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UNIFIED PROGRAM CONSOLIDATED I MI 7 l7 UNDERGROUND STORAGE TANK OPERATING PERMIT APPLICATION-TANK INFORMATION(One form per UST) TYPE OF ACTION (Check one item only. For an UST permanent closure or removal,complete only this section and Sections L II,HL IV,and IX below) 430 ❑ L NEW PERMrr ❑ 3.RENEWAL PERMIT ® 5.CHANGE OF INFORMATION ❑ 6.TEMPORARY UST CLOSURE ❑ 7.UST PERMANENT CLOSURE ON SITE ❑ 8.UST REMOVAL DATE UST PERMANENTLY CLOSED: 43a 1 DATE EXISTING UST DISCOVERED: 430b L FACILITY INFORMATION FAC I=ID#(Agency Use Only) 7 1 BUSINESS NAME(Same as FACILITY NAME or DBA-Doing Business As) 3 VANCO TRUCK&AUTO PLAZA BUSINESS SITE ADDRESS 103 CrrY IN 1033 W. CHARTER WAY STOCKTON CA 95206 IT. TANK DESCRIPTION TANK ID# Tank 91 431 TANK MANUFACTURER 433 TANK CONFIGURATION: THIS TANK IS 434 }� Owns Coming FibclGlaS ®1.A STAND-ALONE TANK OF 2O\ Corp ❑2.ONE IN A COMPARTMENTED UNIT. •l Coavletem Nat fm u&c ant mthe wit. DATE UST SYSTEM INSTALLED 435 TANK CAPACITY IN GALLONS 436 NUMBER OF COMPARTMENTS IN THE UNIT 437 MAY 2003 10000 GALLONS III. TANK USE AND CONTENTS TANK USE ® Is.MOTOR VEHICLEFUELING ❑ 1b.MARINA FUELING ❑ Ic.AVIATION FUELING 439 ❑ 3.CHEMICAL PRODUCT STORAGE ❑ 4.HAZARDOUS WASTE(U.M.Uwd Oil) ❑ 5.EMERGENCY GENERATOR FUEL[NSC§2 NL5(c)] ❑ 6.OTHER GENERATOR FUEL ❑ 95.UNKNOWN ❑ 99.OTHER(Specify): 4' CONTENTS PETROLEUM: ❑ Ia REGULAR UNLEADED ❑ Ic.MIDGRADE UNLEADED ® lb.PREMIUM UNLEADED 440 ❑ 3.DIESEL ❑ 5.)ET FUEL ❑ 6.AVIATION GAS ❑ 8.PETROLEUM BLEND FUEL ❑ 9.OTHER PETROLEUM S 4464 NON-PETROLEUM:13 7.USED OIL 10.ETHANOL ❑ 11.OTHERNON-PETROLEUMS 4446 IV. TANK CONSTRUCTION TYPE OF TANK 0 1.SINGLE WALL 0 2.DOUBLE WALL 0 95.UNKNOWN 443 PRIMARY CONTAINMENT 13 1.STEEL 0 3.FIBERGLASS 0 6.INTERNAL BLADDER 444 ❑ 7 STEEL+INTERNAL LINING ❑ 95.UNKNOWN ❑ 99.OTHER (S ): 444 SECONDARY CONTAINMENT 1.STEEL 3.FIBERGLASS 6.EXTERIOR MEMBRANE LINER 7.IACKETED 445 90.NONE ❑ 95.UNKNOWN ❑99.OTHER(Specify): 445e OVERFILL PREVENTION 1.AUDIBLE&VISUAL ALARMS 2.BALLFLOAT 3.FILL TUBE SHUT-OFF VALVE 452. 4.TANK MEETS REQUIREbfENTSFOR EXEMPTION FROM OVERFILL PREVENTION EQUIPMENT V. PRODUCT/WASTE PIPING CONSTRUCTION PIPING CONSTRUCTION 1.SINGLE-WALLED 2.DOUBLE-WALLED 99.OTHER 460 SYSTEM TYPE 0 1.PRESSURE 2.GRAVITY ❑ 3.CONVENTIONAL SUCTION ❑ 4.SAFE SUCTION[23 CCR 12636(a)(3)] 458 PRIMARY CONTA NN(EN7 1.STEEL 0 4.FIBERGLASS 8.FLEXIBLE 10.RIGID PLASTIC 464 ❑ 90.NONE ❑ 95.UNKNOWN ❑ 99.OTHER(Specify): maa SECONDARY CONTAINMENT 1.STEEL 0 4.FIBERGLASS [1 8.FLEXIBLE 10.RIGID PLASTIC 4646 ❑ 90.NONE 95.UNKNOWN 1] 99.OTHER(Specify): a6x PIPINGINRBINE CONTAINMENT SUMP TYPE 1.SINGLE WALL U 2.DOUBLE WALL 90.NONE 4644 VL VENT,VAPOR RECOVERY(VR)AND RISER/FILL PIPE PIPING CONSTRUCTION VENT PRIMARY CONTAINMENT Li I.STEEL Q9 4.FIBERGLASS Ll 10.RIGIDPLASTIC 90,NONE 99.OTHER(Specify) 464e 46ae1 VENT SECONDARY CONTAINMENT Li L STEEL M 4.FIBERGLASS 10.RIGID PLASTIC 90.NONE 0 99.OTHER(Specify) 4Mf 4Mfl VR PRIMARY CONTAINMENT Ll 1.STEEL Q9 4.FIBERGLASS Ll 10,RIGID PLASTIC 11 90.NONE 0 99.OTHER(Specify) 464g 464 1 VR SECONDARY CONTAINMENT U 1.STEEL N 4.FIBERGLASS U 10.RIGIDPLASTIC 90.NONE 99.OTHER(Specify) 46A, M&I VENT PIPING TRANSITION SUMP TYPE 1.SINGLE WALL N 2.DOUBLE WALL 90.NONE 4641, RISER PRIMARY CONTAINMENT 1.STEEL 0 4.FIBERGLASS U 10.RIGID PLASTIC Ll 90.NONE El 99.OTHER(Specify) 4641 4641 RISER SECONDARY CONTAINMENT 1.STEEL N 4.FIBERGLASS 10.RIGID PLASTIC 14 90.NONE 0 99.OTHER(Specify) 464k abed FILL COMPONENTS INSTALLED 1.SPILL BUCKET W.3.STRIKER PLATE/BOTTOM PROTECTOR 4.CONTAINMENT SUMP 431st VII. UNDER DISPENSER CONTAINMENT(U150C) CONSTRUCTION TYPE L SINGLE WALL 8 2.DOUBLE WALL ❑ 3.NO DISPENSERS ❑ 90.NONE 469e CONSTRUCTION MATERIAL U 1.STEEL U 4.FIBERGLASS JQ 10.RIGID PLASTIC U 99.OTHER(Specify) 469hc VIII. CORROSION PROTECTION STEEL COMPONENT PROTECTION ❑ 2.SACRIFICIAL ANODE(S) ❑ 4.IMPRESSED CURRENT ❑ 6.ISOLATION IX. APPLICANT SIGNATURE CERTIFICATION: I certify that this USF system Is compatible with the hazardous substance stored and that the Informuron provided herelp.19 true,accurate, and in ILII cont d 1eal requirements. APPLICANT SIGNATURE DATE 6/9/2009 d70- APPLICANT NAME(prim c BOwn parai 4rl' APPLICANT TITLE O (Ir ?P. 072'