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UVED PROGRAM CONSOLIDATED FOR* <br /> UNDERGROUND STORAGE TANK 9I Zul 1 <br /> OPERATING PERMIT APPLICATION -TANK INFORMATION One form per US X1 <br /> TYPE OF ACTION E- 1.NEW SITE PERMIT ❑ 3.RENEWAL PERMIT ❑ 5.CHANGE OF INFORMATION 430 <br /> (Check only item only) ❑ 6.TEMPORARY SITE CLOSI IR F. ❑ 7.PERMANENTLY CLOSED ON SITE ❑ 8.TANK REMOVED <br /> DATE UST PERMANENTLY CLOSED: 4104 1 DATE EXISTING UST DISCOVERED: 4301, <br /> 1,FACILITY INFORMATION <br /> PAC 1111 Y I D#(Agency Use Onl7) FA0005704 lM <br /> BUSINESS NAME(Same as FACILITY NAME or DBA-Doing Business As) 3 <br /> SHINKO ELECTRIC AMERICA INC <br /> BUSINESS SITE ADDRESS 103 CITY IN <br /> 551 CARNEGIE ST MANTECA <br /> II.TANK DESCRIPTION <br /> TANK LD# 432 TANK MANUFACTURER 433 TANK CONFIGURATION:THIS TANK IS 434 <br /> Ex 1.A STAND-ALONE TANK <br /> TA0503166 ❑, 2.ONE IN A COMPARTMENTED UNIT <br /> DATE UST SYSTEM INSTALLED 4;; TANK CAPACITY IN GALLONS 436 NUMBER OF COMPARTMENTS 437 <br /> 7,200 <br /> III.TANK IISE AND CONTENTS <br /> TANK USE ❑ Ia.MOTOR VEHICLE IUSE ❑ I b.MARINA FUELING ❑ 1, AVIAFION FUELING - <br /> ❑ 3.CH EMICAL PRODUCT STORAGE ❑ 4.HAZARDOUS WASTE ❑ 5.EMERGENCY GENERATORFULL <br /> ❑ 6.OTHER GENERATOR FUEL El 95.UNKNOWN ❑ 99.OTHER(Snecifv): <br /> CONTENTS PETROLEUM: ❑ Ia.REGULAR UNLEADED ❑ Ic.MIDGRADE UNLEADED ❑ lb.PREMIUM UNLEADED 440 <br /> ❑ 3.DIESEL ❑D 5.JET FUEL ❑ 6.AVIATION GAS <br /> ❑ 8.PETROLEUM BLEND FUEL ❑ 9.OTHER PETROLEUM (Specify): <br /> NON-PETROLEUM: ❑ 7.USED OIL ❑ 10.ETHANOL <br /> ❑ <br /> 11,OTHER NON-PETROLEUM(Snecifv) 4401, <br /> IV.TANK CONSTRUCTION <br /> TYPE OF TANK 1,SINGLE WALL [-1 2.DOUBLE WALL ❑% 95.UNKNOWN at <br /> PRIMARY CONTAINMENT ❑1.STEEL ❑ 3.FIBERGLASS ❑6.INTERNAL BLADDER 444 <br /> ❑7.STEEL+INTERNAL LINING ❑x 95.UNKNOWN ❑ 99.OTHER 444. <br /> SECONDARY CONTAINMENT ❑ 1.STEEL ❑ 3.FIBERGLASS ❑6.EXTERIOR MEMBRANE LINER ❑7.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 REQUIREMFNTS FOR FXEMPTI ON FROM OVERFILL PR EVEN IION EQUIPMENT <br /> V.PRODUCTAVASTE PIPING CONSTRUCTION <br /> PI PING CON S I R U CTION LJ I_SINGLE-WALLED ❑ 2.DOUBLE-WALLED ❑ 99.0THER" 460 <br /> SYSTEM TYPE ❑ 1.PRESSURE ❑2.GRAVIIY ❑ 3.CONVENTIONAL SUC I ION ❑ I.SN E SUCHON 458 <br /> PRIMARY CONTAINMENT ❑ 1.STEEL ❑4.FIBERGLASS ❑ 8.FLEXIBLE ❑ 10.RIGID PLASTIC 464 <br /> ❑90.NONE ❑95.UNKNOWN ❑ 99.OTHER 4644 <br /> SECONDARY CONTAINMENT ❑ I.STEEL ❑4.FIBERGLASS ❑ 8.FLEXIBLE ❑ 10.RIGID PLASTIC 464b <br /> E] 90 NONE ❑95.UNKNOWN ❑ 99,01IER 464. <br /> PiPINC,M:RBINE CONTAINMENT SUMP TYPE ❑ I.SINGLE-WALLED ❑ 2.DOUBL1:\4AIJ I'D ❑ 99.NONE 464J <br /> VI.VENT.VAPOR RECOVERY(VR)AND RISER/FILL PIPE PIPING CONSTITUTION <br /> VI:N I PIRMARY CONTAINMENT ❑ 1.STEEL ❑ 4 FIBERGLASS ❑ 10.RIGID PLASFIC ❑ 90.NONE ❑ 99 01111 R 4640 <br /> VENT SECONDARY CONTAINMENT ❑ I.STEEL ❑ LFIBERGLASS ❑ UJRIGIDPLASTIC ❑ 90.NONE ❑ 99.OTHER 464f <br /> VR PIRMARY CONTAINMENT ❑ 1.STEEL ❑ 4.FIBERGLASS ❑ 12.RIGID PLASTIC ❑ 90.NONE ❑ 99.OTHER 41,4, <br /> VR SECONDARY CONTAINMENT ❑ 1.STEEL ❑ 4.FIBERGLASS ❑ 12.RIGID PLASTIC ❑ 90.NONE ❑ 99.OTHER 464h <br /> VENT PIPING TRANS...SUMP TYPE ❑ I.SINGLE-WALLED ❑ 12.DOUBLE-WALLED ❑99.NONE 4N' <br /> RISER PIRMARY CONTAINMENT ❑ 1.STEEL ❑ 4.FIBERGLASS ❑ 12.RIGID PLASTIC ❑ 90.NONE ❑ 99.OTHER 464L <br /> RISER SECONDARY CONTAINMENT ❑ 1.STEEL ❑ 4.FIBERGLASS ❑ 12.RIGID PLASTIC ❑ 90.NONE ❑ 99.OTHER 464k <br /> FILL COMPONENTS INSTALLED ❑ L SPILT_BUCKET ❑ 3.STRIKER PI ATE/BOTTOM PROTECTOR ❑ 4.CON fAINMENT SUMP 451.E <br /> VII.UNDER DISPENSER CONTAINMENT AIDC) <br /> CONS'I'RUCHON"FYPE ❑ L SINGLF-WAl I.ED ❑ 2.DOABLE-WALLED ❑ 3.NO DISPENSERS [-190 NONE 469.0 <br /> CONTRUCTION MATERIAL ❑ I.S1111, ❑ 4.1-1W RCLASS ❑ 10.RIGID PLASTIC 90.NONE ❑ 99.OTHER 4"9b, <br /> VI IL CORROSION PROTECTION <br /> STEEL COMPONENT PROTECTION ❑ 2.SACRAECIAL ANODES) ❑ I.IMPRESSED CURRENT ❑ 6.ISOLAFION 4 <br /> IX.APPLICATION SIGNATURE <br /> 1 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 />