Laserfiche WebLink
` FIED PROGRAM CONSOLIDATED F <br /> UNDERGROUND STORAGE TANK c" I <br /> OPERATING PERMIT APPLICATION-TANK INFORMATION (One form per UST) <br /> TYPE OF ACTION (Check one item only. For a UST closure or remoral.complete only This section and Sections L/L/ll./V,and ff beloir) 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: 430a. I DATE EXISTING UST DISCOVERED: 430b. <br /> I. FACILITY INFORMATION <br /> FACILITY ID#(Agency Use Only) 1 <br /> BUSINESS NAME(Sante as Facility Name or DBA -Doing Business As/ 3 <br /> Verizon California, Inc. - Manteca CO <br /> BUSINESS SITE ADDRESS 103. 1 CITY IM. <br /> 430 West Center Street Manteca <br /> II. TANK DESCRIPTION <br /> TANK ID 43'- TANK MANUFACTURER 431 TANK CONFIGURATION:THIS TANK IS 434 <br /> 01 Joor ® 1.A STAND-ALONE TANK Complete one page tier each <br /> ❑ 2.ONE IN A COMPARTMENTED UNIT compartment in the unit- <br /> DATE UST SYSTEM INSTALLED 435. TANK CAPACITY IN GALLONS 436. NUMBER OF COMPARTMENTS IN THE UNIT 43 <br /> 6/1999 6,000 1 <br /> III. TANK USE AND CONTENTS <br /> TANK USE ❑ la MOTOR VEHICLE FUELING ❑ )b.MARINA FUELING ❑ Ic.AVIATION FUELING 43y. <br /> ❑ 3.C'HEMIC'AL PRODUCT STORAGE ❑ 4.HAZARDOUS WASTE(lacludes Used Oil) ® 5.EMERGENCY GENERATOR FUEL(HSC�25281,5(cl] <br /> ❑ 6.OTHER GENERATOR FUEL ❑ 95.UNKNOWN ❑ 99.OTHER(Specify): 4")a <br /> CONTENTS PEI ROLEUM: ❑ la.REGULAR UNLEADED ❑ lc.MIDGRADE UNLEADED ❑ Ib.PREMIUM UNLEADED 440. <br /> ® 3.DIESEL ❑ 5.JET FUEL ❑ 6.AVIATION GAS <br /> ❑ 8.PETROLEUM BLEND FLIEL ❑ 9.OTHER PETROLEUM(Specify): 440x. <br /> NON-PETROLEUM:❑ 7.USED OIL ❑ 10.ETHANOL <br /> ❑ 11.OTHER NON-PETROLEUM(Specify): 440b. <br /> IV. TANK CONSTRUCTION <br /> TYPE OF TANK ❑ 1.SINGLE:WALL. ® 2.DOUBLE WALL ❑ 95.UNKNOWN 443, <br /> PRIMARY CONTAINMENT ® 1.STEEL [33.FIBERGLASS ❑ 6.INTERNAL BLADDER 444. <br /> ❑ 7.STEiEL+INTERNAL LINING ❑ 95.UNKNOWN ❑ 99.OTHER(Specify): 444x- <br /> SECONDARY CONTAINMENT ® 1.STEEL ❑3.FIBERGLASS ❑ 6.EXTERIOR MEMBRANE LINER ® 7.JACKETED 445. <br /> ❑ 90.NONE ❑ 95.UNKNOWN ❑99.OTHER(Specify): 445a. <br /> OVERFILL PREVENTION ® 1.AUDIBLE&VISUAL ALARMS ❑ 2.BALL FLOAT ® 3.FILL TUBE SHUT-OFF VALVE: 452, <br /> ❑ 4.TANK MEETS REQUIREMENTS FOR EXEMPTION FROM OVERFILL PREVENTION F,QUIPMEN r <br /> V. PRODUCT/WASTE PIPING CONSTRUCTION <br /> PIPING CONSTRUCTION ❑ 1.SINGLE WALL. ® 2.DOUBLE WALL ❑ 99.OTHER 460, <br /> SYSTEM TYPE ❑ I.PRESSURE ❑ 2.GRAVITY ® 3.CONVENTIONAL SUCTION ❑ 4.SAFE SUCTION[23 CCR§§2636(a)(3)] 45K. <br /> PRIMARY CONTAINMENT ❑ 1.STEEL ❑ 4.FIBERGLASS ® 8.FLEXIBLE ❑ 10.RIGID PLASTIC 464. <br /> 90.NONEEl 95.UNKNOWN ❑ 99.OTHER(Specify): 464x. <br /> SECONDARY CONTAINMENT ❑ 1.STEEL ❑ 4.FIBERGLASS ® 8.FLEXIBLE ❑ 10.RIGID PLASTIC 464 b. <br /> ❑ 90.NONE ❑ 95.UNKNOWN ❑ 99.OTHER(Specify): 464c, <br /> PIPING/TURBINE CONTAINMENT SUMP TYPE ® 1.SINGLE WALL ❑ 2.DOUBLE WALL ❑ 90.NONE 464d. <br /> VI. VENT,VAPOR RECOVERY (VR) AND RISER/FILL PIPE PIPING CONSTRUCTION <br /> VENT PRIMARY CONTAINMENT ❑ I.STEEL ® 4.FIBERGLASS ❑ 10.RIGID PLASTIC [190.NONE 464. <br /> ❑ 99.OTHER(Specify): 46441, <br /> VENT SECONDARY CONTAINMENT ❑ I.STEEL ® 4.FIBERGLASS ❑ 10.RIGID PLASTIC ❑ 90.NONE [199.OTHER(Specify): 46411, <br /> VR PRIMARY CONTAINMENT ❑ I.STEEL ❑ 4.FIBERGLASS ❑ 10.RIGID PLASTIC' ® 90.NONE: El 99.OTHER(Specify): 446 . <br /> 4 <br /> _ _ -_ _ _ <br /> VR SECONDARY CONTAINMENT 464,. <br /> ❑ 1.STEEL ❑ 4.FIBERGLASS ❑ 10.RIGID PLASTIC' ® 90.NONE ❑ )9.O'I11ER(Spceifi'): 4641,1 <br /> VENT PIPING TRANSITION SUMP TYPE ❑ 1.SINGLE WALL ❑ 2.DOUBLE WALL ® 90 NONE 464', <br /> RISER PRIMARY CONTAINMENT ® 1.STEEL ❑ 4.FIBERGLASS ❑ 10.RIGID PLASTIC ❑ 90.NONE ❑ 99.0HIER(Speeik): 46411. <br /> RISER SECONDARY CONTAINMENT ❑ I.sEE[. ® 4.FIBERGLASS ❑ 10. <br /> RIGID PLASI IC ❑ 90.NONP. ❑ 99.UIIIGR(Specill) (,40, <br /> 4t 4k I. <br /> FILL COMPONENTS INSTALLED ® I.SPILL MICKEL ® 3.STRIKER PLAFF1301FOM PROsE_CIOR ® 4.(ONIAINNIINI SUMP 4''d <br /> VII. UNDER DISPENSER CONTAINMENT (UDC) . ,. <br /> CONSTRUCTION TYPE ❑ 1.SINGLE WALL ❑ 2.DOUBLE WALL ❑ 3.NO DISITNSERS ® 9a.NON( <br /> CONSTRUCTION MATERIAL ❑ 1.STEEL <br /> ❑ 4.FIBERGLASS ❑ 10.RIGID t LASII(' ❑ )> 0 111R(Spccilp) <br /> VIII. CORROSION PROTECTION <br /> STEEL COMPONENT PROTECTION ® 2,SA(RIFICIALANODE(S) ❑ 4.1A1 PRESSED CURRENI El 6.ISOLA I LON 44" <br /> tX,APPLICANT SIGNATURE �t a <br /> CERTIFICATION: 1 certify that this UST s%statdl g 11p ibi J the hazardous substance stored and that the information provided Tierein is true, <br /> accurate,and in full n ce )I al r uirements. <br /> APPLICANT SIGNATURE DATE 9/4/2008 470 <br /> APPLICANT NAME(pfint) Zachar, Feingold 471. APPLICANT TITLE Environmental Manager 472 <br /> IPCF UST-11 RPv_f 12/20671-10 www nnid-- <br />