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WNIEFIED PROGRAM CONSOLIDATED UNDERGROUNDSTORAGET ANK OPERATING PERMIT APPLICATION - TANK INFORMATION (one form per UST) TYPE OF ACTION (Check one item only. For an UST permanent closure or removal, complete only this section and Sections 1, 11, 111, IV, and IX below) 430 ❑ 1. NEW PERMIT [] 3. RENEWAL PERMIT 0 5. CHANGE OF INFORMATION ❑ 6. TEMPORARY UST CLOSURE 0 7. UST PERMANENT CLOSURE ON SITE [__1 8. UST REMOVAL DATE UST PERMANENTLY CLOSED: 410a 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) N5TR, LLC 1, Hangar 2 BUSINESS SITE ADDRESS 103 CITY 104 5000 South Lindbergh Street, Hangar 2 Stockton 11. TANK DESCRIPTION TANK ID # TA0241701 432 TANK MANUFACTURER 433 TANK CONFIGURATION: THIS TANK IS 434 Owens Coming ®l . A STAND-ALONE TANK El 2. ONE IN A COMPARTMENTED UNIT. Complete one pNe for each comprurnent in the unit. DATE UST SYSTEM INSTALLED 435 TANK CAPACITY IN GALLONS 436 NUMBER OF COMPARTMENTS IN THE UNIT 437 01/01/1989 12,000 111. TANK USE AND CONTENTS TANK USE 0 Ia. MOTOR VEHICLE FUELING [I Ib. MARINA FUELING 1 c. AVIATION FUELING 439 0 3. CHEMICAL PRODUCT STOP -AGE n 4. HAZARDOUS WASTE (Includes Used Oil) ❑ 5. EMERGENCY GENERATOR FUEL [HSC §25281.5(c)1 [1 6. OTHER GENERATOR FUEL 0 95. UNKNOWN ❑ 99. OTHER (Specify): 439a CONTENTS PETROLEUM: ❑ la. REGULAR UNLEADED E3 lc. MIDGRADEUNLEADED ❑ lb. PREMIUM UNLEADED 440 ❑ 3. DIESEL 5. JET FUEL ❑ 6. AVIATION GAS ❑ 8. PETROLEUM BLEND FUEL ❑ 9. OTHER PETROLEUM (Specify): 440a NON -PETROLEUM: 0 7. USED OIL ❑ 10. ETHANOL 0 11. OTHER NON -PETROLEUM (Specify): 440b IV. TANK CONSTRUCTION TYPE OF TANK [1 1. SINGLE WALL 19 2. DOUBLE WALL [_3 95. UNKNOWN 443 PRIMARY CONTAINMENT 0 1. STEEL 0 3. FIBERGLASS 0 6. INTERNAL BLADDER 444 [] 7. STEEL + INTERNAL LRQNG 0 95. UNKNOWN 0 99. OTHER (Specify): 444a SECONDARY CONTAINMENT 0 1, STEEL 0 3. FIBERGLASS 0 6. EXTERIOR MEMBRANE LINER 0 7. JACKETED 445 0 90. NONE El 95. UNKNOWN [199. OTHER (Specify): 445a OVERFILL PREVENTION [1 1. AUDIBLE & VISUAL ALARMS 0 2. BALL FLOAT, 0 3. FILL TUBE SHUT-OFF VALVE 452 0 4. TANK MEETS REQUIREMENTS FOR EXEMPTION FROM OVERFILL PREVENTION EQUIPMENT V. PRODUCT / WASTE PIPING CONSTRUCTION PIPING CONSTRUCTION 0 L SINGLE -WALLED 0 2. DOUBLE -WALLED 0 99. OTHER 460 SYSTEM TYPE 0 LPRESSURE 0 2. GRAVITY 0 3. CONVENTIONAL SUCTION [1 4. SAFE SUCTION [23 CCR §2636(a)(3)] 458 PRIMARY CONTAINMENT El 1. STEEL 0 4. FIBERGLASS [1 8. FLEXIBLE [:1 10. RIGID PLASTIC 464 [1 90. NONE 0 95. UNKNOWN [1 99. OTHER(Specify): 464a SECONDARY CONTAINMENT [1 1. STEEL 0 4. FIBERGLASS [1 8. FLEXIBLE 0 10. RIGID PLASTIC 4646 [1 90. NONE 0 95. UNKNOWN [1 99. OTHER (Specify): 464c PIPING/TURBINE CONTAINMENT SUMP TYPE [3 1. SINGLE WALL [1 2. DOUBLE WALL 0 90. NONE 464d VI. VENT, VAPOR RECOVERY (VR) AND RISER / FILL PIPE PIPING CONSTRUCTION VENT PRIMARY CONTAINMENT 1. STEEL [1 4. FIBERGLASS [1 10. RIGID PLASTIC n 90. NONE [1 99. OTHER (Specify) 464 464el VENT SECONDARY CONTAINMENT [2-1. STEEL [1 4. FIBERGLASS [I 10. RIGID PLASTIC FI 90. NONE [1 99. OTHER (Specify) 464f 464fl VR PRIMARY CONTAINMENT ❑ LSTEEL [1 4. FIBERGLASS El 10. RIGID PLASTIC [1 90. NONE [1 99. OTHER (Specify) 4646 464 VR SECONDARY CONTAINMENT ❑ LSTEEL El 4. FIBERGLASS 0 10. RIGID PLASTIC [:1 90. NONE [1 99. OTHER (Specify) 464h 464h] VENT PIPING TRANSITION SUMP TYPE Q 1. SINGLE WALL 0 2. DOUBLE WALL Q 90. NONE 4641. RISER PRIMARY CONTAINMENT [j LSTEEL 0 4. FIBERGLASS n 10. RIGID PLASTIC 0 90. NONE El 99. OTHER (Specify) 76-41 464il RISER SECONDARY CONTAINMENT 0 LSTEEL [1 4. FIBERGLASS 0 10. RIGID PLASTIC [1 90. NONE 0 99. OTHER (Specify) 464k 464kI FILL COMPONENTS INSTALLED 1. SPILL BUCKET El 3. STRIKER PLATE/BOTTOM PROTECTOR [1 4. CONTAINMENT SUMP 45la-c VII. UNDER DISPENSER CONTAINMENT (UDC) CONSTRUCTION TYPE ❑ 1. SINGLE WALL [1 2. DOUBLE WALL ❑ 3. NO DISPENSERS 90. NONE 469a CONSTRUCTION MATERIAL 0 LSTEEL [1 4. FIBERGLASS 0 10. RIGID PLASTIC ❑ 99. OTHER (Specify) 469b -c VIII. CORROSION PROTECTION STEEL COMPONENT PROTECTION ❑ 2. SACRIFICIAL ANODE(S) 0 4. IMPRESSED CURRENT 0 6. ISOLATION 448. IX APPLICANT SIGNATURE 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. 01 APPLICANT SIGNATURELkz DATE 12/8/2009 470 APPLICANT NAME (print) JerryD. Irlart-Ir 471. 9F, APPLICANT TITLEAviation Manager 472. UPCF UST -B -1/2 Rev. (12/2007)