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UWD PROGRAM CONSOLIDATED FORK Q tll I S 9(F NDERGROUND STORAGE TANK 'M 1 20((Z a OPERATING PERMIT APPLICATION- TANK INFORMATION One form per Us TYPE OF ACTION ❑ L NEW SITE PERI RT ❑ 3.RENEWAL PERMIT ❑ 5.CHANGE OF INFORMATION 430 (Chock only item only) ❑ 6.TEMPORARY SITE CLOSURE ❑ 7,PERMANENTLY CLOSED ON SITE ❑ 8.TANK REMOVED DATE USF PERMANENTLY CLOSED: 430a I DATE EXISTING UST DISCOVERED: 4301, L FACILITY INFORMATION FACILITY ID#(Agency Use Only) FA0005704 1 BUSINESS NAME(Same as FACILITY NAME or DBA-Doing Business As) 3 SHINKO ELECTRIC AMERICA INC BUSINESS SITE ADDRESS 103 CITY IN 551 CARNEGIE ST MANTECA IL TANK DESCRIPTION TANK ID# 432 TANK MANUFACTURER 433 TANK CONFIGURATION:THIS TANK IS 434 ❑% I.A STAND-ALONE TANK TA0503164 ❑ 2.ONE INA COMPARTMENTED UNIT DATE UST SYSTEM INSTALLED 435 TANK CAPACITY IN GALLONS 436 NUMBER OF COMPARTMENTS 437 9,200 III.TANK USE AND CONTENTS TANK GSC ❑ In MOTOR VEHICLE FULL ❑ Ib.MARINA FUELING El I..AVIATION FUELING ' ❑ 3.CHEMICAL PRODUCT STORAGE ❑ 4.HAZARDOUS WASTE ❑ 5.EMERGENCY GENERATOR FUEL ❑ 6.OTHER GENERATOR FUEL ❑x 95.UNKNOWN ❑ 99.OTHER(Snecif,): CONTENTS PETROLEUM: ❑ Ia.REGULAR UNLEADED ❑ le.MIDGRADE UNLEADED ❑ IS.PREMIUM UNLEADED 440 ❑ 3.DIESEL © 5.JET FUEL ❑ 6.AVIATION GAS ❑ 8.PETROLEUM BLEND FUEL ❑ 9.OTHER PETROLEUM (Specily): NON-PETROLEUM: ❑ T USED OIL ❑ 10.ETHANOL ❑ 11 OTHER NON-PETROLEUM(Snccif 9. 44ob .IV.TANK.CONSTRIICTION TYPE OF TANK ❑ I.SINGLE WALL ❑ 2.DOUBLE WALL ❑x 95.UNKNOWN 441 PRIMARY CONTAINMENT ❑ I.STEEL ❑ 3.FIBERGLASS ❑6.INTERNAL BLADDER 444 ❑7.STEEL+INTERNAL LINING ❑% 95.UNKNOWN ❑ 99.OTHER 444a SECONDARY CONTAINMENT ❑ I.STEEL ❑ 3.FIBERGLASS ❑6.EXTERIOR MEMBRANE LINER ❑7.JACKETED 445 ❑98.NONE [195.UNKNOWN ❑99.OTHER(Specify) OVERFILL PREVENTION ❑ 1 AUDIBLE&VISUAL ALARMS ❑ 2 BALL FLOAT ❑ 3 FILL TUBE SHUT OFF VALVE 452 ❑4.TANK MEETS REQUIREMENTS FOR EXEMPTION FROM OVERFILL PREVENTION EQUIPMENT V.PRODUCT VAST'E PIPING CONSTRUCTION PIPING CONST RUG I ION LJ I.SINGLE-WALLED ❑ 2.DCUBLE-WALLED ❑ 99OTHER460 SYSTEM TYPE ❑ I.PRESSURE [-12.GRAVITY ❑ 3.CONVENTIONAL SUCTION ❑ 4.SAFE SUCTION 458 PRIMARY CONTAINMENT ❑ L STEEL ❑4.FIBERGLASS ❑ S.FLEXIBLE ❑ 10.RIGID PLASTIC 464 ❑ 90.NONE ❑95.UNKNOWN ❑ 99.OTHER 464' SECONDARY CONTAINMENT ❑ L STEEL ❑4.FIBERGLASS ❑ 8.FLEXIBLE ❑ 10.RIGID PLASTIC 4946 ❑ 90.NONE ❑95.UNKNOWN ❑ 99.OTHER 464c PIPING/TURBINE CONTAINMENT SUMP TYPE ❑ 1.SINGLE-WALLED ❑ 2.DOUBLE-WALLED ❑ 99.NONE 464d VLVENT.VAPOR RECOVERY(VR) AND RISER%FFLC PIPE PIPING CONSTUCTION.. -1 -.11 VENT PIRMARY CONTAINMENT ❑ I.STEEL ❑ 4.IIBERGLASS ❑ 10.RIGID PLASIIC ❑ 90.NONE ❑ 99.01HER 464c VENT SECONDARY CONTAINMENT ❑ I.STEEL ❑ 4.FIBERGLASS ❑ 10.RIGID PLASTIC ❑ 90.NONE ❑ 99,OTHER 4Nf VR PIRMARY CONTAINMENT ❑ I.STEEL ❑ 4.FIBERGLASS ❑ 12.RIGID PLASTIC ❑ 90.NONE ❑ 99.OTHER 464s VR SECONDARY CONTAINMENT ❑ L STEEL ❑ 4.FIBERGLASS ❑ 12.RIGID PLASTIC ❑ 90.NONE ❑ 99.OTHER 4641, VENT PIPING TRANS...SUMP TYPE ❑ 1.SINGLE-WALLED ❑ 12.DOUBLE-WALLED 1199.NONE 464' RISER PIRMARY CONTAINMENT ❑ L S T P I. ❑ 4.FIBERGLASS ❑ 12.RIGID PLASTIC ❑ 90.NONE ❑ 99.OTHER 4641 RISER SECONDARY CONTAINMENT ❑ 1.STEEL ❑ 4,FIBERGLASS ❑ 12.RIGID PLASTIC ❑ 90.NONE ❑ 99.OTHER 464k FILL COMPONENTS INSTALLED ❑ 1.SPILL BUCKLI ❑ 3.STRIKER PLA I F BOTTOM PROTECTOR ❑ 4.CONTAINMENT SUMP 451e-c VII.UNDER DISPENSER CONTAINMENT(UDC) CONSIRUCI'ION'FYPI; ❑ I.SINGLE-WALLED E:1 DOUBLE-WALLED ❑ 3.NO DISPENSERS ❑ 90.NONE 46oa CONTRUCTION MAIFRIAL ❑ L SILL-IT, ❑ 4.FIBERGLASS ❑ 10.RIGID PLASTIC 90-NONE ❑ 99.011LER 4696< VIII.CORROSION PROTECTION SFEL COMPONENT PRO'I LC HON ❑ 2.SACRAFICIAI.ANODF(S) ❑ 4-IMPRESSED CURREN I ❑ 6.ISOLA[ION 4 I%.APPLICATION SIGNATURE - 1 mrlify That Illi,IS'1'sy4em i.onngtatible with the hazardous substance stored and that the information prodded herein is true,arenrate,and in full compliance with Ieeal requirement.. APPLICANT SIGNATURE DATE 470 APPLICANT NAME(print) 471 APPLICANT TITLE 472