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UNIFIED PROGRAM CONSOLIDATED FORM UNDERGROUND STORAGE TANK 411 0 OPERATING PERMIT APPLICATION-TANK INFORMATION(one forst per U 000 TYPE OF ACTION (Check one item only. For an UST permanent closure or removal,complete only this section and Sections 1.11,01,IV,and IX below) 430 ® L NEW PERMIT ❑3.RENEWAL PERMIT 0 5.CHANGE OF INFORMATION ❑ 6.TEMPORARY UST CLOSURE 7.UST PERMANENT CLOSURE ON SITE 8.UST REMOVAL DATE UST PERMANENTLY CLOSED: 4309 DATE EXISTING UST DISCOVERED: 43� I. FAC ILI'T`Y INFORMA'T`ION FACILITY ID#(Agency Use Only) F A o (} O 0 (� 0 O t BUSINESS NAME(Sarre as FACILITY NAME or DBA-Doing Business As) 3 Tesoro west Coast Company, LLC#68150 BUSINESS SITE ADDRESS l03 CITY 1Q4 13975 E.HM 88 Lockeford Ca.95237 Ih TANK ;DESCRIPTION TANK ID# 00 A32 TANK MANUFACTURER 431 TANK CONFIGURATION: THIS TANK IS 444 Xertes ❑I.A STAND-ALONE TANK ��L/� - ®2.ONE IN A COMPARTMENTED UNIT. -T LarffLtle one Page for eta�wnPwlmem in the=0 DATE UST SYSTEM INSTALLED 415 TANK CAPACITY IN GALLONS 836 NUMBER OF COMPARTMENTS IN THE UNIT ;37 2012 j JUN N 8000 Two III.TANK USE AND CONTENTS TANK USE ® la MOTOR VEHICLE FUELING (3 Ib MARINA FUELING ❑ Ic.AVIATION FUELING 439 C] 3 CHEMICAL PRODUCT STORAGE ❑ 4 HAZARDOUS WASTE((nanda Used Oil) ❑ 5 EMERGENCY GENERATOR FUEL(HSC§25291 5(01 ❑ 6.OTHER GENERATOR FUEL ❑ 95 UNKNOWN ❑ 99.OTHER ( ): 4398 CONTENTS PETROLEUM ❑ la REGULAR UNLEADED ❑ Ic MtDGRADE UNLEADED ❑ Ib.PREMIUM UNLEADED 446 ® 3.DIESEL ❑ 5 JET FUEL ❑ 6 AVIATION GAS ❑ 8.PETROLEUM BLEND FUEL ❑ 9.OTHER PETROLEUM (specify): 440a NON-PETROLEUM:❑ 7.USED OIL ❑ 10 ETHANOL 1I.OTHER NON-PETROLEUMS cdy). 440b IV. TANK CONSTRUCTION TYPE OF TANK ❑ I SINGLE WALL 2.DOUBLE WALL Ej 95.UNKNOWN 443 PRIMARY CONTAINMENT 0 1 STEEL 1@ 3,FIBERGLASS ❑ 6.INTERNAL BLADDER 444 ❑ 7.STEEL r INTERNAL LINING ❑ 95.UNKNOWN Q 99.OTHERi 4444 SECONDARY CONTAINMENT 1 STEEL 3.FIBERGLASS 6.EXTERIOR MEMBRANE LINER -0'2'7-J ACKETED 445 ❑ 90 NONE ❑ 95.UNKNOWN ❑99,OTHER(Specify) 445. OVERFILL PREVENTION IN I.AUDIBLE&VISUAL ALARMS 0 2 BALL FLOAT IM 3,FILL TUBE SHUT-OFF VALVE 452 ❑ 4 TANK MEETS REQUIREMENTS FOR EXEMPTION FROM OVERFILL PREVENTION EQUIPMENT Y PROVIUCT/WASTE PIPING CONS 'RUCTION PIPING CONSTRUCTION ❑1.SINGLE-WALLED 29 2.DOUBLE-WALLED ❑99.OTHER 460 SYSTEM TYPE ® 1 PRESSURE ❑ 2.GRAVITY 3.CONVENTIONAL SUCTION ❑4.SAFE SUCTION 23 CCR 2636(a)(3) 458 PRIMARY CONTAINMENT I STEEL 4 FIBERGLASS ❑ 8.FLEXIBLE ❑ 10 RIGID PLASTIC 464 ❑ 90 NONE ❑ 95 UNKNOWN ❑ 99.OTIIER Yy): 464. SECONDARY CONTAINMENT ❑ 1 STEEL ® 4.FIBERGLASS ❑ 8.FLEXIBLE 0 10 RIGID PLASTIC 464b ❑ 90 NONE ❑ 95 UNKNOWN ❑ 99 OTHER(S if) 4640 PIPINGTURBINE CONTAINMENT SUMP TYPE [3I SINGLE WALL 2 DOUBLE.WALL ❑ 90 NONE 464d VL VENT,VAPOR RECOVERY`(VR)AND RISER I FILL PIPE PIPING CONSTRUCTION VENT PRIMARY CONTAINMENT U L STEEL IN 4 FIBERGLASS 10 RIGID PLASTIC 0 90.NONE L3 99.OTHER(Specify) 464. 444c1 VENT SECONDARY CONTAINMENT 1 STEEL 13 4 FIBERGLASS 10 RIGID PLASTIC 0 9o.NONE E3 ".OTHER(Specify) 464f 464n VR PRIMARY CONTAINMENT E3 1 STEEL 19 4.FIBERGLASS 10.RIGID PLASTIC E3 90 NONE E3 99 OTHER(Specify) 44648 VR SECONDARY CONTAINMENT 1 STEEL 0 4 FIBERGLASS 10 RIGID PLASTIC E3 90 NONE 0 99 OTHER(Specify) 464h 464hl VENT PIPING TRANSITION SUMP TYPE 1.SINGLE WALL 19 2.DOUBLE WALL 90.NONE 464. RISER PRIMARY CONTAINMENT Eg I STEEL Lj 4 FIBERGLASS 10 RIGID PLASTIC U 90,NONE U ",OTHER(Specify) RISER SECONDARY CONTAINMENT 0 1 STEEL 0 4 FIBERGLASS E3 10 RIGID PLASTIC IM 90.NONE 13 99.OTHER(Specify) 464k 4641 FILL COMPONENTS INSTALLED 0 1.SPILL BUCKET 0 3.STRIKER PLATE/BOTTOM PROTECTOR 0 4.CONTAINMENT SUMP 451a c VII.UNDER I)ISPt CON� (UDC). CONSTRUCTION TYPE ❑ L.SINGLE WALL ® 2.DOUBLE WALL ❑ 3.NO DISPENSERS ❑ 90.NONE 46% CONSTRUCTION MATERIAL ❑ 1.STEEL 19 4.FIBERGLASS ❑ 10.RIGID PLASTIC ❑ 99.OTHER ifl) 469b-c ;VIII. (CORROSION PROTECTION STEEL.COMPONENT PROTECTION ❑ 2 SACRIFICIAL ANODE(S) ❑ 4.IMPRESSED CURRENT ❑ 6 ISOLATION 448 Ix. APPLICANT SIGNATU 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. 70 APPLICANT SIGNATUR ( DATE 2-23-12 ° APPLICANT NAME(print) any dwar s °" APPLICANT TITLE Environmental Compliance Administrator d72 UPCF UST-8-IR Rev.(12/2007)