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UIVED PROGRAM CONSOLIDATED FOR* <br /> UNDERGROUND STORAGE TANK D -71�� I W\ <br /> OPERATING PERMIT APPLICATION- TANK INFORMATION one form er Us <br /> TYPE OF ACTION ❑ 1.NEW SITE PERMIT ❑ 3.RENEWAL PERMIT ❑ 5.CHANGE OF INFORMATION 430 <br /> (Check only item only) ❑ 6.TEMPORARY SITE CLOSURE ❑ 7.PERMANENTLY CLOSED ON SITE ❑ S.TANK REMOVED <br /> DATE UST PERMANENTLY CLOSED: al°a DATE EXISTING UST DISCOVERED: 4391, <br /> 17 I.FACILITY LNFORMATION <br /> FACILITY LD#(Agency Use On13) FA0005704 1 <br /> BUSINESS NAME(Same as FACILITY NAME or DBA-Doing Business As) 3 <br /> SHINKO ELECTRIC AMERICA INC <br /> BUSINESS SITE ADDRESS 103 CITY 104 <br /> 551 CARNEGIE ST MANTECA <br /> 11.TANK DESCRIPTION <br /> TANK ID# 432 TANK MANUFACTURER 433 TANK CONFIGURATION:THIS TANK IS 434 <br /> TA0503161 1.A STAND-ALONE TANK <br /> ❑ 2.ONE INA COMPARTMENTED UNIT <br /> DATE UST SYSTEM INSTALLED 435 TANK CAPACITY IN GALLONS 436 NUMBER OF COMPARTMENTS 437 <br /> 4,000 <br /> Ill.TANK I ISE AND CONTENTS <br /> TANK USE ❑ Ia.MOTORVEHICLEFUEL ❑ Ib_MARINAFUELING ❑ le.AVIATION FULLING ' <br /> ❑ 3.CHEMICAL PRODUCT STORAGE ❑ 4.HAZARDOUS WASTE ❑ 5.EMERGENCY GENERATOR FUEL <br /> ❑ 6.OTHER GENERATOR FUEL 95.UNKNOWN ❑ 99.OTHER(Soecifv): <br /> CONTENTS PETROLEUM: ❑ la.REGULAR UNLEADED ❑ la MIDGRADE UNLEADED ❑ lb.PREMIUM UNLEADED 440 <br /> ❑ 3.DIESEL ❑X 5.JET FUEL ❑ 6.AVIATION GAS <br /> ❑ 8.PETROLEUM BLEND FUEL ❑ 9.OTHER PETROLEUM (Specify): <br /> NON-PETROLEUM: ❑ 7.USED OIL ❑ 10.ETHANOL <br /> ❑ 11.OTHER NON-PETROLEUM(Suecifv)'. 4406 <br /> IV.TANK CONSTRUCTION <br /> TYPE OF TANK ❑ L SINGLE WALL ❑ 2.DOUBLE WALL Q 95.UNKNOWN 447- <br /> PRIMARY <br /> 4PRIMARY CONTAINMENT ❑ I.STEEL ❑ 3.FIBERGLASS ❑6,INTERNAL BLADDER 444 <br /> ❑7.STEEL+INTERNAL LINING ❑x 95.UNKNOWN ❑ 99.OTHER 444e <br /> SECONDARY CONTAINMENT ❑ L STEEL ❑ 3.FIBERGLASS ❑6.EXTERIOR MEMBRANE LINER [17.JACKETED 445 <br /> ❑98.NONE ❑ 95.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 REQUIREMENTS FOR I XIMPTION FROM OVERFILL PREVENTION EQUIPMENT <br /> V.PRODIICTAVASTE PIPING CONSTRUCTION <br /> PIPING CONSTRUCI ION LJ I.SINGLI_WALLED ❑ 2.DOUBLE-WALLED ❑ 99.0'IHER460 <br /> SYSTEM TYPE ❑ 1.PRESSURE [12.GRAVIFY ❑ 3.CONVENTIONAL SUCTION ❑ 4.SAFE SUCTION 458 <br /> PRIMARY CONTAINMENT ❑ L STEEL ❑4.FIBERGLASS ❑ S.FLEXFBLE ❑ 10.RIGIDPLASTIC 464 <br /> ❑90.NONE ❑95.UNKNOWN ❑ 99.OTHER 464a <br /> SECONDARY CONTAINMENT ❑ I.STEEL ❑4.FIBERGLASS ❑ 8,FLEXIBLE ❑ 10.RIGID PLASTIC 4Mb <br /> ❑90.NONE ❑95.UNKNOWN ❑ 99.0"VIER 464, <br /> PIPINGIFURBINECONTAINMIN'I"SUMP IYPE ❑ I.SINGLE-WALLED ❑ 2.DOUBLE-WALLED ❑ 99.NON], 4e4d <br /> VI.VENT.VAPOR RECOVERY(VR):AND RISER/FILL PIPE PIPING CONSTIICTION <br /> VENT PIRMARY CONTAINMENT ❑ I.STEEL ❑ 4 FIBERGLASS ❑ 10.RIGID PLASTIC ❑ 90.NONE ❑ 99 OTHER 464e <br /> VENT SECONDARY CONTAINMENT ❑ L STEEL ❑ 4.FIBERGLASS ❑ 10.RIGID PLASTIC ❑ 90.NONE ❑ 99.OTHER 464f <br /> VR PIRMARY CONTAINMENT ❑ L STEEL ❑ 4.FIBERGLASS ❑ 12.RIGID PLASTIC ❑ 90.NONE ❑ 99.OTHER 4644 <br /> VR SECONDARY CONTAINMENT ❑ L STEEL ❑ 4.FIBERGLASS ❑ 12.RIGID PLASTIC ❑ 90.NONE ❑ 99.OTHER 4Mh <br /> VENT PIPING TRANS...SUMP TYPE ❑ L SINGLE-WALLED ❑ 12.DOUBLE-WALLED ❑99.NONE 464' <br /> RISER PIRMARY CONTAINMENT ❑ L STEEL ❑ 4.FIBERGLASS ❑ 12.RIGID PLASTIC ❑ 90.NONE ❑ 99.OTHER 4641 <br /> RISER SECONDARY CONTAINMENT ❑ I.STEEL ❑ 4.FIBERGLASS ❑ 12_RIGID PLASTIC ❑ 90.NONE ❑ 99.OTHER 464k <br /> FILL COMPONENTS INSTAI.ILD ❑ I.SPILL BUCKET ❑ ?.STRIKER IILAI"F,130TTOM PROTECTOR ❑ 4.CONTAINMENT SUMP 45la-c <br /> VIL UNDER DISPENSER CONTAINMENT(UDC) <br /> CONS I RUC IION TYPE ❑ I.SINGLE-WALLED ❑ 2.DOUBI-F-WAILED ❑ ! No DISPENSI RS ❑90.NONE 469, <br /> CONTRUCTION MATERIAL ❑ I.STEEL ❑ 4.FIBERGI ASS ❑ 10.RIGID PIAS'11C 90.NONE ❑ 99.OTHER 469bc <br /> VIII.CORROSION PROTECTION <br /> STEEL COMPONENTPROTEC IION ❑ 2.SACRAFICIALANODE(S) ❑ i IMPRESSED CURRENT ❑ 6.ISOLAPION <br /> IX.APPLICATION SIGNATURE <br /> . 1 certify that this USE system is campatible with the hazardous substance stored and that the info mation provided herein is true,acan'ate,:m(]in full <br /> compliance with legal requirements. <br /> APPLICANT SIGNATURE DATE 470 <br /> APPLICANT NAME(print) 411 APPLICANT TITLE 473 <br />