-_______.____.._ <br /> Type of Action(UST Tank) <br /> Confirmed/Updated Information <br /> Facilfty Information -----_—__---------------... <br /> SAVE ON GAS&LIQUOR <br /> 420 W YOSEMITE AVE <br /> MANTECA, CA 95337 <br /> Tank DeacriPOon--_._—_.._.._..__...____...__.._-__--__....._______________....._.--------------------- <br /> ___...—._—_.___�____—___—_.___ <br /> TanklDa Date UST System installed Tank Configuration <br /> \Jlhanl,Mrmf..timar <br /> TA0508099 1191998 One in a Compartmented Unit <br /> Date Existing UST Discovered Number of Compartments in the Unit <br /> XERXES 2 <br /> Tank Capacity In Gallons Date UST Pemmnently Closed Additional Description <br /> 6000 <br /> Tank Use and Contents-----—-----—.__._.___-..-______—_....---...._......................._.. .-.Tank Construction.___..___—_ _._.__....__.._____.__._—_.._........ <br /> Tank Use Tank Contents Type of Tank <br /> Motor Vehicle Fueling Premium Unleaded Double Wall <br /> I Other Petroleum Contents <br /> - Primary Containment ! Secondary Containment <br /> Other Non-Petroleum Contents Fiberglass Fiberglass <br /> --------------_.--_ <br /> Overfill Protection <br /> No AudibleNisual Alarms Yes FIII Tube ShutAR Valve <br /> No Boli Float No Exempt <br /> -Product I Waste Piping Construction_......_...-.___—__..—_._.___------------------.................._.-_---_--_____...___—______...__............____....._.____..__._ <br /> Piping Construction I Primary Containment 1 Secondary Containment PipinglTurbine Containment Sump <br /> Double-wailed Fiberglass 1 Fiberglass Single-walled <br /> Piping System Type <br /> Pressure <br /> -Vent,Vapor Recovery(VR)and Riser/FIII Pipe Piping Construction------------"--'-'---'-'-"'-------------'--------------------"------------ <br /> PdmaryComalnmeM Vapor Recovery Primary Containment Riser Pipe Primary Containment Vent Piping Transition Sumps <br /> Fiberglass Fiberglass Steel No <br /> Fill Components Install" <br /> Secondary Containment Vapor Recovery Secondary Containment Riser Pipe Secondary Containment Yes Spill Bucket <br /> None None None I Yes Striker PlateSonom Protector <br /> No Containment Sump <br /> '-Under Dispenser Containment(UDC)-----------—------------------ 'Corrosion Protection------- -------------'--""'----'� <br /> Construction Type Construction Material _ No Sacrificial Anode <br /> Single-walled Rigid Plastic No Impressed Curren <br /> No Isolation <br /> fPP <br /> A licant Cenlfication.--____.._______—..-___-___-_.—__-____..______---_ <br /> My Business:SAVE ON GAS&LIQUOR j5elect Business ❑', <br /> https://cersbusiness.calepa.ca.gov/49454/Facility/10180727/Submittal/UST/522705/Tank... 10/25/2013 <br />