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MM& <br /> Facility/Site - - — - - - <br /> LODI MUNI SERVICE CENTER d CERS ID <br /> 1331 S HAM Ln ` 10181549 <br /> LODI,CA 95240 <br /> Submittal Status <br /> Submitted on 9/16/2015 by Randy Laney of LODI MUNI SERVICE CENTER(LODI,CA) <br /> Type of Action - — -- — <br /> Type of Action(UST Tank) <br /> Confirmed/Updated Information <br /> Facility Information <br /> LODI MUNI SERVICE CENTER <br /> 1331 S HAM Ln <br /> LODI,CA 95240 <br /> Tank Description <br /> Tank ID# Date UST System Installed Tank Configuration <br /> A0133207 1/1/1989 A Stand-alone Tank <br /> Tank Manufacturer Date Existing UST Discovered Number of Compartments in the Unit <br /> PERKINS 1 <br /> ank Capacity In Gallons Date UST Permanently Closed Additional Description <br /> 000 <br /> Tank Use and Contents Tank Construction <br /> Tank Use Tank Contents ype of Tank <br /> Motor Vehicle Fueling Diesel Double Wall <br /> Other Petroleum Contents 3rimary Containment Secondary Containment <br /> tee[ Steel <br /> Other Non-Petroleum Contents <br /> verfill Protection <br /> Audible/Visual Alarms Yes Fill Tube Shut-Off Valve a c"1 <br /> Ball Float Exempt Jen <br /> Product/Waste Piping Construction <br /> Piping Construction Primary Containment Secondary Containment Piping/Turbine Containment Sump <br /> Double-walled Fiberglass Fiberglass Single-walled <br /> Piping System Type <br /> Pressure <br /> Vent,Vapor Recovery(VR)and Riser/Fill Pipe Piping Construction <br /> Primary Containment Vapor Recovery Primary Containment Riser Pipe Primary Containment Vent Piping Transition Sumps <br /> Fiberglass Fiberglass Steel None <br /> Fill Components Installed <br /> Secondary Containment Vapor Recovery Secondary Containment Riser Pipe Secondary Containment Yes Spill Bucket <br /> None None None Yes Striker Plate/Bottom Protector <br /> Containment Sump <br /> Under Dispenser Containment(UDC) Corrosion Protection <br /> Construction Type Construction Material Yes Sacrificial Anode <br /> Ingle-walled Fiberglass Impressed Current <br /> Isolation <br /> Applicant Certification <br /> Applicant Name Applicant Title Date Certified <br /> RANDY LANEY FLEET SERVICES SUPERVISOR <br /> Printed on 9/22/2015 10:15 AM <br />