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California Environmental Reporting System : Business Koumars Khaieyandi ' s Account Sign Out Tools Reoonts Hell <br /> CERS ■� Business <br /> UST Tank Information/Monitoring <br /> Hone aubr . i2/22/2021flQIL0605). UST UST Tank Information/Monitoring Plan (Accepted) <br /> Ili- v <br /> t . <br /> Use this form to enter data for new UST systems or revise data for an existing UST system. You must complete a separate form for each affected bank. For tanks that are <br /> part of a compartmentalized unit, each oompartrnent is considered a separate tank. This information is required within 30 days of permit or facility infomtabon changes, <br /> unless your local agency requires approval prior to making the changes. <br /> Select Edit to modffy/add your UST tank/system information . <br /> The fnmter paper version of this form was called "UST Operating Perri t Application-Tank Informetion" (Form 8)- <br /> ubmfttal -Element-Hi <br /> Submitted for CERS iD 10184606 on 2/22/20211 37PM by Ki[l tars Kha/pv3P h of �l_ E O LODI , CA). <br /> Submittal was Accepted on 2/22/2021 by Carole o - a <br /> Comments by regulater.. hls UST sutxntttal was t pt rol r Certified UST Inspector, on 2122/2021 . This acceptance is <br /> subject to vertflcation at the next scheduled field inspection . <br /> View Entire Submittal Start New SUbmittal <br /> View Monitoring Plan <br /> Type of -Actiol I — - - -- <br /> Type of Action (UST Tank) <br /> C011111frne( Ipdated Information <br /> acllity Informativ - -- — <br /> FLAG CITY CHEVRON <br /> 6421 CAPITOL AVE <br /> LODI , CA 95242 <br /> Tank- Deirriniiftn - - -- — CHEVRON-- <br /> I 4D CERS Help 6 Settings My Business : FLAG CrrY <br /> Tank ID 0 <br /> TA0505569 6/15/1995 A Stand-alone Tank <br /> CERS Tank ID # Date Existing UST Discovered Number of Compartments in the Unit <br /> 10160805-002 1 <br /> Tank Manufacturer Date UST Permanently Closed Additional Description <br /> XERXES <br /> Tank Capacity In Gallons <br /> 10000 <br /> ank�ise-etrnt-8ante��s-- nic-Dvttstructio --- - -- <br /> Tank Use Tank Contents Type of Tank <br /> Mohr Vehicle Fueling Regular Unleaded Double Wall <br /> Other Petroleum Contents <br /> Primary Containment Secondary Containment <br /> Other Non-Petroleum Contents Fibergtass Fiberglass <br /> Overfill Protection <br /> No AudibletVisual Alarms Yes Fill Tube Shut-Ott Valve <br /> No gall Float No Exempt <br /> roauer/-waste taipmg-uvnstructt <br /> Piping Construction Primary Containment Secondary Containment Piping/Turbine Containment Sump <br /> Double-walled Fiberglass Fiberglass Single-walled <br /> Piping System Type <br /> Pressure <br /> ([Vent,,Vapor Recovery (VR) and Riser4filt-Pipe Piping Construction <br /> Vent Primary Containment I Vapor Recovery Primary Containment I Riser Pipe Primary Containment I Vent Piping Transition Sumps <br /> https : //cersbusiness . calepa . ca . gov/ 49393/ Facility/10180605/ Submittal / UST/471304 'i /Tanklnformation/ Detail / 21383353 5/ 24/21 , 1 : 49 PM <br /> Page 1 of 2 <br />