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U�D PROGRAM CONSOLIDATED FORI* D 11'IS I(2 NDERGROUND STORAGE TANK2 OPERATING PERMIT APPLICATION - TANK INFORMATION One form per US \�8 TYPE OF ACTION ❑ 1.NEW SITE PERMIT ❑ 3.RENEWAL PERMIT ❑ 5.CHANGE OF INFORMATION 430 (Check only item only) ❑ 6.TEMPORARY SITE CLOSURE ❑ 7.PERMANENTLY CLOSED ON SITE ❑ 8.TANK REMOVED DATE UST PERMANENTLY CLOSED: 430 a DATE EXISTING UST DISCOVERED: 4396 1.FACILITY INFORMATION FACILITY ID#(Agency Use Only) FA0005704 1 BUSINESS NAME(Sane as FACILITY NAME or DBA-Doing Business As) 3 SHINKO ELECTRIC AMERICA INC BUSINESS SITE ADDRESS 103 CITY 104 551 CARNEGIE ST MANTECA 11.TANK DESCRIPTION 'DANK ID# 43,2 TANK MANUFACTURER 433 TANK CONFIGURATION:THIS TANK IS 434 ❑x 1.A STAND-ALONE TANK TA0503163 ❑ 2.ONE IN A COMPARTMENTED UNIT DATE UST SYSTEM INSTALLED 415 TANK CAPACITY IN GALLONS 436 NUMBER OF COMPARTMENTS 6,500 437 III.TANK USE AND CONTENTS TANK USE ❑ Ia.MOTORVEHICLEFULL ❑ Ib.MARINA FUELING El Ic AVIATION FUELING ❑ 3.CHEMICAL PRODUCT STORAGE ❑ 4.HAZARDOUS WASTE ❑ 5.EMERGENCY GENERATOR FUEL ❑ 6.OTHER GENERATOR FUEL ❑x 95.UNKNOWN ❑ 99.OTHER(Soecifv) CONTENTS PETROLEUM: ❑ Ia.REGULAR UNLEADED ❑ lc.MIDCRADE UNLEADED ❑ lb.PREMIUM UNLEADED 440 ❑ 3.DIESEL ❑x 5.JET FUEL ❑ 6.AVIATION GAS ❑ 8.PETROLEUM BLEND FUEL ❑ 9.OTHER PETROLEUM (Specify): NON-PETROLEUM: ❑ 7.USED OIL ❑ METHANOL ❑ 11.OT"IIERNON-PETROLEIIM(SDeClfVi 44ob IV.TANK CONSTRUCTION TYPE OF TANK ❑ 1.SINGLE WALL [12.DOUBLE WALL ❑x 95.UNKNOWN 4,13 PRIMARY CONTAINMENT [11.STEEL ❑ 3.FIBERGLASS 116.INTERNAL BLADDER 444 [17.STEEL+INTERNAL LINING ❑X 95.UNKNOWN ❑ 99.OTHER 4441, SECONDARY CONTAINMENT [11.STEEL ❑ 3.FIBERGLASS ❑6.EXTERIOR MEMBRANE LINER [17.JACKETED 445 ❑98.NONE ❑ 95.UNKNOWN ❑99.OTHER(Specify) OVERFILL PREVENTION ❑ 1.AUDIBLE&VISUAL ALARMS ❑ 2 BALL FLOAT ❑ 3 FILL TUBE SHUT OFF VALVE 452 ❑4. 1'ANK MEETS RFQU I REMEN IS I'OR EXEMPTION FROM OVERFILL PREVENTION EOU IPMENT V.PRODUCTAVASTE PIPING CONSTRUCTION PIPING CONSTRUCTION LJ L SINGLE-WALLED ❑ 1,DOUBLE-WN I.1 1) ❑ 99,OT"ITFE 460 SYSTEM TYPE ❑ 1.PRESSURE ❑2.GRAVITY ❑ i CONVENTIONAL SUCTION ❑ 4.SAFE SUCTION 458 PRIMARY CONTAINMENT ❑ L STEEL ❑4.FIBERGLASS ❑ y.FLEXIBLE ❑ 10.RIGID PLASTIC 464 ❑90.NONE [:195.UNKNOWN ❑ 99.OTHER 464E SECONDARY CONTAINMENT ❑ L STEEL ❑4.FIBERGLASS ❑ 8.FLEXIBLE ❑ 10.RIGID PLASTIC 4646 ❑ 90.NONE ❑95.UNKNOWN ❑ 99.0'IPIER 464c PIPING/TI MBINE CONTAINMENT SUMP TYPE ❑ 1.SINGLE-WALLED ❑ 2.DOUBLE-WALLED ❑ 99.NONE 464d VI.VENT.VAPOR RECOVERY(VR)AND RISER/FILL PIPE PIPING CONSTUCTION VBNT PIRMARY CONI AINMEN I ❑ I.SEEL ❑ 4.FIBERGLASS ❑ 10.RIGID PLASTIC ❑ 90.NONE ❑ 99.OTHER 4641, VENT SECONDARY CONTAINMENT ❑ L STEEL ❑ 4.FIBERGLASS ❑ 10.RIGID PLASTIC ❑ 90.NONE ❑ 99.OTHER 464f VR PIRMARY CONTAINMENT ❑ L STEEL ❑ 4.FIBERGLASS ❑ 12.RIGID PLASTIC ❑ 90.NONE ❑ 99.OTHER 4648 VR SECONDARY CONTAINMENT ❑ 1.STEEL ❑ 4.FIBERGLASS ❑ 12.RIGID PLASTIC ❑ 90.NONE ❑ 99.OTHER 464h VENT PIPING TRANS...SUMP TYPE ❑ 1.SINGLE-WALLED ❑ 12.DOUBLE-WALLED ❑99.NONE 464' RISER PIRMARY CONTAINMENT ❑ 1.STEEL ❑ 4.FIBERGLASS ❑ 12.RIGID PLASTIC ❑ 90.NONE ❑ 99.OTHER 4641 RISER SECONDARY CONTAINMENT ❑ I.STEEL ❑ 4.FIBERGLASS ❑ 12.RIGID PLASTIC ❑ 90.NONE ❑ 99.OTHER 464k FILLCOMPONFN'I-S INSTALLED ❑ 1,SPILL BUCKET' ❑ 3_SIRIKER PLATE/BOTTOM PROTECTOR ❑ 4.CONIAINMENI SUMP 451 a-c VII.UNDER DISPENSER CONTAINMENT(UDC) CONSTRUCTION TYPE ❑ I.SINGLE-WALLED ❑ 2.DOUBIT-WALLED ❑ I NO DISPENSERS ❑ 90.NONE 469n CONTRUC'I ION MATERIAL ❑ I SHJLL ❑ 4_FIBERGLASS ❑ IO.RIGID PLASTIC 90.NONE ❑ 99.OTHER 46nb-a VIII.CORROSION PROTECTION STEELCOMPONENT PROIECIION ❑ 2_SACRAFICIAL ANODF,(S) ❑ 4.IMPRESSEDCURRENT ❑ 6.ISOLATION _78 - IN.APPLICATION SIGNATURE A . I certify that this US"r system is compatible with the hazardous substance stored and that the information procided herein is true,accurate,and in roll compliance with legal requirements. APPLICANT SIGNATURE DATE 470 APPLICANT NAME(print) 471 APPLICANT TITLE 4J3