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UNDERGROUND STORAGE TANK OPERATING PERMIT APPLICATION-TANK INFORMATION(One forni per 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 is ❑ 1.NEW PERMIT ❑ 3.RENEWAL PERMIT ® 5.CHANGE OF INFORMATION 1'..- El ❑ 6.TEMPORARY UST CLOSURE ❑ 7.UST PERMANENT CLOSURE ON SITE ❑ 8.UST REMOVAL DATE UST PERMANENTLY CLOSED: 4301 1 DATE EXISTING U430bST DISCOVERED: I. FACILITX INFORMATION FACILITY ID# , (Agency Use Only) _ 1 r - BUSINESS NAME(Same as FACILITY NAME or DBA-Doing Business As) 3 ARCO 02133 BUSINESS SITE ADDRESS 103 CITY 10a 2908 BENJAMIN HOLT DR STOCKTON II:TANKDESCRIPTION TANK ID# 2 432 TANK MANUFACTURER 433 TANK CONFIGURATION. THIS TANK IS 434 Modem Welding ®1.A STAND-ALONE TANK l _ t ❑2.ONE IN A COMPARTMENTED UNIT. 7 : . Com Tele one page for each compartment in the unit DATE UST SYSTEM INSTALLED 435 TANK CAPACITY IN GALLONS 436 NUMBER OF COMPARTMENTS IN THE UNIT 437 1999/04 12,000 I III TANKUSE AND CONTENTS 439 TANKUSE N 1a MOTOR VEIIICLEFUELING El 1b.MARINA FUELING ❑ lc AVIATION FUELING ❑ 3.CHEMICAL PRODUCT STORAGE ❑ 4.HAZARDOUS WASTE(Includes Used Oil) ❑ 5.EMERGENCY GENERATOR FUEL[HSC 525281.5(c)] ❑ 6.OTHER GENERATOR FUEL ❑ 95.UNKNOWN ❑ 99.OTHER(Specify): 439a CONTENTS PETROLEUM: ® 1 a.REGULAR UNLEADED ❑ 1 c.MIDGRADE UNLEADED ❑ lb.PREMIUM UNLEADED 440 ❑ 3.DIESEL ❑ 5.JET FUEL ❑ 6.AVIATION GAS ❑ 8.PETROLEUM BLEND FUEL ❑ 9.OTHER PETROLEUM (Specify): 440s NON-PETROLEUM:❑ 7.USED OIL ❑ 10.ETHANOL El11.OTHER NON-PETROLEUM(Specify): 440h WTANK CONSTR UCTION ,.. . TYPE OF TANK ❑ 1.SINGLE WALL ® 2.DOUBLE WALL [195.UNKNOWN 441 PRIMARY CONTAINMENT ® 1.STEEL ❑ 3.FIBERGLASS ❑ 6.INTERNAL BLADDER 444 ❑ 7.STEEL+INTERNAL LINING ❑ 95.UNKNOWN ❑ 99.OTHER (Specify): 444a SECONDARY CONTAINMENT ❑ 1,STEEL ❑3.FIBERGLASS ❑ 6.EXTERIOR MEMBRANE LINER ❑ 7.JACKETED 445 ❑ 90.NONE El95.UNKNOWN ®99.OTHER(Specify): Steel Clad w/Fiberglass coating 4 45 (: OVERFILL PREVENTION ® 1.AUDIBLE&VISUAL ALARMS N 2.BALL FLOAT ❑ 3.FILL TUBE SHUT-OFF VALVE 452. f ❑ 4.TANK MEETS REQUIREMENTS FOR EXEMPTION FROM OVERFILL PREVENTION EQUIPMENT V:;PRODUCT%WASTE PIPING CONSTRUCTION ACID PIPING CONSTRUCTION ❑1.SINGLE-WALLED N 2.DOUBLE-WALLED ❑99 OTHER 45s SYSTEM TYPE N 1.PRESSURE ❑ 2.GRAVITY ❑ 3.CONVENTIONAL SUCTION ❑ 4.SAFE SUCTION[23 CCR§2636(x)(3)] : PRIMARY CONTAINMENT ❑ 1.STEEL N 4.FIBERGLASS ❑ 8.FLEXIBLE ❑ 10.RIGID PLASTIC 464 t; ❑ 464a 90.NONE [195.UNKNOWN El99.OTHER(Specify): SECONDARY CONTAINMENT ❑ 1.STEEL N 4.FIBERGLASS ❑ S.FLEXIBLE ❑ 10.RIGID PLASTIC x646 [190.NONE [195.UNKNOWN [199.OTHER(Specify): 464c PIPING/TURBINE CONTAINMENT SUMP TYPE ® 1.SINGLE WALL [12.DOUBLE WALL ❑ 90.NONE 464d I VENT,VAPOR RECOVERY' R). ND.RISER;/V LL PIPE;PIPING CONSTRUCTION V . . VENT PRIMARY CONTAINMENT ❑ 1.STEEL N 4 FIBERGLASS ❑ 10.RIGID PLASTIC ❑ 90.NONE ❑ 99.OTHER(Specify) 464e 464el VENT SECONDARY CONTAINMENT ❑ 1.STEEL El4.FIBERGLASS ❑ 10.RIGID PLASTIC N 90.NONE ❑ 99.OTHER(Specify) 464E 46441 VR PRIMARY CONTAINMENT ❑ 1.STEEL N 4.FIBERGLASS ❑ 10.RIGID PLASTIC [190.NONE ❑ 99.OTHER(Specify) 4648 464•1 VR SECONDARY CONTAINMENT ❑ 1.STEEL [I4.FIBERGLASS ❑ 10.RIGID PLASTIC N 90.NONE El99.OTHER(Specify) 464h 464h1 VENT PIPING TRANSITION SUMP TYPE N 1.SINGLE WALL 2.DOUBLE WALL 90.NONE RISER PRIMARY CONTAINMENT ® I.STEEL ❑ 4.FIBERGLASS ❑ 10.RIGID PLASTIC ❑ 90.NONE ❑ 99.OTHER(Specify) 4641 464'1 RISER SECONDARY CONTAINMENT El1.STEEL El4.FIBERGLASS [110.RIGID PLASTIC N 90.NONE ❑ 99.OTHER(Specify) 464k 464k1 FILL COMPONENTS INSTALLED ® 1.SPILL BUCKET N 3.STRIKER PLATE/BOTTOM PROTECTOR N 4.CONTAINMENT SUMP 451a-c 'UNDER DISPENSER, CONTAIN - IVIEN,T' CONSTRUCTION TYPE N 1.SINGLE WALL ❑ 2.DOUBLE WALL C33.NO DISPENSERS [190.NONE 469a CONSTRUCTION MATERIAL El1.STEEL N 4.FIBERGLASS El10.RIGID PLASTIC [199.OTHER(Specify) 469b-c VIIL.CORROSION PROTECTIOlY STEEL COMPONENT PROTECTION ❑ 2.SACRIFICIAL ANODE(S) [14.IMPRESSED CURRENT ® 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 SIGNATURES `y DATE �--,S ` ILS APPLICANT NAME(print){ ENN M. MARINAS 471. APPLICANT TITLE Environmental Compliance Specl lis 472. UPCF UST-A Rev.(12/2007)