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U*.ED PROGRAM CONSOLIDATED FOR <br /> UNDERGROUNDSTORAGETANK ry �j�k�lZC \ <br /> OPERATING PERMIT APPLICATION-TANK INFORMATION one corm per us ��A0 <br /> TYPE OF ACTION ❑ 1.NEW SITE PERMIT ❑ 3.RENEWAL PERMIT ❑ 5.CHANGE OF INFORMATION 430 <br /> (Chwk only item only) ❑ 6.TEMPORARY SITE CLOSURE ❑ 7.PERMANEN'T'LY CLOSED ON SITE ❑ 8.TANK REMOVED <br /> DATE UST PERMANENTLY CLOSED: 431' DATE EXISTING UST DISCOVERED: 4306 <br /> L FACILITY INFORMATION <br /> FACILITY ID#(Agency Use Only) FA0005704 1 <br /> BUSINESS NAME(Same as FACILITY NAME or DBA-Doing Business As) 3 <br /> SHINKO ELECTRIC AMERICA INC <br /> BUSINESS SITE ADDRESS I°3 CITY 104 <br /> 551 CARNEGIE ST MANTECA <br /> II.TANK DESCRIPTION <br /> TANK IDH 432 TANK MANUFACTURER 433 TANK CONFIGURATION:THIS TANK IS 434 <br /> TA0503160 L A STAND-ALONE TANK <br /> ❑ 2.ONE IN A COMPARTMENTED UNIT <br /> DATE UST SYSTEM MSTALLED435 TANK CAPACITY IN GALLONS 436 NUMBER OF COMPARTMENTS <br /> 3,100 437 <br /> III.TANK USE AND CONTENTS <br /> TANK USE ❑ la.MOTOR VEHICLE FUEL. ❑ IF.MARINA FUELING ❑ 1c AVNTION FUELING ' <br /> ❑ 3.CHEMICAL PRODUCT STORAGE ❑ 4.HAZARDOUS WASTE ❑ 5.EMERGENCY GENERATOR FUEL <br /> ❑ 6.OTHER GENERATOR FUEL ❑x 95.UNKNOWN ❑ 99.OTHER(SDecifv): <br /> CONTENTS PETROLEUM: ❑ la.REGULAR UNLEADED ❑ to.MIDGRADE UNLEADED ❑ Ib.PREMIUM UNLEADED 440 <br /> ❑ 3.DIESEL 0 5.JET FUEL ❑ 6.AVIATION GAS <br /> ❑ 8.PETROLEUM BLEND FUEL ❑ 9.OTHER PETROLEUM (Specify): <br /> NON-PETROLEUM: ❑ 7.USED OI, ❑ lo.ETHANOL <br /> ❑ I I.OTHER NON-PETROLEUM(Snecifv): 4406 <br /> IV.TANK CONSTRUCTION <br /> TYPE OF TANK ❑ L SINGLE WALL ❑ 2.DOUBLE WALL ❑X 95.UNKNOWN <br /> 443 <br /> PRIMARY CONTAINMENT ❑1.STEEL ❑ 3.FIBERGLASS 116.INTERNAL BLADDER 444 <br /> ❑7.STEEL+INTERNAL LU41 NG ❑X 95.UNKNOWN ❑ 99.OTHER 444. <br /> SECONDARY CONTAINMENT ❑ 1.STEEL [13.FIBERGLASS [16.EXTERIOR MEMBRANE LINER [17.JACKETED 445 <br /> [198.NONE [195.UNKNOWN ❑99.OTHER(Specify) <br /> OVERFILL PREVENTION ❑ I AUDIBLE&VISUAL ALARMS ❑ 2 BALL FLOAT ❑ 3 FILL TUBE SHUT OFF VALVE 452 <br /> ❑4.TANK MEETS REQUI RLM LN TS POR EXEMPTION FROM OVFRI7111.PREVENTION EQUIPMENT <br /> V.PRODUCTAVASTE PIPING CONSTRUCTION i:.,ate,,; "• <br /> PIPING CONSTRUCTION LJ I.SINGLE-WALLED ❑ 2.DOUBLE-WALLED ❑ 99.OTHER460 <br /> SYSTEM TYPE ❑ L PRESSURE ❑2.GRAVITY ❑ 3.CONVENTIONAL SUCTION ❑ 4.SAFE SUCTION 458 <br /> PRIMARY CONTAINMENT ❑ L STEEL [:14.FIBERGLASS ❑ S.FLEXIBLE ❑ 10.RIGID PLASTIC 464 <br /> ❑ 90.NONE ❑95.UNKNOWN ❑ 99,OTHER 464e <br /> SECONDARY CONTAINMENT ❑ 1 STEEL ❑4.FIBERGLASS ❑ 8.FLEXIBLE ❑ 10.RIGIDPLASTIC 464b <br /> ❑ 90.NONE E]95,UNKNOWN 099,OTHER 464c <br /> PIPING/TURBINE CONTAINMENT SUMP TYPE ❑ I.SINGLE-WALLED ❑ 2.DOUBLE-WALLED ❑ 99.NONE 46Ad <br /> VI.VENT.VAPOR RECOVERY(VR)AND RISER/FILL PIPE PIPING CONSTUCTION <br /> VENT PIRMARY CON I AINMI'.N I' ❑ I.SI'LEL ❑ 4_FIBERGLASS ❑ IO.RIGIDPLASHC. ❑ 90.NONE ❑ 99.01'II1R 414, <br /> VENT SECONDARY CONTAINMENT ❑ L STEEL ❑ 4.FIBERGLASS ❑ 10.RIGID PLASTIC ❑ WY NONE ❑ 99.OTHER 464f <br /> VR PIRMARY CONTAINMENT ❑ L STEEL ❑ 4.FIBERGLASS ❑ 12.RIGID PLASTIC ❑ 90.NONE ❑ 99.OTHER 4648 <br /> VR SECONDARY CONTAINMENT ❑ L STEEL ❑ 4.FIBERGLASS ❑ 12.RIGID PLASTIC ❑ 90.NONE ❑ 99.OTHER 4eah <br /> VENT PIPING TRANS...SUMP TYPE ❑ L SINGLE-WALLED ❑ 12.DOUBLE-WALLED ❑99.NONE 464i <br /> RISER PIRMARY CONTAINMENT ❑ L STEEL ❑ 4.FIBERGLASS ❑ 12.RIGID PLASTIC ❑ 90.NONE ❑ 99.OTHER 464 <br /> RISER SECONDARY CONTAINMENT ❑ I.STEEL ❑ 4.FIBERGLASS ❑ 12.RIGID PLASTIC ❑ 90.NONE ❑ 99.OTHER 464k <br /> I ILL COMPONENTS INSTALLED ❑ 1,SPILL BUCKLE ❑ 3_STRIKER PLAIUBOT TOM PROTECTOR ❑ I CONTAINMENT SUMP 4ola-c <br /> VII.UNDER DISPENSER CONTAINMENT(UDC) <br /> CONS IRUCI[ON T YPE ❑ I.SINGLE-WALLED ❑ 2.DOUBLE-WALLED ❑ 3.NO DISPENSERS ❑ 90.NONE 46% <br /> C'ONTRUCTION MATERIAL ❑ I.SIEEL ❑ 4 FIBERGLASS ❑ 10.RIGID PLASTIC 90.NONE ❑ 99.OTHER 46m,< <br /> VIII.CORROSION PROTECTION <br /> SI EEL.C'OMPONEN"f PRO ILCI'ION ❑ 2.SACRAFICIALANCDE(S) ❑ 4.IMPRESSED CURRENT ❑ 6.ISOLATION 4.1 <br /> LY.APPLICATION SIGNATURE. <br /> : 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 <br /> compliance with legal requirements. <br /> APPLICANT SIGNATURE DATE 470 <br /> APPLICANT NAME(print) 471 APPLICANT TITLE 472 <br />