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UNDERGROUND STORAGE TANK OPERATING PERMIT APPLICATION-TANK INFORMATION(one Porn 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) 43 ❑ 1.NEW PERMIT El 3.RENEWAL PERMIT 0 5.CHANGE OF INFORMATION It N, El 6.TEMPORARY UST CLOSURE [1 7.UST PERMANENT CLOSURE ON SITE El 8.UST REMOVAL DATE UST PERMANENTLY CLOSED: 430& DATE EXISTING UST DISCOVERED: 430b F AC-EINFO FACILITY ID#(Agency Use Only) BUSINESS NAME(Same as FACILITY NAME or DBA-Doing Business As) ARCO 02133 BUSINESS SITE ADDRESS 103 CITY 104 2908 BENJAMIN HOLT DR STOCKTON gsc N ..TANK ID# 2 432 TANK MANUFACTURER 433 TANK CONFieuRA-riom THIS TANK is 434 Modem Welding 1.A STAND-ALONE TANK 2.ONE IN A COMPARTMENTED UNIT. Complete one page ror each wm artment in the unit DATE UST SYSTEM INSTALLED 435 TANK CAPACITY IN GALLONS 436 NUMBER OF COMPARTMENTS IN THE UNIT 437 1999/04 12,000 TANK USE 0 1 a.MOTOR VEHICLE FUELING 0 1b.MARINA FUELING El Ic.AVIATION FUELING 439 0 3.CHEMICAL PRODUCT STORAGE D 4.HAZARDOUS WASTE(Includes Used 09) 0 5.EMERGENCY GENERATOR FUEL[HSC§25281.5(c)] ❑ 6.OTHER GENERATOR FUEL 0 95.UNKNOWN [1 99.OTHER(Specify)! 439a CONTENTS PETROLEUM: I a.REGULAR UNLEADED El 1c.MIDGRADE UNLEADED El lb.PREMIUM UNLEADED 440 ❑ 3.DIESEL JET FUEL ❑ 6.AVIATION GAS ❑ 8.PETROLEUMBLEND FUEL [1 9.OTHER PETROLEUM (Specify): 440a NON-PETROLEUM:[1 7.USED OIL Ll METHANOL 440b ❑ 11.OTHER NON-PETROLEUM(Specify): K CONSTRUCTION TYPE OF TANK ❑ 1.SINGLE WALL 0 2.DOUBLE WALL Q 95.UNKNOWN 443 PRIMARY CONTAINMENT 1.STEEL [1 3.FIBERGLASS U 6.INTERNAL BLADDER 444 El 7.STEEL+INTERNAL LINING [I 95.UNKNOWN El 99.OTHER (Specify): 444a SECONDARY CONTAINMENT ❑ 1.STEEL [13.FIBERGLASS [1 6.EXTERIOR MEMBRANE LINER 0 7.JACKETED 445 ❑ 90,NONE 0 95.UNKNOWN 0 99.OTHER(Specify): Steel Clad w/Fiberglass coating 445a OVERFILL PREVENTION 1.AUDIBLE&VISUAL ALARMS N 2,BALL FLOAT U 3.FILL TUBE SHUT-OFF VALVE 452. ❑ 4.TANK MEETS REQUIREMENTS FOR EXEMPTION FROM OVERFILL PREVENTION EQUIPMENT PIPING CONSTRUCTION ❑1.SINGLE-WALLED 9 2.DOUBLE-WALLED U 99.OTHER 46D- SYSTEM TYPE 1.PRESSURE [1 2.GRAVITY Ll 3.CONVENTIONAL SUCTION 0 4.SAFE SUCTION[23 CCR§2636(a)(3)) 458 PRIMARY CONTAINMENT ❑ 1.STEEL M 4.FIBERGLASS U 8.FLEXIBLE [1 10.RIGID PLASTIC 464 ❑ 90.NONE [1 95.UNKNOWN 0 99,OTHER(Specify): 464a SECONDARY CONTAINMENT ❑ 1.STEEL 0 4.FIBERGLASS [1 8.FLEXIBLE U 10.RIGIDPLASTIC 4646 ❑ 90.NONE 1--] 95.UNKNOWN 0 99.OTHER(Specify): 464c PIPING(TURBINE CONTAINMENT SUMP TYPE Dg 1.SINGLE WALL El 2.DOUBLE WALL [1 90.NONE 464d VENT PRIMARY CONTAINMENT 0 LSTEEL 0 4.FIBERGLASS 0 10.RIGID PLASTIC Ll 90.NONE U 99.OTHER(Specify) 464e 464el VENT SECONDARY CONTAINMENT 1.STEEL [1 4.FIBERGLASS ❑0 10.RIGIDPLASTIC 0 90.NONE ❑ 99.OTHER(Specify) 4641 4641 VR PRIMARY CONTAINMENT ❑ 1.STEEL 0 4.FIBERGLASS [1 10.RIGID PLASTIC 0 90.NONE 13 99.OTHER(Specify) 4 4'14,T 1 1 464h VR SECONDARY CONTAINMENT ❑ 1.STEEL [1 4.FIBERGLASS 0 10.RIGID PLASTIC 0 90.NONE [1 99.OTHER(Specify) 464hi L VENT PIPING TRANSITION SUMP TYPE M 1.SINGLE WALL [3 2.DOUBLE WALL 90.NONE 46 464 4j RISER PRIMARY CONTAINMENT 0 1.STEEL [14.FIBERGLASS [110.RIGID PLASTIC El 90.NONE [1 99.OTHER(Specify) 464j1 464k RISER SECONDARY CONTAINMENT 1.STEEL [1 4.FIBERGLASS ❑F 464ki 10.RIGID PLASTIC 0 90.NONE ❑[1 99.OTHER(Specify) FILL COMPONENTS INSTALLED 1.SPILL BUCKET 0 3,STRIKER PLATEIBOTTOM PROTECTOR [9 4.CONTAINMENT SUMP 451a-c T;i 1 VTI. CONTAINNIE�yT;(UAC CONSTRUCTION TYPE 1.SINGLE WALL [3 2.DOUBLE WALL [3 3.NO DISPENSERS [1 90.NONE 469a CONSTRUCTION MATERIAL El 1.STEEL W 4.FIBERGLASS [1 10.RIGID PLASTIC El 99.OTHER(Specify) 469b-c STEEL COMPONENT PROTECTION [1 2.SACRIFICIAL ANODE(S) ❑ 4.IMPRESSED CURRENT 0 6.ROL ATION 448. M;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. APPLIC. DATE APPLICANT NAME(print) �EN N ffWB)M MARI NAS APPLICANT TITLE Environmental ComplianceSpecl1�IS 472_ UPCF UST-A Rev.(12/2007)