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COMPLIANCE INFO_2009-2012
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0231092
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COMPLIANCE INFO_2009-2012
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Last modified
2/6/2024 3:01:37 PM
Creation date
6/23/2020 6:41:43 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2009-2012
RECORD_ID
PR0231092
PE
2361
FACILITY_ID
FA0001946
FACILITY_NAME
El Dorado Food Mart
STREET_NUMBER
1901
Direction
S
STREET_NAME
EL DORADO
STREET_TYPE
ST
City
STOCKTON
Zip
95206
APN
16508019
CURRENT_STATUS
01
SITE_LOCATION
1901 S EL DORADO ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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SJGOV\rtan
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\MIGRATIONS\UST\UST_2361_PR0231092_1901 S EL DORADO_2009-2012.tif
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EHD - Public
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UNIFIED PROGRAM CONSOLIDATED FO <br /> UNDERGROUND STORAGE TANK <br /> OPERATING PERMIT APPLICATION-TANK INFORMATION(one form per usi) <br /> TYPE OF ACTION (Check one item only. For an UST permanent closw•e or removal,complete only this section and Sections I,II,III,IV,and IX below) 430 <br /> ❑ 1.NEW PERMIT ❑ 3•RENEWAL PERMIT 5.CHANGE OF INFORMATION <br /> 6.TEMPORARY UST CLOSURE 7.UST PERMANENT CLOSURE ON SITE 8.UST REMOVAL <br /> DATE UST PERMANENTLY CLOSED: 4�a DATE EXISTING UST DISCOVERED: 4306 <br /> FACILITY ID#(Agency Use Only) <br /> BUSINESS NAME(Same as FACHM NAME or DBA-Doing Business As) s <br /> OL(A(ck- >J SIWc <br /> BUSINESS SITE ADDRESS ^ 103 /' <br /> t JO �-20R4AV_ N CITY 6-rvC*--I v nI 104 <br /> TANK ID# tf� 432 'TANK mAN[jFACTURER 433 TANK CONFIGURATION:THIS TANK IS 434 <br /> _ ��AA- �p ❑1.A STAND-ALONE TANK <br /> GSI SSI L o 0 l C-1,L,( r/&a Q2.ONE INA COMPARTMENTED UNIT. <br /> t4eoae fornfi in the unit <br /> DATE UST SYSTEM INSTALLED 435 TANK CAPACITY IN GALLONS 436 NUMBER OF COMPARTMENTS IN THE UNIT 437 <br /> 12 <br /> TANK USE M la.MOTOR VEHICLE FUELING ❑ ib.MARINA FUELING ❑ lc.AVIATIDN FUELING 439 <br /> ❑ 3.CHEMICAL PRODUCT STORAGE ❑4.HAZARDOUS WASTE(fedwee Used OO) ❑ 5.EMERGENCY GENERATOR FUEL[HSC 125281.5(c)) <br /> ❑ 6.OTHER GENERATOR FUEL ❑ 95.UNKNOWN ❑99.OTHER(S . ): 439a <br /> CONTENTS PETROLEUM: ❑ la.REGULAR UNLEADED ❑ le.MIDGRADE UNLEADED 16.PREMIUM UNLEADED 440 <br /> ❑ 3.DIESEL ❑ 5.JET FUEL n 6.AVIATION GAS <br /> ❑ 8.PETROLEUM BLEND FUEL ❑ 9.OTHER PETROLEUM S 4408 <br /> NON-PETROLEUM:❑ 7.USED OIL ❑ 10.ETHANOL <br /> 11.OTHER NON-PETROLEUMS 440b <br /> TYPE OF TANK u <br /> 1.SINGLE WALL 2.DOUBLE WALL Q 95.UNKNOWN 443 <br /> PRIMARY CONTAINMENT 1.STEEL 3.FIBERGLASS 6.INTERNAL BLADDER 444 <br /> 9 7.STEEL+INTERNAL LINING ❑95.UNKNOWN ❑99.OTHER S 444a <br /> SECONDARY CONTAINMENT ❑ 1.STEEL ❑3.FIBERGLASS ❑6.EXTERIOR MEMBRANE LINER 7.JACKETED 445 <br /> ❑ 90.NONE ❑ 95.UNKNOWN ❑99.OTHERS 445a <br /> OVERFILL PREVENTION 1.AUDIBLE&VISUAL ALARMS 0 2.BALL FLOAT 3.FILL TUBE SHUT-OFF VALVE 452. <br /> ❑4.TANK MEETS UIREMENI S FOR EXEMPTION FROM OVERFILL PREVENTION EQMMENT <br /> PIPING CONSTRUCTION g I.SINGLE-WALLED 2.DOUBLE-WALLED Q99.07HER 460 <br /> SYSTEM TYPE L PRESSURE 2.GRAVITY3.CONVENTIONAL SUCTION E3 4.SAFE SUCTION CCR§2636(0 3) 458 <br /> PRIMARY CONTAINMENT 171 1.STEEL 4.FIBERGLASS ;FLEXIBLE ❑ 10.RIGID PLASTIC 464 <br /> ❑90.NONE 95.UNKNOWN ❑99.07HER(Specify): 4640 <br /> SECONDARY CONTAINMENT ❑ 1.STEEL IS 4.FIBERGLASS ❑S.FLEXIBLE ❑ 10.RIGID PLASTIC 4641 <br /> ❑90.NONE ❑ 95.UNKNOWN ❑99.OTHER(Specify): 464c <br /> PIPINGfrURBINE CONTAINMENT SUMP TYPE 1.SINGLE WALL 2.DOUBLE WALL ❑90.NONE 4644 <br /> W ..'` � . <br /> N :PIPE.PIPING" TC <br /> VENT PRIMARY CONTAINMENT U L STEEL 4.FBERGLASS U 10 RIGID PLASTIC U 90.NONE 99.OTHER(Specify) 4Me <br /> 464e1 <br /> VENT SECONDARY CONTAINMENT 0 1.STEEL 4.FIBERGLASS ❑ 10.RIGID PLASTIC 13 90.NONE E3 99.OTHER(Specify) 464f <br /> 4640 <br /> VR PRIMARY CONTAINMENT ❑ 1.STEEL 4.FIBERGLASS 10.RIGID PLASTIC 0 90.NONE 0 99.OTHER(Specify) 4648 <br /> 1 <br /> VR SECONDARY CONTAINMENT ❑ 1.STEEL 4.FIBERGLASS 0 10.RIGID PLASTIC 13 90.NONE 0 99.OTHER(Specify) 4641 <br /> 46411 <br /> VENT PIPING TRANSITION SUMP TYPE 0 1.SINGLE WALL 2.DOUBLE WALL 90.NONE 464L <br /> RISER PRIMARY CONTAINMENT 1.STEEL 0 4.FIBERGLASS U 10.RIGID PLASTIC El 90.NONE 99.07HER(Specify) 464j <br /> 464'1 <br /> RISER SECONDARY CONTAINMENT El 1.STEEL 0 4.FIBERGLASS U 10.RIGID PLASTIC 90.NONE 99.OTHER(Specify) 464k <br /> 4641 <br /> FILL COMPONENTS INSTALLED 1 SPILL BUCKET 0 3.STRIKER PI.ATEMOITOM PROTECTOR 4 MAINIwffiN1 SUMP 45lac <br /> CONSTRUCTION TYPE 1.SINGLE WALL ❑2.DOUBLE WALL ❑3.NO DISPENSERS ❑90.NONE ANT <br /> CONSTRUCTION MATERIAL 13 1.STEEL. 4.FIBERGLASS 0 10.RIGID PLASTIC 99.OTHER( 469bc <br /> STEEL COMPONENT PROTECTION ❑ 2.SACRIFICIAL ANODE(S) ❑4.IMPRESSED CURRENT ❑6.ISOLATION 448. <br /> . `IX. APPLIC.tIN'kS�G�1ATURE <br /> CERTIFICATION:I certify that thls UST system is compatible wlt6 the hazardous snbetaace stored and that the informadon Provided herein is tree,accurate, <br /> and in fall co wkh al requirements. <br /> APPLICANT SI <br /> DATE ell rj t -� I ( 1 470. <br /> i <br /> APPLICANT NAME(print) 471' APPLICANT TITLE 472. <br /> UPCF UST-B-1/2 <br /> Rev.(12/2007) <br />
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