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UNIMD PROGRAM CONSOLIDATED FORM E. UNDERGROUND STORAGE TANK OPERATING PERMIT APPLICATION-TANK INFORMATION o.f0 m per uST .L. TYPE OF ACTION (Check one Cmonly. Foran UST permanent clome or removal,completeotrYy this 9--don and Sections 4 A III,IV,and IX below) 430 © i.NEW PERMIT [13.RENEWAL PERMIT © 5.MANGE OF INFORMATION 6.TEMPORARY UST CLOSURE 0 7.UST PERMANENT CLOSURE ON SITE Eg 8.UST REMOVAL DATE UST PERMANENTLY CLOSED: 430a DATE EXISTING UST DISCOVERED: 430b FACILITY ID#(Agency Use ) o i BUSMSS NAME(Same as FACILITY NAME or DBA-Doing Business As) 3 Walmart BUSINESS SITE ADDRESS CITY 104 010 W Grant Line Rd Tracy, CA TANK ID# 432 TANK MANt)FA 433 TANK comoURATION:T=4;5;S L4 434 Containment Solutions dI.ASTAN(J-ALONBTANK ❑ _�EvACOMPARTMPMMUNIT. ana Brea h in thein it. DA SYSTEM IIQSIALLEI) 435 K CAP a I`TY IN GALLONS o COMPARTMENTS IN THE UNIT 437 TANK USS 0 k MOTOR VBHICLEFLTELm 0 IU MARINA FUELING 0 la AVIATION FUELING 434 0 3.CHEMICAL PRODUCT STORAGE 0 4.HAZARDOUS WASTE(indWm Used 00) 0 S.EMERGENCY GENERATOR FUEL VOC 125281.5(c)). ❑6.OTHSROENERATORFUEL v KUNKNOWN 9g.oma( ?: New Motor oil- CONTENTS PETROLEUM ❑ I;L REGULAR UNLEADED lc MIDGRADBUNLEADED ❑ Ib.PREMIUM UNLEADED 400 ©3.DIESEL G S.Wr FUEL ❑6.AVIATION GAS 0 8.PETROLEUM BLEND FUEL 0 9.OTHER PBLR0IJW S 446a NON-PETROLEUM 7.USED OI !0.MHANOL II.CYfHERNONPBTR UM • ). New Motor Oil 440y TYPE OF TANK 1.SLNGLB WALL 2. WALL g 95.UNI(NO PRIMARYCONTAROdENP 1.STEEL 3.FIBERGLASS 6.1MO NALBLADDER 444 ❑?.STEEL+IVTERNALLINING 9S.UNKNOWN Q 94.OTHER S 444a SECONDARY CONTAINMENT i.STEEL 3.FIBERGLASS 6.Il�CfERIOR MFd4ILRANE LINER 7.JA D 445 0 90.NONE E3 95.UNKNOWN 0 99.OTHBR 445a OVERFILL.PREVENTION Lj 1.AUDIBLE&VISUAL ALARMS E3 2.BALL FLOAT Ll 3.PILL TUBE SHUT-OFF VALVE 4.TANK MEETS REQULREMENTSFOR EXEhd1MNFROM OVERFILLPREVENIMN MUIPMENT if PIPING CONSTRUCTION 1.SINGLE-WALLED 2.DOUBLE-WALLED 99:OTKER 460 SYSTHM TYPE L PRESSURE 2.GRAVITY 12 3.CONVENI;ONAL SUCTION 4.SM SUCTION CM g0 ) 458 PRIMARYCONTAR04ENT ja I.STEEL L3 4.FIBERGLASS E3&FLEXIBLE U 10.RIGIDPLASTIC 464 ❑90.NONE 0 95.UNKNOWN ❑99. 464a 464a SECONDARY CONTANmwr 1.STEEL E34.FIBERGLASS 8.FLEXE 10.RIGID PLASTIC 464b 0 90.NONE ❑95.UNKNOWN ❑99 OTHER(Slw): 464e FiFINGfTURB1NE CONTAINMENT SUMP TYPE Q 1.SINGLE WALL 2.DOUB(E 490.NONE 46aa SaVENTPRIMARYCONTAROMW ja 1.STEEL U 4,FIBERGLASS Ej 10.RIGID PLASM Q 90.NONE U 99 OTHER(speafy) 464e 464e1 VENT 39CONDARY CONTAINMENT 93 L.STEIL E3 4.FIBERGLASS rj 10.RIGID PLASTIC 90.NONE D 99.OTUER(Specify) 4641 46tfr VRPRLMARY CONTAINMENT 1.STEEL 0 4.FIBERGIAS3 10.RIGID PLASTID 13 W.NONE 0 99 OTHM(Spv*) 44648 VR SBCONDARY CONTAINMENT E3 1.STEEL 4.FIBEROLASS E3 10.RIGID PLASTIC U3 90.NONE E3 99.OTHBIt(Spw*) 46th 461 VENTPIPING TRANSITION SUMP TYPE L.SINOLE WALL 2.DOUBLE WALL 90.NONE 4641. RISER PRIMARY CONTAINMENT U I.STEEL U 4. GLASS Ll 10.RIGIDPLASTLC U 90.NONE L3 99.OT11HR(Spec*) 4641 RISERSECONDARYCONTALNMLiNT 1.STEEL 4.FIBMWILASS 1Q.RIGIDPLASnC 90.NONE 99.OT�A13paaly) 464ki FILL COMPOINSIVI'S INSTALLED L SPILL BUCKET Q,3.STRPFATVWTIIORRO =P, 134. NTAI $Nl SUMP 451ac CONSTRUCTION TYPE 1.SINGLE WALL ❑2 DOUBLE WALL 0 3.NO DISPENSES 90.NONB a CONSTRUCTION MATERIAL 1.STERL. 4.FIBERGLASS 13 10.RIGID PLASTIC L3 99.OTHER ft.0W 46%-V STEEL.COMPONENT PROTECTION 0 2.SACRIFICIAL ANODES) (]4.HeRESSED CURRENT Cl 6.!SOLATION 8 - aRnlucATION:T caft that ab UST system b compatible with the heaerdew saboxce stared and that the provided herein is tragi,Sao.* and in fan englohne With airements. SIG TUBE DATE 470' APPLICANT NAME ) 471. ApPIT� Covington Maass PerdC�Nrmit CoEordinator, BRR Architectur UPCF UST-B•1/2 Rev.(12/2007)