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BILLING_PRE 2019
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0231819
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BILLING_PRE 2019
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Entry Properties
Last modified
12/6/2023 3:21:38 PM
Creation date
2/13/2020 9:46:01 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
BILLING
FileName_PostFix
PRE 2019
RECORD_ID
PR0231819
PE
2351
FACILITY_ID
FA0003732
FACILITY_NAME
99 SHELL*
STREET_NUMBER
7700
STREET_NAME
MORELAND
STREET_TYPE
ST
City
STOCKTON
Zip
95212
APN
13003010
CURRENT_STATUS
01
SITE_LOCATION
7700 MORELAND ST
P_LOCATION
99
P_DISTRICT
003
QC Status
Approved
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KBlackwell
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EHD - Public
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9 t°5 <br /> i UNIFIED PROGRAM CONSOLIDATED FORM <br /> UNDERGROUND STORAGE TANK <br /> OPERATING PERMIT APPLICATION-TANK INFORMATION (One form per UsT) <br /> TYPE OF ACTION (Check one item only. Fora US/ o'"re or removal.complete only this section and Sections L 11,!LC IV.and LX below) 430. <br /> ❑ 1.NEW PERMIT (�[iS.RENEWAL PERMIT ❑ 5.CHANGE OF INFORMATION <br /> ❑ 6.TEMPORARY UST CLOSURE ❑ 7.UST PERMANENT CLOSURE ON SITE ❑ 8.UST REMOVAL 43oa <br /> DATE UST PERMANENTLY CLOSED: [DATE436a EXISTING UST DISCOVERED: <br /> I. FACILITY INFORMATION <br /> FACILITY ID#(Agency Use Only) 77 1 <br /> 3. <br /> BUSINESS NAME(Same as Facility Name or DBA-Doing Business As) <br /> S C-e E L-1-- <br /> BUSINESS SITE ADDRESS 10J' CITY too. <br /> H. TANK DESCRIPTION <br /> 433. TANK ONFIGURATION:THIS TANK IS 434 <br /> TANK ID# 43' TANK MANUFACTURER . <br /> M-! STAND-ALONE TANK Complae one page for each <br /> �` L_ j ( j ? 1- /` ❑ <br /> 2.ONE INA COMPARTMENTED UNIT coves in the unit <br /> DATE UST SYSTEM INSTALLED 435. TANK CAPACITY IN GALLONS 436- NUMBER OF COMPAR NTS IN THE UNIT 437. <br /> S' t O-cry tE) N <br /> III. TANK USE AND CONTENTS <br /> TANK USE la.MOTOR VEHICLE FUELING ❑ Ib.MARINA FUELING ❑ lc.AVIATION FUELING 439. <br /> ❑ 3.CHEMICAL PRODUCT STORAGE ❑ 4.HAZARDOUS WASTE(includes Used Ol) ❑ 5.EMERGENCY GENERATOR FUEL[HSC¢?52815(43 <br /> [16.OTHER GENERATOR.ML ❑ 95.UNKNOWN CI99.OTHER(Specify): <br /> _TE <br /> CONNTS PETROLEUM: I la.REGULAR UNLEADED ❑ Ic.MIDGRADE UNLEADED ❑ Ib.PREMIUM UNLEADED 440• <br /> !�n 3.DIESEL [1 [15.JET FUEL 6.AVIATION GAS <br /> ❑ 8.PETROLEUM BLEND FUEL [19.OTHER PETROLEUM(Specify): 440& <br /> NON-PETROLEUM:❑ 7.USED OIL ❑ 10.ETHANOL 440h <br /> g ❑ <br /> 11.OTHER NON-PETROLEUM(Specify): <br /> IV. ANK CONSTRUCTION <br /> TYPE OF TANK ❑ 1-SINGLE WALL _DOUBLE WALL ❑ 95.UNKNOWN -- 443 <br /> PRIMARY CONTAINMENT ❑ 1.STEEL Q .FIBERGLASS [16.INTERNAL BLADDER ' <br /> ❑ 7.STEEL+INTERNAL LINWG ❑ 95.UNKNOWN ❑ 99.OTHER(Specify): 444a <br /> SECONDARY CONTAINMENT ❑ 1.STEEL EDTFIBERGLASS ❑6.EXTERIOR MEMBRANE LINER ❑ 7.JACKETED <br /> 445' <br /> ❑ 90.NONE ❑ 95.UNKNOWN ❑99.OTHER(Specify): 445.-- <br /> OVERFILL PREVENTION ❑ 1.AUDIBLE&VISUAL ALARMS ❑ 2.BAIL FLOAT FILL TUBE SHUT-OFF VALVE 451 <br /> ❑ 4.TANK MEETS REQUIREMENTS FOR EXEMPTION FROM OVERFILL PREVENTION EQUIPMENT <br /> V. PRODUCT/WASTE PIPING CONSTRUCTION <br /> PIPING CONSTRUCTION N_ ❑ 1�6LE WA_L_L __.DOUBLE WALL 0.99.OTK ______ - -- - 4W- <br /> PIPING <br /> TYPE dyl.PRESSURE ❑ 2.GRAVITY ❑ 3.CONVENTIONAL SUCTION ❑ 4.SAFE SUCTION[?3 CCR§2636(a)(3)[ _-_a�• <br /> PRIMARY CONTAINMENT ❑ 1.STEEL IBERGLASS ❑ 8.FLEXIBLE ❑ 10.RIGID PLASTIC 464. <br /> ❑ 90.NONE )_ <br /> _ ❑ 95.UNK OWN ❑99.OTHER(Specify ' <br /> SECONDARY CONTAINMENT ❑ L STEEL IBERGLASS ❑ 8.FLEXIBLE ❑ 10.RIGID PLASTIC 4646 <br /> ❑ 90.NONE ❑ 95.UNKNOWN ❑ 99.0 (Specify): 464e <br /> P[PINGlTURBINE CONTAINMENT Sump TYPE ❑ 1.SINGLE WALL _. UBLE WALL ❑ 90.NONE 4644 <br /> VI. VENT,VAPOR RECOVERY RISER/FILL PIPE PIPING CONSTRUCTION <br /> VENT PRIMARY CONTAINMENT ❑ 1.STEEL FIB GLASS ❑ 10.RIGID PLASTIC ❑ 90.NONE ❑ 99.OTHER(Specify): 41 <br /> VENT SECONDARY CONTAINMENT ❑ 1.STEEL GLASS ❑ 10.RIGH)PLASTIC ❑ 90.NONE ❑ 99.OTHER(SPecifY): 464f1 <br /> VR PRIMARY CONTAINMENT ❑ I.STEEL 4.FIB LASS ❑ 10.RIGID PLASTIC ❑ 90.NONE ❑ 99.OTHER(Specify): 464g <br /> 4(>4g1. <br /> VR SECONDARY CONTAINMENT [31.STEEL .FIBERGLASS ❑ 10.RIGID PLASTIC [190.NONE E] 99.OTHER(Specify): 4664hi. <br /> VENT PIPING TRANSITION SUMP TYPE ❑ 1.SINGLE WALL -. UBLE WALL ❑ 90.NONE <br /> a6a;. <br /> RISER PRIMARY CONTAINMENT 1.STEEL ❑ 4.FIBER SS ❑ !0.RIGID PLASTIC ❑ 90.NONE ❑ 99.OTHER(Specify): q j: <br /> RISER SECONDARY CONTAINMENT [11.STEE IBERGLASS ❑ 10.RIGID PLASTIC ❑ 90.NONE ❑ 99.OTHER ify): 4641. <br /> FILL COMPONENTS INSTALLED PILL BUCKET R PLATE/BOTTOM PROTECTOR OMAINMENT SUMP 451x¢ <br /> VII. UNDER DISPENSER CO NT(UDC) <br /> CONSTRUCTION TYPE _ ❑ L SINGLE WALL _ _ UBLE WALL ❑ 3.NO DISPENSERS ❑ 90.I _ 469. <br /> NE <br /> CONSTRUCTION MATERIAL ❑ 1.STEEL BERGLASS ❑ 10.RIGID PLASTIC ❑ 99.OTHER(Specify) 469- <br /> VIII. CORROSION PROTECTION <br /> STEEL COMPONENT PROTECTION [12.SACRIFICIAL ANODE(S) ❑4.IMPRESSED CURRENT ISOLATION 148. <br /> IX. APPLICANT SIGNATURE <br /> CERTIFICATION: I certify that this UST system is compatible witil the hanrdous substance stored and that the infurmadon provided herem is true, <br /> sccu full compliance with Legal requirements. <br /> 470. <br /> APPLICANT SIGNATURE - <br /> DATE <br /> APPLICANT NAME(print) (�/} f7< � ` alt. APPLICANT TITLE 472. <br /> r <br /> UPCF UST-B Rev.(1212007)-1/2 www.unidocs.org <br />
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