COMPLIANCE INFO_FILE 13 - Laserfiche WebLink

Home Browse Search

r 101 Li IFIED PROGRAM CONSOLIDATED FOW UNDERGROUND STORAGE TANK 882-DlUl PRAD09-186 OPERATING PERMIT APPLICATION-TANK INFORMATION (One form per UST) TYPE OF ACTION (Check one item only. For a UST closure or removal,complete only this section and Sections 1,II,111,IV,and IX below) 430. ❑ 1.NEW PERMIT N 3.RENEWAL PERMIT ❑ 5.CHANGE OF INFORMATION ❑ 6.TEMPORARY UST CLOSURE ❑ 7.UST PERMANENT CLOSURE ON SITE ❑ 8.UST REMOVAL DATE UST PERMANENTLY CLOSED: 430x. I DATE EXISTING UST DISCOVERED: 430b. - I. FACILITY INFORMATION FACILITY ID#(Agency Use Only) - 1 -1311 lull I BUSINESS NAME(Same as Facility Name or DBA-Doing Business As) 3 Lawrence Livermore National Laboratory - 300 BUSINESS SITE ADDRESS 103. CITY 104 Corral Hollow Road South of Tracy, CA II. TANK DESCRIPTION TANK ID#882-D1 U1 432. TANK MANUFACTURER 433 TANK CONFIGURATION:THIS TANK IS 434. 390002319450194529 Modern Weldingnc. ® 2.ONE IN COMPARTMALONE ENTED compartmeteent nt in the for each Co.,� ❑ 2.ONE IN A COMPARTMENTED UNIT compartment in the unit. DATE UST SYSTEM INSTALLED 435. TANK CAPACITY IN GALLONS 436. NUMBER OF COMPARTMENTS IN THE UNIT 437, 1988/01 1,500 1 III. TANK USE AND CONTENTS TANK USE ❑ la.MOTOR VEHICLE FUELING ❑ lb.MARINA FUELING ❑ lc.AVIATION FUELING 439. ❑ 3.CHEMICAL PRODUCT STORAGE ❑ 4.HAZARDOUS WASTE(Includes Used nil) ® 5.EMERGENCY GENERATOR FUEL[HSC§25281.5(c)] ❑ 6.OTHER GENERATOR FUEL ❑ ) 95.UNKNOWN ❑ 99.OTHER(Specify): 439a. ...................................................................._.___._...............--..-._........_......__..._-_-..._........__................................................................................._..__........................._......_......._........--..._...... ....._........_.._. CONTENTS PETROLEUM: ❑ Ia.REGULAR UNLEADED ❑ 1c.MIDGRADE UNLEADED ❑ lb.PREMIUM UNLEADED 4ao. ® 3.DIESEL ❑ 5.JET FUEL ❑ 6.AVIATION GAS ❑ 8.PETROLEUM BLEND FUEL [19.OTHER PETROLEUM(Specify): 440a. .........................................................................................._.................._............ __....__..._......................._....___............................-._.. ................................................_.........................................._........._.. NON-PETROLEUM: 7.USED OILC 10.ETHANOL ❑ 11.OTHER NON-PETROLEUM(Specify): 440b. IV. TANK CONSTRUCTION TYPE OF TANK ❑ 1.SINGLE WALL I@ 2.DOUBLE WALL ❑ 95.UNKNOWN 443. _..................._._......................._.-........-.._.._......_...._................................._........................................._............................................................................__....................................._......................_...............................................................................................4�..... PRIMARY CONTAINMENT ® 1.STEEL E.] 3.FIBERGLASS ❑ 6.INTERNAL BLADDER ❑ 7.STEEL+INTERNAL LINING ❑ 95.UNKNOWN ❑ 99.OTHER(Specify): 444a. --.._......_..__._.............._..._.................................................................................. .........................._.................................._--.............................__..........._._................................................................................................................................._... ........._ ... __....._..._........ ................... SECONDARY CONTAINMENT ❑ 1.STEEL [33.FIBERGLASS ❑ 6.EXTERIOR MEMBRANE LINER ❑ 7.JACKETED 445. ❑ 90.NONE ❑ 95.UNKNOWN IN 99.OTHER(Specify): STEEL CLAD w/FRP445a ........................................................................................................................................................................................_..............._..----........_......__......_.........._.__...._..._........_.._...................................... OVERFILL PREVENTION ❑ 1.AUDIBLE&VISUAL ALARMS ❑ 2.BALL 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 ❑ 1.SINGLE WALL ® 2.DOUBLE WALL ❑ 99.OTHER 460. _............................................................_......_...__................................................................................. _._._... SYSTEM TYPE ❑ 1.PRESSURE ❑ 2.GRAVITY _ IN 3„CONVENTIONAL SUCTION ❑ 4:SAFE SUCTION[23 CCR§2636(ax3)]__.........ass ---.._..............._........__.-.._.._....................................................................................................................... PRIMARY CONTAINMENT ® 1.STEEL ❑ 4.FIBERGLASS ❑ 8.FLEXIBLE ❑ 10.RIGID PLASTIC 464. ❑ 90.NONE ❑ 95.UNKNOWN ❑ 99.OTHER(Specify): 464a. ................... ............_........-............................................................................_...................._................................................................ __.-.__.........._.._ ............ ....................................._........... SECONDARY CONTAINMENT ❑ L STEEL ® 4.FIBERGLASS ❑ 8.FLEXIBLE ❑ 10.RIGID PLASTIC a6ab. ❑ 90.NONE ❑ 95.UNKNOWN ❑ 99.OTHER(Specify): 464c. ............__._.........................._......._..........................................----...__.................................................................................................._........................................._.................._...........................__ ......_........... ................... PIPING/TURBINE CONTAINMENT SUMP TYPE ® 1.SINGLE WALL ❑ 2.DOUBLE WALL ❑ 90.NONE a6ad. VI. VENT,VAPOR RECOVERY(VR) AND RISER/FILL PIPE PIPING CONSTRUCTION VENT PRIMARY CONTAINMENT ® L STEEL [14.FIBERGLASS [I10.RIGID PLASTIC [190.NONE [199.OTHER(S ecifY). 4 464,. P 4iW VENT SECONDARY CONTAINMENT [11.STEEL [34.FIBERGLASS [I10.RIGID PLASTIC ® 90.NONE [199.OTHER(Specify): 464fl. ........................................................................................................................._-....-............__..................-_.-_.-................................................................................................_..........._.................................---._.._........._.-.._...._..._......._...._...__..._...-.-._................................... ...................... VR PRIMARY CONTAINMENT ❑ 1.STEEL ❑ 4.FIBERGLASS ❑ 10.RIGID PLASTIC IN 90.NONE [14644.99.OTHER(Specify): 46441;..-, ........................................................_..............................................................................................._...................._........_............_.._.._..__.._.._.........................................................._......... 46411. VR SECONDARY CONTAINMENT ❑ 1.STEEL ❑ 4.FIBERGLASS ❑ 10.RIGID PLASTIC ® 9o.NONE ❑ 99.OTHER(Specify): 464hl. ........................................................................_......._............................._._.__................................_..._..........._...................................._...-............................................................................_..............................................._..............._..___........................................................................... VENT PIPING TRANSITION SUMP TYPE ❑ 1.SINGLE WALL ❑ 2.DOUBLE WALL ® 90.NONE abat. ......................................................................................................................__............_.._._._............................._....._...._............._ __................._......................................_. .................................._._._....._.......__....................................__..............................................................................................................4�..... RISER PRIMARY CONTAINMENT ® 1.STEEL ❑ 4.FIBERGLASS ❑ 10.RIGID PLASTIC ❑ 90.NONE ❑ 99.OTHER(Specify): 4&111; .......................................................................................................................................... ._-. ____._......................._........-.._................._._..............................................._..............................................................................._................_............................................... RISER SECONDARY CONTAINMENT [31.STEEL N 4.FIBERGLASS ❑ 10.RIGID PLASTIC [390.NONE [199.OTHER(Specify): 464k. �1. ........................................................................_............................._._.__...................... .__............................................................................................................................._._...._--...................................................._.................. ...................... FILL COMPONENTS INSTALLED ® L SPILL BUCKET ® 3.STRIKER PLATE/BOTTOM PROTECTOR ❑ 4.CONTAINMENT SUMP 45lac. VII. UNDER DISPENSER CONTAINMENT (UDC) CONSTRUCTION TYPE ❑ 1.SINGLE WALL _ _ ❑ 2.DOUBLE WALL ® 3.NO DISPENSERS ❑90.NONE 469a. ........._..........-................� .... _ .........................................................._....................................... ........................-............_._..._.... ...................._...._.._..........................._......._._._._................................................................ 469b. CONSTRUCTION MATERIAL ❑ 1.STEEL ❑ 4.FIBERGLASS ❑ 10.RIGID PLASTIC ❑ 99.OTHER(Specify) ®= 469c. VIII. CORROSION PROTECTION - STEEL COMPONENT PROTECTION ❑ 2.SACRIFICIAL ANODES ❑ 4.IMPRESSED CURRENT ® 6.ISOLATION t. 448. IX. :APP'.ICANT SIGNATURE CERTIFICATION: I certify that this UST system is compatit with the hazardous substance stored and that the information vided herein is true, accurate,and in full com liars ith le al uirements. / r 470. APPLICANT � jy�, DATE O APPLICANT NAME print) v Mancieri 471. APPLICANT TITLE Division Leader,Permits and Regulatory Affairs Division 472 UPCF UST-B Rev.(12/2007)-1/2 www.unidocs.org