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UVEDPROGRAM CONSOLIDATED FOR* 0 I11IS��jt� <br /> UNDERGROUND STORAGE TANK <br /> OPERATING PERMIT APPLICATION-TANK INFORMATION One form et•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 ❑ 8.TANK REMOVED <br /> DATE UST PERMANENTLY CLOSED: 4304 DATE EXISTING UST DISCOVERED: 4306 <br /> 1.FACILITY INFORMATION <br /> FACILITY ID#(Ag ency 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 103CITY 104 <br /> 551 CARNEGIE ST MANTECA <br /> 11.TANK DESCRIPTION <br /> 'TANK ID# 432 TANK MANUFACTURER 433 TANK CONFIGURATION:THIS TANK 1S 434 <br /> TA0503162 ❑% 1.A STAND-ALONE TANK <br /> ❑ 2.ONE IN A COMPARTMENTED UNIT <br /> DATE UST SYSTEM INSTALLED 435 TANK CAPACITY IN GALLONS 436 NUMBER OF COMPARTMENTS 417 <br /> 7,200 <br /> 1ff.TANK IISE AND CONTENTS <br /> TANK USE ❑ la_MMORVEHICLEFUEL ❑ Ib.MARINAFUELING LQ.AVIATION FUELING <br /> ❑ 3.CHEMICAL PRODUCT STORAGE ❑ 4.HAZARDOUS WASTE ❑ 5.EMERGENCY GENERATOR FUEL <br /> ❑ <br /> 6.OTHER GENERATOR FUEL 95.UNKNOWN ❑ 99.OTHER(Sn..00: <br /> CONTENTS PETROLEUM: ❑ Ia.REGULAR UNLEADED ❑ IQ.MIDGRADE UNLEADED ❑ Ib.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.OTHERNON-PETROLEUM(Snccifv)'. .mob <br /> IV.TANK CONSTRUCTION <br /> TYPE,OF TANK ❑ LSINGLEWALL ❑ 2.DOUBLE WALL ❑X 95.UNKNOWN 44 <br /> PRIMARY CONTAINMENT ❑ 1.STEEL ❑ 3.FIBERGLASS ❑6.INTERNAL BLADDER '144 <br /> ❑7.STEEL+INTERNAL LINING ❑X 95.UNKNOWN ❑ 99.OTHER 444. <br /> SECONDARY CONTAINIAENT ❑ 1.STEEL ❑ 3.FIBERGLASS ❑6.EXTERIOR MEMBRANE LINER [17.JACKETED 445 <br /> ❑98.NONE ❑ 95.UNKNOWN ❑99.OTHER(Specify) <br /> OVERFILL PREVENTION ❑ 1 AUDIBLE R VISUAL ALARMS ❑ 2 BALL FLOAT ❑ 3 FILL TUBE SHUT OFF VALVE 452 <br /> ❑4.TANK MEEI'S REQUIREMENTS FOR EXEMPTION FROM OVLIZFILL PREVENTION EQUIPMENI' <br /> V.PRODUCT/WASTE PIPING CONSTRUCTION <br /> PIPING CONSTRUCTION LJ I.SINGLE-WALLED ❑ 2.DOUBLE-WALLED ❑ 99.0111ER- 460 <br /> SYSTEM TYPE ❑ (.PRESSURE ❑2.GRAVITY ❑ 3.CONVENTIONAL SUCTION ❑ 4.SAFE SUCTION 458 <br /> PRIMARY CONTAINMENT ❑ 1.STEEL ❑4.FIBERGLASS ❑ 8.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 ❑95.UNKNOWN ❑ 99.OTI IER 464c <br /> PIPING/TURBINE CONTAINMENT SUMP TYPE ❑ 1.SINGLE-WALLED ❑ 2.DOUBLE-WALLED ❑ 99.NONE 4Md <br /> V1.VENT.VAPOR RECOVERY(VR)AND RISER/FILL PIPE PIPING CONSTUCTION <br /> VLNT PIRMARY CON TAINMEN'I ❑ L SIEEL ❑ 4.FIBERGLASS ❑ 10.RIGID PLASITC ❑ 90.NONE ❑ 99.OTHER 464e <br /> VENT SECONDARY CONTAINMENT ❑ 1.STEEL ❑ 4.FIBERGLASS ❑ 10.RIGID PLASTIC ❑ 90.NONE ❑ 99.OTHER 464E <br /> VR PIRMARY CONTAINMENT ❑ 1.STEEL ❑ 4.FIBERGLASS ❑ 12.RIGID PLASTIC ❑ 90.NONE ❑ 99.OTHER 4648 <br /> VR SECONDARY CONTAINMENT ❑ 1.STEEL ❑ 4.FIBERGLASS ❑ 12.RIGID PLASTIC ❑ 90.NONE ❑ 99.OTHER 464h <br /> VENT PIPING TRANS...SUMP TYPE ❑ 1.SINGLE-WALLED ❑ 12.DOUBLE-WALLED ❑99.NONE 4641 <br /> RISER PIRMARY CONTAINMENT ❑ 1.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 46,11, <br /> FILL COMPONENTS INSTAI LED ❑ I.SPILL BUCKET ❑ 3.STRIKER PLATET OT"I"OM PROTECTOR ❑ 4.CONTAINMENT SUMP 451a-c <br /> VII.UNDER DISPENSER CONTAINMENT „ .,(UDC) ' <br /> CONS'FRUC'I'ION TYPE ❑ I.SINGLE-WALLED ❑ 2.DOUBLF-WALLA ❑ 3.NO DISPENSERS ❑90.NONG 4694 <br /> CONTRACTION MATERIAL ❑ I.S I LII. ❑ 4.1'I13ERGLASS ❑ 10.RIGID PLASTIC 90.NONE ❑ 99.OTHER 469b< <br /> VIII CORROSION PROTECTION <br /> STEEL COMPONLN I"PROTECIION ❑ 2.SACRAFICIAL ANODF(S) ❑ 4.IMPRESSED CURRENT ❑ 6.ISOLATION 448 <br /> IN.APPLICATION SIGNATURE <br /> d I certify that this US"F sstem is compatible with the hazardous substance stored and(hat the information Provided herein is true,accurate,and in full <br /> compliance xith legal requirements. <br /> APPLICANT SIGNATURE DATE 470 <br /> APPLICANT NAME(print) 471 APPLICANT TITLE 472 <br />