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07 P006 . eNIFIED PROGRAM CONSOLIDATED 1� (1,17-71M UNDERGROUND STORAGE TANK OPERATING PERMIT APPLICATION-TANK INFORMATION(one form Pec UsT) TYPE OF ACTION (Check one item only. For an UST permanent closure or removal,complete only this section and Sections I,II,III,IV,and IX below) L4'j ❑ 1.NEW PERMIT ❑ 3.RENEWAL PERMIT ® 5.CHANGE OF INFORMATION ❑ 6.TEMPORARY UST CLOSURE ❑ 7.UST PERMANENT CLOSURE ON SITE ❑ 8.UST REMOVAL DATE UST PERMANENTLY CLOSED: 430e I DATE EXISTING UST DISCOVERED: Oeb L FACILITY INFORMATION FACILITY ID#(Agency Use Only) BUSINESS NAME(Same as FACILITY NAME or DBA-Doing Business As) (J 3 VANCO TRUCK&AUTO PLAZA BUSINESS SITE ADDRESS103 CITY to 1033 W. CHARTER WAY STOCKTON CA 95206 II. TANK DESCRIPTION TANK ID# Tank 87 432 TANK MANUFACTURER 433 TANK CONFIGURATION: THIS TANK IS 434 OwneS COMMS FiberGlas ®1.A STAND-ALONE TANK Q D 2 3 U 3 Corp ❑2.OoevlONE A� �v" Em DATE UST SYSTEM INSTALLED 435 TANK CAPACITY IN GALLONS 436 NUMBER OF COMPARTMENTS IN THE UNIT 437 MAY 2003 12000 GALLONS III.TANK USE AND CONTENTS TANK USE ® L.MOTOR VEHICLE FUELING ❑ lb.MARINA FUELING ❑ 1c.AVIATION FUELING 439 ❑ 3.CHEMICAL PRODUCT STORAGE ❑ 4.HAZARDOUS WASTE(N Iolcs Used Gip ❑ 5.EMERGENCY GENERATOR FUEL[HSC Q25281.5(c)1 ❑ 6.OTHER GENERATOR FUEL ❑ 95.UNKNOWN ❑ 99.OTHER(Specify): 439. CONTENTS PETROLEUM: ® Is REGULAR UNLEADED ❑ 1 c MIDGRADE UNLEADED (] It.PREMIUM UNLEADED 446 ❑ 3.DIESEL ❑ 5.JET FUEL ❑ 6.AVIATION GAS ❑ 8.PETROLEUMBLENDFUEL ❑ 9.OTHER PETROLEUM S 410. NON-PETROLEUM E 7.USED OIL ❑ 10.ETHANOL ❑ 11.OTHER NON-PETROLEUMS 4406 IV. TANK CONSTRUCTION TYPE OF TANK 1.SINGLE WALL ® 2.DOUBLE WALL ❑ 95.UNKNOWN 443 PRIMARY CONTAINMENT E3 1.STEEL ® 3.FIBERGLASS 6.INTERNAL BLADDER 444 ❑ 7.STEEL+INTERNAL LINING ❑ 95.UNKNOWN ❑ 99.OTHER (Specify): 444. SECONDARY CONTAINMENT 0 1.STEEL D9 3.FIBERGLASS 6.EXTERIOR MEMBRANE LINER 7.JACKETED 445 90.NONE ❑ 95.UNKNOWN [199.OTHER(Specify)' 445e OVERFILL PREVENTION 1.AUDIBLE&VISUAL ALARMS 2.BALL FLOAT 3.FILL TUBE SHUT-OFF VALVE 452It . 4.TANK MEETS REQUIREMENTS FOR EXEMPTION FROM OVERFILL PREVENTION EQUIPMENT V. PRODUCT/WASTE PIPING CONSTRUCTION PIPING CONSTRUCTION C3 1.SINGLE-WALLED 0 2.DOUBLE-WALLED W.OTHER 460 SYSTEM TYPE 0 1.PRESSURE 0 2.GRAVITY ❑ 3.CONVENTIONAL SUCTION ❑ 4.SAFE SUCTION ID CCR¢2636(.x3)1 458 PRIMARY CONTAINMENT L STEEL ® 4.FIBERGLASS U S.FLEXIBLE 10.RIGID PLASTIC 464 ❑ 90.NONE ❑ 95.UNKNOWN ❑ 99.OTHER(Specify): 464• SECONDARY CONTAINMENT 0 1,STEEL 0 4.FIBERGLASS El 8.FLEXIBLE 10.RIGID PLASTIC 4646 ❑ 90.NONE 95.UNKNOWN ❑ 99.OTHER(Specify): abx PIPINGrrURBINE CONTAINMENT SUMP TYPE 1.SINGLE WALL 2.DOUBLE WALL 90.NONE 4644 VL VENT,VAPOR RECOVERY(VR)AND RISER/FILL PIPE PIPING CONSTRUCTION VENT PRIMARY CONTAINMENT U 1.STEEL N 4.FIBERGLASS 10.RIGID PLASTIC 90.NONE 99.OTHER(Specify) 464e 464e1 VENT SECONDARY CONTAINMENT Ll 1.STEEL E 4.FIBERGLASS U 10.RIGID PLASTIC 90.NONE Ll 99.OTHER(Specify) 464f 46an VR PRIMARY CONTAINMENT Ll 1.STEEL D9 4.FIBERGLASS 0 10.RIGID PLASTIC Ll 90.NONE 99.OTHER(Specify) 464g d 1 VR SECONDARY CONTAINMENT 1.STEEL R 4.FIBERGLASS U 10.RIGID PLASTIC 90,NONE 99.OTHER(Specify) 4691 M6 l VENT PIPING TRANSITION SUMP TYPE Ll 1.SINGLE WALL E 2.DOUBLE WALL k9t.NONE 4641. RISER PRIMARY CONTAINMENT 9t 1.STEEL 0 4.FIBERGLASS U 10.RIGIDPLASTIC U 90.NONE U 99.OTHER(Specify) 464j 4641 RISER SECONDARY CONTAINMENT U 1.STEEL N 4.FIBERGLASS U 10.RIGID PLASTIC IQ 90.NONE U 99.OTHER(Specify) 464k M&I FILL COMPONENTS INSTALLED 1.SPILL BUCKET 3.STRIKER PLATF,/BOTTOM PROTECTOR 4.CONTAINMENT SUMP 451. VII,UNDER DISPENSER CONTAINMENT(UDC) CONSTRUCTION TYPE 1.SEJGLfi WALL 2.DOUBLE WALL ❑ 3.NO DISPENSERS ❑ 90.NONE 469. CONSTRUCTION MATERIAL 1.STEEL U 4.FIBERGLASS I0.RIGIDPLASTTC El 99.OTHER(Spec' ) 469bc VIII. CORROSION PROTECTION STEEL COMPONENT PROTECTION ❑ 2.SACRIFICIAL ANODE(S) ❑ 4.IMPRESSED CURRENT ❑ 6.ISOLATION ,.,, 44s_ IX. APPLICANT SIGNATURE CERTIFICATION: I certify that this UST system Is compatible with the hazardous substance stored and that the information provided bece4r4q true,accurate, and in fun com n th led requimments. APPLICANT SIGNATURE DATE 6/9/2009 x 470 APPLICANT NAME(print) Mike O a7m. APPLICANT TITLE OWnef 472'