Laserfiche WebLink
1 <br /> r <br /> SAN JOAQT&COUNTY ENVIRONMENTAL HEAL DEPARTMENT <br /> UNDERGROUND STORAGE TANK <br /> OPERATING PERMU APPLICATION-TANK INFORMATION(one fmm per usT) <br /> TYPE OF ACTION (Check one item only. For an UST permanent closure or removal,complete only this section and Sections I,11,III,IV,and IX below) 43 <br /> ❑ 1.NEW PERMIT ❑ 3.RENEWAL PERMIT ❑ 5.CHANGE OF INFOMN <br /> 13 6.TEMPORARY UST CLOSURE 7.UST PERMANENT CLOSURE ON SITE 0 8.UST REMOVAL !2 j1h2 <br /> DATE UST PERMANENTLY CLOSED: 430a DATE EXISTING UST DISCOVERED: 43d <br /> L FACELM INFORMATION <br /> FACILITY ID#(Agency use Oaly) <br /> BUSINESS NAME(Sam as FACILITY NAME or DBA-Doing Business As) <br /> UIK STOP MARKET#132 <br /> BUSINESS SITE ADDRESS103 CITY to <br /> 3555 HAMMER LANE ISTOCKTON <br /> II.TANK DESCRIPTION <br /> TANK ID# 432 TANK MANUFACTURER 433 WW CONMURATiON: THIS TANK IS 43' <br /> #1(RUL,87 OCTANE) XERXES 1.A STAND-ALONE TANK <br /> ❑2.ONE IN A camPARTmomm UNrf. <br /> li r C JCwVlde one pw for a&conywooft a the vrk 437 <br /> DATE UST SYSTEM INSTALLED 431 TANK CAPACITY IN GALLONS 436 NUMBER OF COMPARTMENTS IN THE UNIT <br /> JANUARY 1991 10,000 1 1 <br /> M.TANK USE AND CONTENTS <br /> TANK USE if 1.MOTOR VEHICLE FUELING ❑ 1b.MARINA FUELING ❑ la AVIATION FUELING 43' <br /> ❑ 3.CHEMICAL PRODUCT STORAGE ❑ 4.HAZARDOUS WASTE Qnehuks Used 01) ❑ 5.EMERGENCY GENERATOR FUEL[HSC¢21281.1(c)l <br /> ❑ 6.OTHER GENERATOR FUEL ❑ 95.UNKNOWN ❑ 99.OTHER( r 439 <br /> CONTENTS PETROLEUM: Wls.REGULAR UNLEADED ❑ la MIDGRADE UNLEADED ❑ lb.PREMIUM UNLEADED 44 <br /> ❑ 3.DIESEL. ❑ S.JET FUEL ❑ 6.AVIATION GAS <br /> ❑ &PETROLEUM BLEND FUEL ❑ 9.OTHER PETROLEUM 440 <br /> NON-PETROLEUM:0 7.USED OIL. 13 10.ETHANOL <br /> ❑ 11.OTHER NON-PETROLEUM 440 <br /> IV. TANK CONSTRUCTION <br /> TYPE OF TANK 1.SNGLE WALL DOUBLE WALL 95.UNKNOWN 44 <br /> PRIMARY CONTAINMENT I.STEEL Er 3.FIBERGLASS 6.INTERNAL BLADDER 44 <br /> 7.STEEL+INTERNAL pMn ❑ 9S.UNKNOWN ❑ 99.mum (Specift 4" <br /> SECONDARY CONTAINMENT 13 1.STEEL on.FMERGLASS 6.EXTERIOR MEMBRANE LiNBR 7.JACKETED 44 <br /> ❑ 90.NONE ❑ 95.UNKNOWN ❑99.OTHER443z <br /> OVERIIIL PREVENTION 13 1.AUDIBLE S VISUAL ALARMS 13 2.BALL FLOAT1913.FILL TUBE SHUT-OFF VALVE 4s. <br /> ❑ 4.TANK MEETS REQUIREMENTS FOR EXIMPTION FROM OVERFILL PREVENTION EQUIPMENT <br /> V. PRODUCT/WASTE PIPING CONSTRUCTION <br /> PIPING CONSTRUCTION Q I.SINCLE-WALLED V2.DOUBLE-WALLED 13 99.OTHER <br /> SYSTEM TYPE JW 1.PRESSURE 0 2.GRAVnT g 3.CONVENTIONAL SUCTION 0 4.SAFE SUCTION p3 CCR 12636(m)(3)1 45 <br /> PRIMARY COMAD84BNf 13 1.STEEL W4.FIBERGLASS L FLEXIBLE 13 10.RIGID PLASTIC 46 <br /> ❑ 90.NONE ❑ 95.UNKNOWN ❑ 99.0THER( ' x 464 <br /> SECONDARY CONTAINMENT 1.STEEL Er4.FIBERGLASS 15 K FLEXIBLE 0 10.RIGID PLASTIC 464 <br /> ❑ 90.NONE ❑ L5.UNKNOWN ❑ 99.OTHER ) 464 <br /> PIP NGfrTTRBIINE CONTAINMENT SUMP TYIB Er 1.S1NGLH WALL 2.DOUBLE WALL 90.NONE 464 <br /> VI.VENT,VAPOR RECOVERY(VR)AND RISER/FML PIPE PIPING CONSTRUCTION <br /> VENT PRIMARY CONTAI MENT 0 1.STEEL W 4.FIBERGLASS 0 10.RIGID PLASTIC 13 90.NONE 0 99.OTHER(Specify) 464 <br /> 4644 <br /> VENC SECONDARY CONTAINMENT 13 T STEEL c3 4.FIBERGLASS 10.RIGID PLASTIC V 90.NONE 13 99.arm(Speedy) 46' <br /> 464f <br /> VR PRIIMARY CONTANMENf 1.STM 4 FIDERGLASS 10.RIGID PLASTIC 90.NONE 99.OTHER(Spe¢iW 464 <br /> VR SECONDARY CONTADRARNT 13 T STEEL 0 4.FIBERGLASS 13 10.RIGID PLASTIC W 90.NONE 13 99.OTHBR Mw*) 464 <br /> 464 <br /> VENT PIPING TRANSITION SUMP TYPE El 1.SINGLE WALL 0 2.DOUEJE WALL 90.NONE <br /> RISER PRIMARY CONTAINMENT 1.STEEL 4.FMERGL4Ss U 10.RIGID PLASTIC 0 90.NOM L3 99.0'rM Mm*) 46 <br /> RISIM SECONDARY CONTAMIENT 13 1.STEEL 4.FIBERGLASS 0 10.RIGID PL.ASrLC F 90.NONE E3 99 (Specify) 464 <br /> 464 <br /> Val COMPONENTS INSTALLED 1.SPILL BUCKET3.STRUM M.ATBtBOTTOM PROTECTOR FT CONTAINMENT SUMP 431* <br /> VII.UNDER DLSPMSM CONTAINMENT(UDC) <br /> CONSTRUCTION TYPE ffir 1.SLNGL.B WALL 2.DOUBLE WALL 0 3.NO Dd PENSBRS 0 90.NOM' 441 <br /> CONSTRUCTION MATERIAL E3 1.STEEL W4.Fl13ERGLA33 13 10.RIGID PLASTIC 13 99.OTHER ' ) <br /> VIII. CORROSION PROTECTION <br /> STEEL.COMPONENT PROTECTION ❑ 2.SACRIFICIAL ANODES) ❑ 4.ueREm CtAut ff IrILISOLATION `° 44 <br /> IX. APPLICANT SIGNATURE <br /> CRRTIFICATION:I certify that this UST system is compatible with the blwrdoae srbs4na stored and that the iafirrmdoe provided bereW fa tr o%aeearab <br /> and in fall compliana w4h local outs. <br /> APPLICANT SIGNATURE.,%,J �.J <br /> DATE JUNE 3,2009 47 <br /> APPLICANT NAME(print) , 'Ge• Karvelot, 471- APPLICANT mzE Director, Environmental 47 <br /> for Qulk Stop MwM06 Inc. L`l,.:.:� <br />