REMOVAL_2010 - Laserfiche WebLink

Home Browse Search

UNIFIED PROGRAM CONSOLIDATED FORM UNDERGROUND STORAGE TANK OPERATING PERMIT APPLICATION-TANK INFORMATION t(lnc bili per UST) f YPF OF ACTION (Check one item onh For an UST permanent closure or removal complete onh this section and Sections I.It.111.IV.and IX below) a'n ❑ I NEW PERMIT ❑ 3,RENEWAL PERMIT ❑ 5,C'I IANGE OF INFORMA"PION ' 6 TEMPORARY UST CLOSURE ® 7.UST PERMANENT CLOSURE ON SITE S.UST R EMOVAI. DATE UST PERMANENTLY CLOSED:12/31/2010 43na DATE EXISTING UST DISCOVERED: I. FACILITY INFORMATION FACILITY ID 4(Agency Use On1j) _ _ BUSINESS NAME(Same as FACILITY NAME or DBA-Doing Business AS) ARCO#06080 _ BUSINESS SITE ADDRESS 101 CITY sill 85 East LOLISie Avenue Lathrop 11.TANK DESCRIPTION TANK ID 4 2 432 TANK MANUFACTURER 41J TANK CONFIGURAI ION- THIS TANK IS 414 Owens Corning ® I.A STAND-ALONE TANK ❑2.ONE IN A COMPARTMENTED UNIT complete one page for each cont artment in die unit DATE UST SYSTEM INSTALLED 415 TANK CAPACITY IN GALLONS 436 NUMBER OF COMPARTMENTS IN THE UNIT 417 1984/10 12 000 1 III.TANK USE AND CONTENTS TANK USE ® la.MOTOR VEIIICLLFt1E-LING ❑ Ib.MARINA FUELING ❑ Ic AV)ATION FULLING 439 ❑ 3.CHEMICAL PRODUCT STORAGE ❑ 4.HAZARDOUS WASTE(includes Used Oil) ❑ 5 EMERGENCY GENERATOR FUEL(HSC§252815(c)] ❑ 6.OTHER GENERATOR FUEL ❑ 95.UNKNOWN ❑ 99.OTHER (Specify): 439a CONTENTS PETROLEUM: ❑ 1a REGULAR UNLEADED ® lc MIDGRADE UNLEADED ❑ Ib.PREMIUM UNLEADED 440 ❑ 3 DIESEL ❑ 5.JET FUEL ❑ 6.AVIATION GAS ❑ R_PETROLEUM BLEND FUEL ❑ 9.OTHER PETROLEUM (Specify): 440a NON-PETROLEUM:❑ 7.USED OIL ❑ 10_ETHANOL ❑ 11 01-IIER NUN-PETROLEUM(Specify) 440b IV. TANK CONSTRUCTION TYPE OF TANK ❑ I SINGLE WALL ® 2.DOUBLE WALL 95 UNKNOWN 443 PRIMARY CONTAINMENT I.STEEL ® 3.FIBERGLASS ❑ 6,INTERNAL BLADDER 444 ❑ 7 S I'EEL+INTERNAL LINING ❑ 95.UNKNOWN ❑ 99.OTHER ( tf r 444a SECONDARY CONTAINMENT ❑ 1 STEEL ®3.FIBERGLASS 6.EXTERIOR MEMBRANE LINER ❑ 7 JACKETED 445 ❑ 90.NONE ❑ 95.UNKNOWN ❑99,OTHER(Specify); 4458 OVERFILL PREVENTION ® I AUDIBLE&VISUAL ALARMS 2 BALI.FLOAT 3 FILL TUBE SHUT-OFF VALVE 452 ❑ 4 TANK MEETS REQUIREMENTS FOR EXEMPTION FROM OVERFILL.PREVENTION EQUIPMENT V. PRODUCT/WASTE PIPING CONSTRUCTION PIPING CONSTRUCTION ❑I.SINGLE-WALLED 0 2,DOUBLE-WALLED 99.OTHER 460 SYSTEM TYPE ❑ 1 PRESSURE ❑ 2•GRAVITY 3.CONVENTIONAL SUCTION ❑ 4.SAFE SUCTION 2)CCR#26**XJ)j 458 PRIMARY CONTAINMENT ❑ I STEEL U 4.FIBERGLASS 8.FLEXIBLE 10.RIGID PLASTIC 464 ❑ 90.NONE ❑ 95.UNKNOWN ❑ 99.OTHER( cify): 464a SECONDARY CONTAINMENT C17 STEEL ❑ 4.FIBERGLASS Q 8.FLEXIBLE ❑ 1-0 RIGID PLASTIC 464b ❑ 90.NONE ❑ 95.UNKNOWN ❑ 99.OTHER( ify) 464c PIPING(FURBINE CONTAINMENT SUMP TYPE ❑ 1.SINGLE WALL ❑ 2.DOUBLE WALL 90.NONE 464d VI.VENT,VAPOR RECOVERY(VR)AND RISER/FILL PIPE PIPING CONSTRUCTION VENT PRIMARY CONTAINMENT LJ L STEEL ❑ 4.FIBERGLASS ❑ 10 RIGID PLASTIC 0 90.NONE L1 99.OTHER(Specify) 464c 464e1 VENT SECONDARY CONTAINMENT 0 ].STEEL 0 4.FIBERGLASS D 10 RIGID PLASTIC 0 90.NONE. 99 OTHER(Specify) 464f 464n VR PRIMARY CONTAINMENT L STEEL El 4.FIBERGLASS C1 10.RIGID PLASTIC 90 NONE 99 OTHER(Specify) 4648 464,1 VR SECONDARY CONTAINMENT ❑ L STEEL 4.FIBERGLASS 10.RIGID PLASTIC tj 90.NONE El 99 OTHER(Specify) 4646 464h1 VENT PIPING TRANSITION SUMP TYPE 1.SINGLE WALL 2.DOUBLE WALL 90.NONE 4641 RISER PRIMARY CONTAINMENT Ll 1.STEEL 4 FIBERGLASS ❑ 10 RIGID PLASTIC 0 90 NOM 99 OTHER(Specify) 464j 464jI RISER SECONDARY CONTAINMENT ❑ 1.STEEL 0 4,FIBERGLASS Cl 10.RIGID PLASTIC 90.NONE El 99.OTHER(Specify) 464k 464k1 FILL COMPONENTS INSTALLED ❑ 1 SPILL BUCKET E3 3 STRIKER PLATEMTTOM PROTECTOR 0 4.CONTAINMENT SUMP 45la-6 VII.UNDER DISPENSER CONTAINMENT(UDC} CONSTRUCTION TYPE ❑ I SINGLE WALL ❑ 2.DOUBLE WALL ❑ 3 NO DISPENSERS ❑ 90.NONE 469a CONSTRUCTION MATERIAL ❑ 1.STEEL ❑ 4.FIBERGLASS ❑ 10 RIGID PLASTIC ❑ 99.OTHER(Specify) 46968 VI11. CORROSION PROTECTION STEEL COMPONENT PROTECTION ❑ 2 SACRIFICIAL ANODES) ❑ 4 IMPRESSED CURRENT ❑ 6 ISOLATION 488 IX. APPLICANT SIGNATURE CERTIFICATION: I certify that this 1 ST s)s(cmis compatible with the hazardous substance stored and thAt the information provided herein is true,accurate, and in full compliance with IcRall rcquircmcnls. APPLICANT SIGNATURE DATE 1 /12/2010 470 APPLICANT NAMF(print) R C. lossctt 47 APPLICANT TITLE Environmental Compliance Specialist 47' tIPCF LIST-B-1/2 Rev.(12/2007)