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UNDERGROUND STORAGE TANK OPERATING PERMIT APPLICATION-TANK INFORMATION(One fQi�er UST) TYPE OF ACTION (Check one item only. For an UST permanent closure or removal,complete only this section and Sections I,II,III,IV,and IX below) 430 l ❑ 1.NEW PERMIT El3.RENEWAL PERMIT N 5.CHANGE OF INFORMATION ❑ 6.TEMPORARY UST CLOSURE ❑ 7.UST PERMANENT CLOSURE ON SITE ❑ 8.UST REMOVAL DATE UST PERMANENTLY CLOSED: 430a DATE EXISTING UST DISCOVERED: 430b L:. .:.. L FACILITY INFORMATION € FACILITY 1D#(Agency Use Only) 1 c. BUSINESS NAME(Same as FACILITY NAME or DBA-Doing Business As) 3 _' ARCO 02133 BUSINESS SITE ADDRESS 103 CITY 104 2908 BENJAMIN HOLT DR STOCKTON II TANK DESCRIPTION TANK ID# 2 432 TANK MANUFACTURER 433 TANK CONFIGURATION: THIS TANK IS 434 Modem Welding ®1.A STAND-ALONE TANK } _ ❑2.ONE IN A CO_-1PARTMENTED UNIT. 'r /j,(. + complete one page for each compartment in the unit DATE UST SYSTEM INSTALLED 435TANK CAPACITY IN GALLONS 436 NUMBER OF COMPARTMENTS IN THE UNIT 437 1999/04 12,000 1 IIL TANK'USEAND CONTE NTS TANK USE N l a.MOTOR VEHICLE FUELING Ellb.MARINA FUELING ❑ I c.AVIATION FUELING 439 ❑ 3.CHEMICAL PRODUCT STORAGE ❑ 4.HAZARDOUS WASTE(Includes Used Oil) ❑ 5.EMERGENCY GENERATOR FUEL INSC 925281.5(c)] ❑ 6,OTHER GENERATOR FUEL ❑ 95,UNKNOWN ❑ 99.OTHER(Specify): 439a CONTENTS PETROLEUM: N 1 a.REGULAR UNLEADED ❑ 1c.MIDGRADE UNLEADED ❑ Ib.PREMIUM UNLEADED 4°0 ❑ 3.DIESEL ❑ 5.JET FUEL ❑ 6.AVIATION GAS El 8.PETROLEUM BLEND FUEL [19.OTHER PETROLEUM (Specify): as°a NON-PETROLEUM:❑ 7.USED OIL ❑ 10.ETHANOL ❑ 11,OTHER NON-PETROLEUM(Specify): aaob TANK RUCT TYPE OF TANK ❑ 1.SINGLE WALL ® 2.DOUBLE WALL CONS UNKNO ION... WN 443 PRIMARY CONTAINMENT N 1.STEEL ❑ 3.FIBERGLASS ❑ 6.INTERNAL BLADDER 44.4 ❑ 7.STEEL+INTERNAL LINING [195.UNKNOWN [199.OTHER (Specify): 444a SECONDARY CONTAINMENT ❑ 1.STEEL ❑3.FIBERGLASS ❑ 6.EXTERIOR MEMBRANE LINER ❑ 7.JACKETED 445 ❑ 90.NONE ❑ 95.UNKNOWN ®99.OTHER(Specify): Steel Clad w/Fiberglass coating 445a OVERFILL PREVENTION ® 1.AUDIBLE&VISUAL ALARMS D9 2,BALL FLOAT Ll3.FILL TUBE SHUT-OFF VALVE 452• ❑ 4.TANK MEETS REQUIREMENTS FOR EXEMPTION FROM OVERFILL PREVENTION EQUIPMENT ; V.!PRODUCT/WAS,TE.PIPING CONSTRUCTION CONSTRUCTION ❑L SINGLE WALLED N 2 DOUBLE-WALLED [199.OTHER 460 PIPING CONS f SYSTEM TYPE ® 1.PRESSURE Ll 2.GRAVITY ❑ 3.CONVENTIONAL SUCTION ❑ 4.SAFE SUCTION I23 CCR§2636(a)(3)] 458 PRIMARY CONTAINMENT ❑ 1.STEEL N 4.FIBERGLASS ❑ 8.FLEXIBLE ❑ 10,RIGID PLASTIC 464 ❑ 90.NONE [195.UNKNOWN ❑ 99.OTHER(Specify): 46aa SECONDARY CONTAINMENT ❑ 1.STEEL N 4.FIBERGLASS ❑ 8.FLEXIBLE ❑ l0.RIGIDPLASTIC 464b ❑ 90.NONE ❑ 95,UNKNOWN ❑ 99.OTHER(Specify): 464c PIPINGnURBINE CONTAINMENT SUMP TYPE N 1.SINGLE WALL ❑ 2.DOUBLE WALL ❑ 90.NONE 464d VI.VENT,VAPOR RECOV_R'Y'(VR)AND:RISER/FILL!PIPE PIPING CONSTRUCTION . VENT PRIMARY CONTAINMENT ❑ 1.STEEL EM 4.FIBERGLASS ❑ 10.RIGIDPLASTIC [190.NONE ❑ 99.OTHER(Specify) 464e 464e1 VENT SECONDARY CONTAINMENT El 1.STEEL ❑ 4.FIBERGLASS - ❑ 10,RIGID PLASTIC N 90.NONE [1 99.OTII6R(Specify) 4641 46411 VR PRIMARY CONTAINMENT ❑ 1.STEEL N 4.FIBERGLASS ❑ 10.RIGID PLASTIC 1390.NONE 1399.OTHER(Specify) 4648 464 I VR SECONDARY CONTAINMENT ❑ 1.STEEL ❑ 4.FIBERGLASS ❑ 10.RIGID PLASTIC N 90.NONE ❑ 99.OTHER(Specify) 464h14hl VENT PIPING TRANSITION SUMP TYPE N 1.SINGLE WALL 2.DOUBLE WALL 90,NONE 4641 1 RISER PRIMARY CONTAINMENT ® 1.STEEL ❑ 4.FIBERGLASS ❑ 10,RIGID PLASTIC ❑ 90-NONE ❑ 99-OTHER(Specify) 4641 l 464'1 RISER SECONDARY CONTAINMENT ❑ 1.STEEL ❑ 4.FIBERGLASS ❑ 10.RIGID PLASTIC N 90.NONE ❑ 99.OTHER(Specify) 464k14kl FILL COMPONENTS INSTALLED N 1.SPILL BUCKET N 3,STRIKER PLATEMOTTOM PROTECTOR ® 4.CONTAINMENT SUMP 451a-c _ VIL'UNDR DISPENSER CONTAINMENT.( 7D CONSTRUCTION TYPE N 1.SINGLE WALL ❑ 2.DOUBLE WALL E] 3.NO DISPENSERS El 90.NONE 469a CONR STRUCTION MATEIAL ❑ 1.STEEL N 4.FIBERGLASS [110.RIGID PLASTIC El99.OTHER(Specify) 469Mc k VIII. CORROSION PROTECTION: STEEL COMPONENT PROTECTION� E] A 7.SACRIFICIAL .:.: '' •' ` NODE(S) ❑ 4•IMPRESSED CURRENT N 6,ISOLATION 448. IX., APPLICANT SIGNATURE' CERTIFICATION: I certify that this UST system is compatible with the hazardous substance stored and that the information provided herein is true,accurate, and in full compliance with legal requirements. 470. APPLICANT SIGNATUREI DATE APPLICANT NAME(pri#JENN ITW3 M. MARINAS 71 APPLICANTTITLE Environmental Compliance Speciplisk 472' '. L. UPCF UST-A Rev.(12/2007)