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U D PROGRAM CONSOLIDATED FOR h M I I SU - 'UNDERGROUND STORAGE TANK & -1 1-1 o( L OPERATING PERMIT APPLICATION- TANK INFORMATION One form er US �Y TYPE OF ACTION ❑ 1.NEW SITE PERMIT ❑ 3.RENEWAL PERMIT ❑ 5.CHANGE OF INFORMATION 430 (Chink only item only) ❑ 6.TEMPORARY SITE CLOSURE ❑ 7.PERMANENTLY CLOSED ON SITE ❑ 8.TANK REMOVED DATE UST PERMANENTLY CLOSED: 430a DATF EXISTING UST DISCOVERED: 4301, L FACILITY INFORMATION FACILITY ID#(Agency Use Only) FA0005704 l BUSINESS NAME(Same as FACILITY NAME or DBA-Doing Business As) 3 SHINKO ELECTRIC AMERICA INC BUSINESS SITE ADDRESS 103 CITY 104 551 CARNEGIE ST MANTECA IL TANK DESCRIPTION 'TANK ID# 432 TANK MANUFACTURER 433 TANK CONFIGURATION:THIS TANK IS 434 ❑X 1.A STAND-ALONE TANK TA0503167 ❑ 2.ONE IN A COMPARTMENTED UNIT DATE USE SYSTEM INSTALLED 435 TANK CAPACITY IN GALLONS 436 NUMBER OF COMPARTMENTS 9,200 43J III.TANK USE AND CONTENTS TANK USE ❑ la.MOTOR VEHICLE FUEL ❑ Ib.MARINA RIFLING ❑ Ic.AVIAFION FUELING ' ❑ 3.CHEMICAL PRODUCT STORAGE ❑ 4.HAZARDOUS WASTE ❑ 5.EMERGENCY GENERATOR FUEL ❑ 6.OTHER GENERATOR FUEL ❑X 95.UNKNOWN ❑ 99.OTHER(Smcifv): CON I ENI'S PETROLEUM: ❑ Ia.REGULAR UNLEADED ❑ Ic.MIDGRADE UNLEADED ❑ Ib.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 ❑ 10.ETHANOL ❑ 1101'11ERNON-Pl:l]201,1I1MfSnecifvl: 4406 IV.TANK CO TYPE OF TANK ❑ I.SINGLE WALL ❑ 2.DOUBLE WALL ❑8 95.UNKNOWN PRIMARY CONTAINMENT ❑ L STEEL ❑ 3.FIBERGLASS 116.INTERNAL BLADDER 444 ❑7.STEEL+INTERNAL LINING ❑x 95.UNKNOWN ❑ 99.OTHER 444. SECONDARY CONTAINMENT ❑ 1.STEEL ❑ 3.FIBERGLASS ❑6.EXTERIOR MEMBRANE LINER ❑7.JACKETED 445 [198.NONE ❑ 95.UNKNOWN ❑99.OTHER(Specify) OVERFILL PREVENTION ❑ I AUDIBLE&VISUAL ALARMS ❑ 2 BALL FLOAT ❑ 3 FILL TUBE SHUT OFF VALVE 452 ❑4TANK MEETS REQUIREMENTS FOR EXEMPTION FROM OVERFILL PREVENTION EQUIPMENT V.PRODUCT1VASTE PIPING CONSTRUCTION PIPING CONS I RIJC'I'ION LI I.SINGLE-WALLED ❑ 2.DOUBLE-WALLED ❑ 99.0'IIIER- 460 SYSTEM TYPE ❑ L PRESSURE [12.GRAVITY ❑ 3.CONVENTIONAL SUCTION ❑ 4.SAFE SUCTION 456 PRIMARY CONTAINMENT ❑ 1.STEEL ❑4.FIBERGLASS ❑ 8.FLEXIBLE ❑ 10.RIGID PLASTIC 4M ❑ 90.NONE ❑95.UNKNOWN ❑ 99.OTHER 464. SECONDARY CONTAINMENT ❑ 1.STELL ❑4.FIBERGLASS ❑ 8.FLEXIBLE ❑ 10.RIGID PLASTIC 464b ❑ 90.NONE. ❑95.UNKNOWN ❑ 99,OTHER 464c PIPING/TURBINE CONTAINMENT SUMP TYPE ❑ 1.SINGLF-WALLED ❑ 2,DOLBIL-WAIT D ❑ 99.NONE 464d VI.VENT.VAPOR RECOVERY(VR)AND RISER/FHA,PIPE PIPING CONSTUCTION VF,NI'PIRMARY CONTAINMENT ❑ LS"IFEI. ❑ 4.11131:RGI.ASS ❑ I0.RIGIDPI.ASTIC ❑ 90.NONE ❑ 99.01HER 464, VENT SECONDARY CONTAINMENT ❑ L STEEL ❑ 4.FIBERGLASS ❑ 10.RIGID PLASTIC ❑ 90.NONE ❑ 99.OTHER 461f VR PIRMARY CONTAINMENT ❑ L STEEL ❑ 4.FIBERGLASS ❑ 12.RIGID PLASTIC ❑ 90.NONE ❑ 99.OTHER 4648 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 ❑99.NONE 464i RISER PB2MARY CONTAINMENT ❑ L STEEL ❑ 4.FIBERGLASS ❑ 12.RIGID PLASTIC ❑ 90.NONE ❑ 99.OTHER 466 RISER SECONDARY CONTAINMENT ❑ 1.STEEL ❑ 4 FIBERGLASS ❑ 12.RIGID PLASTIC ❑ 90.NONE ❑ 99 OTHER 464k FILL COMPONENTS INSTALLED ❑ 1.SPILL BUCKLI ❑ 3.STRIKER PIATEIBOTTOM PROTECTOR ❑ 4.CONTAINMENT SUMP a5lac VR.UNDER DISPENSER CONTAINMENT(UDC) CONS'IRUC IION IYPI, ❑ 1,SING.LE-WALLED ❑ 2_DOUBIC-WALLFD ❑ 3.NO DISPENSERS ❑ 90_NONE 409. CONTRIiCI ION MAI FRIAL ❑ L STEEL ❑ 4_FIBERGLASS ❑ 10.RIGID PLASTIC 90.NONE ❑ 99.0111 R 460t,. VIII.CORROSION PROTECTION STEEL COMPONENT PRO TFC'I ION ❑ 2_SACRAFICIAL ANODk(S) ❑ 4.IMPRESSED CURRENT ❑ 6.ISOLATION 44 IX.APPLICATION SIGNATURE I certify that this NST ystem is,.mpatihle with the h.,ardoas sabst:mce stored and that the information provided herein is true,accurate,and in full compliance with legal requirements. APPLICANT SIGNATURE DATE 410 APPLICANT NAME(print) 471 APPLICANT TITLE n�2