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LWIED PROGRAM CONSOLIDATED FOR� UNDERGROUND STOP-AGE TANK 1111w OPERATING PERMIT APPLICATION-TANK INFORMATION (One fo:nn per UST) 11 TYPE OFACTION (Check one iteinonly. 1-'or a UST closure or removal.complete only this section and Sections 1.11,///,IV and ffbelotv) 430� 0 1.NEW PERMIT 0 3.RENEWAL PERMIT 0 5.CHANGE OF INFORMATION 0 6.TEMPORARY UST CLOSURE 0 7.LIST PERMANENT CLOSURE ON SITE C] 8.UST REMOVAL DATE UST PERMANENTLY CLOSED: 430a- I DATE EXISTING LIST DISCOVERED: 410h. I. FACILITY INFORMATION FACILITY ID#(Agency Use Only) 1. BUSINESS NAME(Same as Facility Name or DBA-Doing Business As/ 1. Verizon California, Inc. - Manteca CO BUSINESS SITE ADDRESS 103 1 CITY 104. 430 West Center Street Manteca 11. TANK DESCRIPTION TANK ID# 4i2 TANK MANUFACTURER 433. TANK CONFIGURATION:THIS TANK IS 434. 0 1.A STAND-ALONE TANK Complete one page for each 01 JoOr [1 2.ONE IN A COMPARTMENTED UNIT compartment in the unit. DATE LIST SYSTEM INSTALLED 475 TANK CAPACITY IN GALLONS 4316 NUMBER OF COMPARTMENTS IN THE UNIT 417, 6/1999 6,000 1 111. TANK USE AND CONTENTS TANK USE El Ia.MOTOR VEHICLEFUELING0 In.MARINA FUELING 0 le.AVIATION FUELING 439. 0 3.CHEMiC'ALPRODUC'TSTORAGE 0 4.HAZARDOUS WASTE(Includes Used Oil) 0 5,EMERGENCY GENERATOR FUEL,[HSC§25281.5(c)] El 6.OTHER GENERATOR FUEL 0 95.UNKNOWN 0 99.OTHER(Specify): 419a, ..................................CONTENTS 1-1-1-1111-1-- PETROLEUM: ❑ Ia.REGULAR UNLEADED ❑ lc. UNLEADED 0 1b.PREMIUM UNLEADED 46- 3.DIESEL ❑ 5.JET FUEL ❑ 6.AVIATION GAS ❑ 8.PETROLEUM BLEND FUEL Ej 9.OTHER PETROLEUM(Specify): 440a. NlON-OaRbC64 0' 7.USED OIL ❑ 10.ETHANOL 0 11,OTHER NON-PETROLEUM(Specify): 440b. IV. TANK CONSTRUCTION TYPE OF TANK 0 1.SINGLE WALL, 2.DOUBLE WALL [3 95.UNKNOWN 443- PRIMARY 41Oklmxk CONTAINMENT 0 I.STEEL 0 3.FIBERGLASS [1 6.INTERNAL BLADDER 444. 0 7. (Specify): 444a. 0 99.OT UNKNOWN 95.L ERN L II-I STEEL- NTA . NING [1 UN HER ................................................................................................................................................-........................... ......................................... .............. SECONDARY CONTAINMENT '®-1.STEEL [13.FIBERGLASS ❑ 6.EXTERIOR MEMBRANE LIN ER 7.JACKETED 445. ❑ 90.NONE ❑ 95.UNKNOWN ❑99.OTI I ER(Specify): 44Sa. .................. OVERFILL PREVENTION 0 1.AUDIBLE&VISUAL ALARMS 0 2.BALL.FLOAT 0 3.FILL TUBE SHUT-OFF VALVE 452. [3 4.TANK MEETS REQUIREMENTS FOR EXEMPTION FROM OVERFILL PREVENTION EQUIPMENT V. PRODUCT/WASTE PIPING CONSTRUCTION PIPING CONSTRUCTION 0 1.SINGLE WALL 0 2.DOUBLE WALL [3 99�OTHER 460 ........................................................................... ..........................................-.................... ..................... ................... SYSTEM TYPE b 1.PRESSURE ❑ 2.GRAVITY 3.CONVENTIONAL SUCTION [1 4.SAFE SUCTION[21 CCR§206(a)(3)] 455 ............ .......... PRIMARY CONTAINMENT 1.STEEL 4.FIBERGLASS 0 8.FLEXIBLE0 10.RIGID PLASTIC 464. [1 90.NONE 0 95.UNKNOWN 0 99.OTHER(Specify): 464a. SECONDARY CONTAINMENT b ],STEEL 0 4.FIBERGLASS 0 &FLEXIBLE ❑ 10.RIGID PLASTIC 90,NONE [:1 95,UNKNOWN 0 99.OTHER(Specify): 464c. .......❑................. ......................... -❑......... .-...............-.......... .................. PION&TURBINE CONTAINMENT SUMP TYPE b-L SINGLE WALL 0 2.DOUBLE WALI. 0 90.NONE 464d. VI. VENT, VAPOR RECOVERY(VR)AND RISER/FILL PIPE PIPING CONSTRUCTION VENT PRIMARY CONTAINMENT [3 1.STEEL 0 4.FIBERGLASS [1 10-RIGID PLASTIC [1 90.NONE [399.OTHER(Specify): 464e. 464e1.:_... VENT SECONDARY CONTAINMENT o I.STEEL ® 4.FIBERGLASS 0 10.RIGID PLASTIC 0 90.NONE 0 99.OTHER(Specify): 464f ................ ....................... ........... ................. ................ VR PRIMARY CONTAINMENT [1 1.STEEL_ 0 4.FIBERGLASS 0 10,RIGID PLASTIC' 0 90.NONE [3 99.OTHER(Specify): 464g. ............... ........................- ........ 1.11-1-1.1......................................................................................................- VR SECONDARY CONTAINMENT 0 1,STEEL [1 4 FIBERGLASS n 10.RIGID PLASTIC 0 90.NONE 0 99.OTHER(Specify): 464h. ............... ......................... 464h1. VENT PIPING TRANSITION SUMP TYPE [3 1.SINGLE WALL C] 2.DOUBLE WALL 1@ 90.NONE 464'. RISER PRIMARY CONTAINMENT 0 1,STEEL [:] 4.FIBERGLASS ❑[3 10.RIGID PLASTIC ❑0 90.NONE ❑0 99.OTHER(Specify): 4681. ....................... .............................. 464j I.I.I., RISER SECONDARY CONTAINMENT ❑ 1.STEEL 0 4.FIBERGLASS [3 10.RIGID PLASTIC [1 90.NONE 0 99.OFHER(Specify): 464k. ....................... ........... .................. -.464k 1. FILL COMPONENTS INSTALLED 1.SPILL.BUCKET 3.STRIKER PLA FF.BOTTOM PROTECTOR 4.CONTAINMENTSUMP 4.,5..I..a c VII. UNDER DISPENSER CONTAINMENT (UDC) CONSTRUCTION TYPE ❑ 1.SINGLE WALL ❑ 2.DOUBLE WALL. ❑ 3.NO DISPENSERS 90.NONE 469a. CONSTRUCTION MATERIAL 0 I.STEEL 0 4.FIBERGLASS [3 IO.RIGIDPLASFIC 469b. 0 99.OTHER(Specify) 469e. VIII. CORROSION PROTECTION STEEL COMPONENT PROTECTION 2.SACRIFICIAL ANODE(S) ❑ 4.IMPRESSED CURRENT [3 6.ISOLATION 448. TIV ,,---.APPLICANT SIGNATURE CERTIFICATION: I certify that this UST sys patible ," the hazardous substance stored and that the information provided herein is true, accurate,and in full q;vai wiz., irements. APPLICANT SIGNATUREI DATE 9/4/2008 470, APPLICANT NAME(print) Zachu'fFe-i.ngold 471, APPLICANT TITLE Environmental Manager 4727 UPCF UST-B Rev.(12/2007)-1/2 wvvw.unidoes.org