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FROM FAX NO. n. 14 2011 04:12PM P9
<br /> uNirFmD PRoGRAm FoNME17,770)FoRm
<br /> UNDERGROUND STORAGE TANK
<br /> OPERATING PERMIT APPLICATION-TANK INFORMATION (Onc foTm wr usT)
<br /> TYPEORACTION (rheckowdemonly For a USTdomro Or7a,"I=& wy 00s Maio.an-d%cfimv 1,11,111,ij�,iwd IX Maw) 430.
<br /> D I-NEw PERMIT 3,RPNFWAL PERMIT 1:1 S.CHANGE OF INFORMATION
<br /> 0 6.TEWORARY u8j-CWSURE 7.UST PERMANENT CLOSURE ON SITE El 9.UST R�MOVAL
<br /> DATE UST PERMANWfl-LY CLOSED' 43" TH EXISTING UST DISCOVURM.
<br /> " A
<br /> FACILITY 11)0 Opney Use.Only)
<br /> BUSINFSS NAME(Yaw as Ftx&W Namw or DR4 Doog Bwiwss,4.v)
<br /> SB Gas and Market
<br /> BUSRVM SrTE ADDRESS 103. Crry 10,L
<br /> 515WIlthSt Tracy
<br /> M
<br /> TANK E)# 95_431 TANK MAM)FACr`URBR 433- TANK CONFIGURATION:THIS TANX IS 434,
<br /> 111.A STAND-ALONE TANK CWwWo�pWribrawk
<br /> -FAD45D Modem Welding 19 2.OM D4 A XACDITMUNIT awWsw in tbawk
<br /> DATE UST SYSTEM INSTALLED 431. TANK CAPACITY IN GALLONS 436. NUMBER OF COMPARTMIINTS IN THE UNIT Uf.-
<br /> June 1"5 6
<br /> TANK USE i,.moToR winaz FuFuNru LJ lb.MARINA FUELING LJ icAviATioNmELING 439.
<br /> 3.CHEMICAL PRODUCT STORAGE El 4.HAZARDOUS WASTE(ldd-tl,.d W) 5,RMFAGI�N(-'y M>'MRATOR FUEL twc 125291,5(r))
<br /> 439&
<br /> El 6.OTHER GENERATOR FUEL Cl 95.UN3KMWN 99.autavt(smifyI;
<br /> CONTENIN vEl 01MUM: -ML4 a.JtF(lUtAR UM.F-AZW.D LJ ic,mwjoRAj)p uNtYADED lb.PWRAIUM UNLEADED
<br /> Q 3.DIESEL 0 5.JET FUEL 6.AVIATMN GAi
<br /> El &PETROLEUM BLEND FUM 0 9.aTIJER WMOLEUM(SMOVY 440&
<br /> NON-PETROLEUM:' 7.USED OIL LJ 10.ETHANOL
<br /> 0 11,OTHM NON-PS'MO LRM(Specift' 49b.
<br /> MOON", 031106.5
<br /> 443.
<br /> TYPE OF TANK Ll t.SINGLE WALL Rg 2.DOUBLE WALL LJ gs.umojowN
<br /> PRIMARY CONTAINMENT M Ll 3.FmEu&Ass Ll 6.D;TERNAL BLADDER 444.
<br /> 0 7.Sim,,INTIMNAL LINING 1195.UNRMWN .0 99,OTHER 4194& 443.
<br /> NT-U .
<br /> R9 3.FIBERGLA.M LJ 6 mnuttait mEmRANE uNm U 7.jAcKnm
<br /> SECONDARY CONTAINME '4TE&' 2lFf, 443&
<br /> 1190.N El 95.uNrNowN El 99.onmR(Swcify�: 452,
<br /> OVERFILL PREV=- ON LJ I.AUDIBLE&VISUAL ALARMS IN 2.BALL FLOAT LN 3.FILL TUBE SHUT-OFF VALVE
<br /> 4.TANK MEETS REQUWQAENTS FOR MaNFEM FROM OVERFILL MPW=ON Wm=
<br /> - Ai
<br /> 400.
<br /> PIPING CONSTRUCTION U I.sDwAE wAu 29 2.DOUBLE WALL LJ 99.oTm --
<br /> SYSTEM TYPE 29 1.PRESQTJKM GRAVnT 0 3.CoNvENTIoNAL sucnaN LJ 4.SAFE SUCTION W CCR§2636(g)(3)] 4,%.
<br /> FvRIMARV CONTANMENT U j, Tr.EL FIBERGLYL53 LJ a.jFLExisLE LJ 10,RIGM KASTIC 4640, 464.
<br /> El go.MNE 1195.UNKNOWN 1:199.oTHeR
<br /> Vs p 0 4;i fy):
<br /> SECONDARY CONTA174MENT LJ i,,vTuFj. N 4.FIMMOLASS U S.FLEXIBLE Ll to.RIGii)PLAsnc 464b.
<br /> 90.NONE )5.uNxNowN 99.amn
<br /> 464&
<br /> PHWGnIJRBINE CONT SUW TYPE 1.;;iZ WALL 1 DOUBLE WALL U go..W-*t.0
<br /> ----------
<br /> VENT PRIMARY CONTAINMENT 19 1.STEEL 114.FIBMGL [)mAsTic Ll go.NONE 99.OTTM f&Eg&. 464al.
<br /> vENT sEcoNy.)ARy Cwi'.�Fm�6,Fj [9 1.mvEiL 0 4.-FlAsic,"wq 70-io.iticuo nA&Fic 90.NOW LJ 99.oTHER J§M&I; 464r.
<br /> VR PRRAARY CONTAINMENT 0 1.STEEL Ll 4.FumRGLAss Ll to.Rion)nA=c 90.NONh 11 99,(yTKER( ): -ffd&L.
<br /> VR SECONDARY CONTAINMENT N I.STEEL U 47;ERGLASS 0 1;PTGDPqASrC 0 90,NONE LJ 99,OTHER(Specify): 4M
<br /> 464hi.
<br /> VENT PIP(NOTRANSITION SUMP TYPE Q I.smLE,WALL El 2.DOUBLE WALL 90.W)99 4"t
<br /> 90,
<br /> RISER PRIMARY CONTAINMWf 19 j.smaL Ll 4.FistmoYA&-, LJ 10.ltKMPJ,;:3TlC NONE 1199.0
<br /> TMM Sp�hy-)! 4=:
<br /> 46U
<br /> RISER SECONDARY CONTAINMENT M 1.STEEL 114.FIBERGLASS 11 10.RIGII)PLASTIC El 90.NoNli MHER(3penify); 46M.
<br /> Fill C0h&QNld,,rl's INS-FALLED I.spiLL axic3cwr U t.PRwaR Px,-ATPAX7I7TOM PROTEC70R LJ 4.COWADIMENT SUMP 1�
<br /> -,,,P RN
<br /> L za 4
<br /> P�411 A
<br /> N
<br /> Y Orh
<br /> CONMUCMN TYPE CS 1,SIWAZ WALL LJ 2.DOUBLE WALL U 3.NO DISPENSERS LJ go. 469L
<br /> ,7 --0 1.STEEI, 0-l0RlGJDft"nC 099,0FTtlER(%w*)
<br /> OONSTRUCTION MATERIAL LJ 4.RMRGLASS
<br /> OT
<br /> mall-w, ldv-
<br /> S TM
<br /> TEEL COMPUNENT PROTECIION U 2.SACRMCLAL ANOVE(S)
<br />
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