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UNIFIED PROGRAM CONSOLIDATED FORNr'. , F� UNDERGROUND STORAGE TANK '` OPERATING PERMIT APPLICATION-TANK INFORMATION(one form per UST) TYPE OF ACTION (Check one item only. For an UST permanent closure or removal,complete only this section and Sections 1,11,111,IV,and IX below) '170 ❑ 1.NEW PERMIT ❑ 3.RENEWAL PERMIT ® 5.CHANGE OF INFORMATION 6.TEMPORARY UST CLOSURE ❑ 7.UST PERMANENT CLOSURE ON SITE ❑ S.UST REMOVAL 'I Ay 1 7 2n1l DATE UST PERMANENTLY CLOSED: 430. DATE EXISTING UST DISCOVERED: 430h . . . :..,'. '. •::FACILITYJNFORMATIOJV , FACILITY ID d(agency Use Only) BUSINESS NAME(Same as FACILITY NAME or DBA-Doing Business As) 3 Arco Manteca BUSINESS SITE ADDRESS 1°1 CITY 104 I711 E.Yosemite Ave Manteca II.TANKDE$CRIIITION TANK ID A / � 412 TANK MANUFACTURER 433 TANK CONFIGURATION.THIS TANK IS 414 �-Premium D S A S"ISI ®1.A STAND-ALONE TANK ❑ 2.ONE M A COMPARTMENTED UNIT. Complete one page Ibr each com enment in the unit. DATE UST SYSTEM INSTALLED 475 TANK CAPACITY IN GALLONS 436 NUMBER OF COMPARTMENTS IN THE UNIT 437 11894 ✓ ,,s , b ;., �� ' , 'I;�'. '' ;YII NX-0 CONTENTS ;ri s;nl ,s s TANK USE Nla.MOTOR VEHICLE FUELING [I lb.MARINA FUELING ❑ lc.AVIATION FUELING 439 C33. MOT-OR PRODUCT STORAGE ❑ 4.HAZARDOUS WASTE(Includes Used oi) ❑ 5.EMERGENCY GENERATOR FUEL(HSC 525261.5(c)3 ❑ 6.OTHER GENERATOR FUEL ❑ 95.UNKNOWN ❑ 99.OTHER(Specify): 439a CONTENTS PETROLEUM: ❑ la.REGULAR UNLEADED ❑ Ic.MIDGRADE UNLEADED ® Ib.PREMIUM UNLEADED 440 ❑ 3.DIESEL ❑ 5.JET FUEL ❑ 6.AVIATION GAS ❑ 8.PETROLEUM BLEND FUEL ❑ 9.OTHER PETROLEUM (Specify): 440m NON-PEWLEUM:❑ 7.USED OIL ❑ 10.ETHANOL ❑ 11.OTIM NON-PETROLEUMS eci : 440b s �*�;.• 's tn.irU`T•>.�jk'• : �. a =IV.: TANK CONSTRXJCTION' r TYPE OF TANK ❑ 1.SINGLE WALL El 2.DOUBLE WALL ❑ 95.UNKNOWN 443 PRIMARY CONTAINMENT ❑ 1.STEEL ® 3.FIBERGLASS ❑ 6.INTERNAL BLADDER 444 ❑ 7.STEEL+INTERNAL LINING ❑ 95.UNKNOWN ❑ 99.OTHER (Specify): 444. SECONDARY CONTAINMENT ❑ 1.STEEL N 3.FIBERGLASS ❑ 6.EXTF,R 0R MEMBRANE LINER 7.JACKETED -145 ❑ 90.NONE ❑ 95.UNKNOWN ❑99.OTHER(Specify) 445a OVERFILL PREVENTION ® 1.AUDIBLE&VISUAL ALARMS ❑ 2.BALL FLOAT b 3.FILL TUBE SHUT-OFF VALVE 452. ❑ 4.TANK MEETS REQUIREMENTS FOR EXEMPTION FROM OVERFILL PREVENTION E UIPMENT rs+i c�l ��. �Y.4 RODYICT/.r�!.A.S,�'E PIPING'GONSTRUCTipN,' PIPING CONSTRUCTION ❑1.SINGLE-WALLED ®2.DOUBLE-WALLED [199.OTHER 460 SYSTEM TYPE ® L PRESSURE ❑ 2.GRAVITY ❑ 3.CONVENTIONAL SUCTION ❑ 4.SAFE SUCTION[23 CCR 8263 a I 455 PRIMARY CONTAINMENT ❑ 1.STEEL ® 4.FIBERGLASS ❑ 8.FLEXIBLE ❑ 10.RIGID PLASTIC 464 ❑ 90.NONE ❑ 95.UNKNOWN ❑ 99.OTHER(Specify): 464a SECONDARY CONTAINMENT ❑ I.STEEL 19 4.FIBERGLASS ❑ 8.FLEXIBLE ❑ 10.RIGID PLASTIC 464b ❑ 90.NONE ❑ 95.UNKNOWN ❑ 99.OTHER(Specifyy. 464c PIPING/TURBINE CONTAINMENT SUMP TYPE ® I.SINGLE WALL ❑ 2.DOUBLE WALL ❑ 90.NONE 464d `¢ VI !ENT,VAPOR RECOVERY{VR)AND'12ISER%;FII L''PIPE PIP ING:CONSTRUQTION " ' VENT PRIMARY CONTARiMENT [IL STEEL 19 4.FIBERGLASS ❑ 10.RIGID PLASTIC [190.NONE ❑ 99.OTHER(Specify) 4644641 VENT SECONDARY CONTAINMENT 1.STEEL ® 4.FIBERGLASS 10.RIGID PLASTIC 90.NONE 99.OTHER(Specify) 464f 464n VR PRIMARY CONTAINMENT 0 1.STEEL ® 4.FIBERGLASS ❑ 10.RIGID PLASTIC ❑ 90.NONE 99.OTHER(Specify) 4645 464 I VR SECONDARY CONTAINMENT 1.STEEL N 4.FIBERGLASS 10.RIGID PLASTIC 90.NONE ❑ 99.OTHER(Specify) 464h 464h1 VENT PIPING TRANSITIOtNSUMP TYPE I.SINGLE WALL ❑ 2.DOUBLE WALL 90.NONE 4641. RISER PRIMARY CONTAINMENT C9 I.STEEL Ll 4.FIBERGLASS ❑ 10.RIGID PLASTIC ❑ 90.NONE ❑ 99.OTHER(Specify) 46ei 464.1 RISER SECONDARY CONTAINMENT L STEEL ® 4.FIBERGLASS ❑ 10.RIGID PLASTIC ❑ 90.NONE ❑ 99.OTHER(Specify) 464k 4601 FILL COMPONENTS INSTALLED ® 1.SPILL BUCKET 0 3.STRIKER PLATE/BOTTOM PROTECTOR 0 4.CONTAINMENT SUMP 451.-c ,VII UND :RWENSER:CONTXINIVIENT(UDC) CONST RUCTION TYPE ® 1.SINGLE WALL ❑ 2.DOUBLE WALL ❑ 3.NO DISPENSERS [190.NONE 469. CONSTRUCTION MATERIAL ❑ L STEEL ® 4.FIBERGLASS ❑ 10.RIGID PLASTIC ❑ 99.OTI IER(S eciry) 4696-° CORItpSIQN.PROTi•±CTION STEEL CONfPONF.NT PROTECTION ❑ 2.SACRIFICIAL ANODES) ❑ 4.IMPRESSED CURRENT N 6.ISOLATION 448 l 11X. .APPLiCAP . SIGh{ATURE CERTIFICATION: 1 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. 4-10. APPLICAN IGNATURE DATE y 4/15/2011 APPLICANT NAME(?6) 471' APPLICANT TITLE 472, Gurdeep Singh President UPCF UST-B-2/3 Rev.(12/2007)