COMPLIANCE INFO_2008-2010 - Laserfiche WebLink

Home Browse Search

`Ah Amok UIWIED PROGRAM CONSOLIDATED FORIVW /1 UNDERGROUND STORAGE TANK ( `I 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 1,11,111,IV,and IX below) 430 ❑ I NEW PERMIT ❑ 3 RENEWAL PERMIT ® 5 CHANGE OF INFORMATION ❑ 6.TEMPORARY UST CLOSURE ❑ 7.UST PERMANENT CLOSURE ON SITE ❑ 8.USI REMOVAL DATE UST PERMANENTLY CLOSED: 430a I DATE EXISTING UST DISCOVERED: 430b I. FACILITY INFORMATION FACILITY ID#(Agency Use Only) BUSINESS NAME(Same as Facility Name or DBA-Doing Business As) 3 CRLLC #2705447 BUSINESS SITE ADDRESS 103 CITY 104 1469 E. Hammer Lane Stockton, CA 95210 II. TANK DESCRIPTION TANK ID# 432 TANK MANUFACTURER 433 TANK CONFIGURATION:THIS TANK IS 434 l A SIAND-ALONE T ANK Complete one page for each C'r C-.5 ❑ 2.ONE INA COMPARTMENTED UNIT compartment in the unit. DATE UST SYSTEM INSTALLED 435 TANK APACITY IN GALLONS 436 NUMBER OF COMPARTMENTS IN THE UNIT 437 3/31/1998 10,563 III. TANK USE AND CONTENTS TANK USE ® la MOTOR VEHICLE FUELING ❑ lb MARINA FUELING ❑ lc AVIATION FUELING 439 ❑ 3 CHEMICAL PRODUCT STORAGE ❑ 4 HAZARDOUS WASIE(Includes Used Oil ❑ 5 EMERGENCY GENERATOR FUEL[HSC§25281 5(c)] _ ❑ 6.OTHER GENERAIOR FUEL ❑_ 95.UNKNOWN 99.OTHER(Specify): 439a .. ... .. ...........__..._.__._...._............._ . . 440 CONTENTS PETROLEUM: ❑ la REGULAR UNLEADED ❑ Ic MIDGRADEUNLEADED ® lb PREMIUM UNLEADED ❑ 3 DIESEL ❑ 5 JET FUEL ❑ 6 AVIATION GAS ❑ 8.PETROLEUM BLEND FUEL [I 9 OIHER PEIROLEUM(Specify): 440a R - .......... .Uy ..:❑._ ........ - - - _--- NON-PETOLEUM7 USED OIL ❑ 10 ETHANOL ❑ 11 OTHER NON-PETROLEUM(Specify 440b IV TANK CONSTRUCTION TYPE OF TANK ❑ 1 SINGLE_WALL ® 2.DOUBLE WALL [1 95.UNKNOWN 443 PRIMARY CONTAINMENT ❑ 1 STEEL. ® 3 FIBERGLASS ❑ 6 INTERNAL BLADDER 444 7 STEEL+INTERNAL LINING ❑ 95.UNKNOWN ❑ 99 OTHER(Specify): 4aaa SECONDARYIN CONTAMENT [I1 STEEL. 03 FIBERGLASS ❑ 6 EXTERIOR MEMBRANE LINER ❑ 7 JACKETED 445 ❑ 90.NONE [3 95 UNKNOWN [199.OTHER(Specify)- 445a OVERFILL PREVENTION ❑ I AUDIBLE&VISUAL ALARMS ❑ 2 BALL FLOAT 3 FILL TUBE SHUT-OFF VALVE 452 ❑ 4.TANK MEET RE UIREMENIS FOR EXEMPT ION FROM OVERF L REVENTION E UIPMENI V. PRODUCT/WASTK APING CONSTRUCTION PIPING CONSTRUCTION ❑ I SINGLE WALL ® 2.DOUBLE WALL ❑ 99 OTHER 460 . 458. SYSTEM TYPE - _ 1 PRESSURE [1 2 GRAVITY [3 3 CONVENTIONAL SUCTION Q 4 SAFE SUCTION[23 CCR§2636(a)(3)] 464 PRIMARY CONTAINMENT ❑ 1 STEEL ® 4 FIBERGLASS ❑ 8 FLEXIBLE ❑ 10 RIGID PLASTIC ❑ 90:NONE i] 95.UNKNOWN [1 99:_OTHER(Specify): abaa ._....----•---..._....__....__..._...__......... .. ..... 464b 1. SECONDARY CONTAINMENT ❑ 1 STEEL ® 4 FIBERGLASS ❑ 8 FLEXIBLE ❑ 10 RIGID PLASTIC ❑ 90.NONE ❑ 95.UNKNOWN [j 99 OTHER(Specify): 460 PIPING/TURBINE CONTAINMENT SUMP TYPE I.SINGLE WALL ❑ 2.DOUBLE WALL ❑ 90.NONE aha VI. VENT,VAPOR RECOVERY(VR)AND RISER/FILL PIPE PIPING CONSTRUCTION VENT PRIMARY CONTAINMENT ❑ 1 SIEEL. ® 4 FIBERGLASS ❑ 10 RIGID PLASTIC ❑ 90 NONE ❑ 99 OTHER(Specify): q . ....... _ _. d VENT SECONDARY CONTAINMENT ❑ 1 STEEL ❑ 4,FIBERGLASS ❑ 10.RIGID PLASTIC [1 90 NONE ❑ 99 OTHER(Specify): 464171 _.. ._....... _.. ....... _.... VR PRIMARY CONTAINMENT [31 STEEL ® 4.FIBERGLASS ❑ 10 RIGIDPLASTIC ❑ 90.NONE [199 OTHER(Specify): 4644g8 VR SECONDARY CONTAINMENT I STEEL ® 4 FIBERGLASS ❑ 10 RIGID PLASIIC [1 90 NONE ❑ 99 OTHER(Specify): a6hi [I . .................. - .._.__.. _......_,_......._...._.... ... ...... VENT PIPING TRANSITION SUMP TYPE ❑ 1 SINGLE WALL ❑ 2 DOUBLE WALL ® 90 NONE 46a� RISER PRIMARY CONTAINMENT N 1 STEEL ❑ 4 FIBERGLASS ❑ 10 RIGID PLASTIC ❑ 90.NONE ❑ 99 OTHER(Specify): 464p„ .. ...... ._..... . ._._ ..__. _ ... ....... . .. .. _. _.. 464k RISER SECONDARY CONTAINMENT ❑ L STEEL ❑ 4.FIBERGLASS ❑ 10 RIGID PLASTIC ® 90 NONE ❑ 99 OTHER(Specify): 464k1 .. . _ ---__..__._---- FILL COMPONENTS INSTALLED ® 1.SPILL BUCKET 3.STRIKER PLATEBOTTOM PROTECTOR ❑ 4.CONTAINMENT SUMP 451a c VII. UNDER DISPENSER CONTAINMENT (UDC) CONSTRUCTION TYPE ® 1 SINGLE WALL ❑ 2 DOUBLE WALL ❑ 3 NO DISPENSERS ❑ 90:NONE 469a __._.....--- ._.. _._.._..._............. ....... .__._.._..._ ._._.__ - - _. .... .. _ ..._ ...._ . CONSTRUCTION MATERIAL ❑ 1 STEEL ® 4 FIBERGLASS ❑ 10 RIGID PLASTIC ❑ 99 OIHER(Specify) 469b 469c. VIII. CORROSION PROTECTION STEEL COMPONENT PROTECTION ❑ 2.SACRIFICIAL ANODE(S) ❑ 4.IMPRESSED CURRENT ❑ 6.ISOLATION 448 IX. APPLICANT SIGNATURE CERTIFICATION: I certify that this Tstem ' compatibl Rh the hazardous substance stored and that the information provided herein is true, accurate, i 11 Iia ith 1 irements. APPLICANT'SIGNATURE a DATE 470 APPLICANT NAME(print) Chuck J. oftich 471 APPLICANT TITLE Manager of Compliance & Maint. q72 UPCF UST-B Rev.(12/2007)-1/2 www.unidocs or•g