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,JNIFEED PROGRAM CONSOLIDATED L...!'M UNDERGROUND STORAGE TANK OPERATING PERMIT APPLICATION-TANK INFORMATION(one forth per 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) 436 ❑ 1.NEW PERMIT ❑ 3.RENEWAL PERMIT ® 5.CHANGE OF INFORMATION ❑ 6.TEMPORARY UST CLOSURE El 7.UST PERMANENT CLOSURE ON SITE ❑ 8.UST REMOVAL DATE UST PERMANENTLY CLOSED: 43Ue DATE EXISTING UST DISCOVERED: 43ab L FACILITY INFORMATION FACILITY ID#(Agency Use Only) BUSINESS NAME(Same as FACILITY NAME or DBA-Doing Business As) 3 VANCO TRUCK&AUTO PLAZA BUSINESS SITE ADDRESS 103 CITY 10° 1033 W. CHARTER WAY STOCKTON CA 95206 IL TANK DESCRIPTION TANK ID# DIESEL NORTH ' 432 TANK MANUFACTURER 433 TANK CONFIGURATION: THIS TANK Is Ownes Coming FTIJCfGlas N 1.A STAND-ALONE TANK ./' !^�]/J 4� El 2.ONE IN A COMPARTMENTED UNIT. y L 1 (/V Corp ete one faeach can namibevut. DATE UST SYSTEM INSTALLED 435 TANK CAPACITY IN GA NS 436 NUMBER OF COMPARTMENTS IN THE UNIT 437 MAY 2003 20000 GALLONS III.TANK USE AND CONTENTS TANK USE 19 1.MOTOR VEHICLE FUELING ❑ 1b.MARINAFURLING ❑ Ic.AVIATION FUELING 439 ❑ 3.CHEMICAL PRODUCT STORAGE ❑ 4.HAZARDOUS WASTE(n U.Used OR) ❑ 5.EMERGENCY GENERATOR FUEL[HSC 425281.5(c)] ❑ 6.OTHER GENERATOR FUEL ❑ 95.UNKNOWN ❑ 99.OTHER(Specify): 439° CONTENTS PETROLEUM: ❑ la REGULAR UNLEADED ❑ lc.MIDGRADE UNLEADED ❑ lb.PREMIUM UNLEADED ® 3.DIESEL ❑ 5.JET FUEL ❑ 6.AVIATION GAS ❑ S.PETROLEUM BLEND FUEL ❑ 9.OTHER PETROLEUM S------------ 410° NON-PETROLEUM tY 7.USED OIL 10.ETHANOL ❑ 11.OTHER NON-PETROLEUMS i 4" IV. TANK CONSTRUCTION TYPE OF TANK EFI.SINGLE WALL 0 2.DOUBLE WALL U 95.UNKNOWN 443 PRIMARY CONTAINMENT LI 1.STEAL ® 3.FIBERGLASS 6.INTERNAL BLADDER 444 ❑ 7.STEEL+INTERNAL LINING ❑ 95.UNKNOWN ❑ 99.OTHER (Specify): d44a SECONDARY CONTAINMENT 1.STEEL 3.FIBERGLASS 6.EXTERIOR MEMBRANE LINER 7.IACKETED 445 ❑ 90.NONE ❑ 95.UNKNOWN ❑99.OTHER(S cify): 445° OVERFILL PREVENTION 1.AUDIBLE&VISUAL ALARMS 2.BALL FLOAT 3.FILL TUBE SHUT-OFF VALVE 452. 4.TANK MEETS REQUIREMENTSFOR EXEMPTION FROM OVERFILL PREVENTION EQUIPMENT V. PRODUCT/WASTE PIPING CONSTRUCTION PIPING CONSTRUCTION 0 1.SINGLE-WALLED 0 2.DOUBLE-WALLED 99.OTHER 450 SYSTEM TYPE N 1.PRESSURE ❑ 2.GRAVITY ❑ 3.CONVENTIONAL SUCTION ❑ 4.SAFE SUCTION IM CCR f2636NX3A 4S8 PRIMARY CONTAINMENT U 1.STEEL M 4.FIBERGLASS &FLEXIBLE ❑ 10.RIGIDPLASTIC ❑ 90.NONE ❑ 95.UNKNOWN ❑ 99.OTHER(Specify): 464° SECONDARY CONTAINMENT U 1.STEEL _® 4.FIBERGLASS 0 S.FLEXIBLE ❑ 10.RIGID PLASTIC 4646 ❑ 90.NONE 95.UNKNOWN ❑ 99.OTHER(Specify): 464c PIPINGfrURBINE 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 0 4.FIBERGLASS 10.RIGID PLASTIC 90.NONE 99,OTHER(Specify) 464e 464e1 VENT SECONDARY CONTAINMENT 1.STEEL E 4.FIBERGLASS 0 10.RIGID PLASTIC ja90.NONE 99.OTHER(Specify) 464f 4 fi VRPRIMARYCONTAINMENT 1,STEEL R 4.FIBERGLASS Ll 10.RIGID PLASTIC 90.NONE 0 99.OTHER(Specify) 4648 VR SECONDARY CONTAINMENT 1.STEEL E 4.FIBERGLASS 10,RIGID PLASTIC 90.NONE Lj 99.OTHER(Specify) 464h 464b1 VENT PIPING TRANSITION SUMP TYPE 1.SINGLE WALL 2.DOUBLE WALL 90.NONE 4641. RISER PRIMARY CONTAINMENT 1.STEEL N 4.FIBERGLASS El 10.RIGIDPLASTIC U 90.NONE U 99.OTHER(Specify) 46Cj 1 RISER SECONDARY CONTAINMENT 0 1.STEEL E 4.FIBERGLASS 10.RIGID PLASTIC 90.NONE 0 99.OTHER(Specify) 464E 464kI FELL COMPONENTS INSTALLBD 1.SPILL BUCKET 3.STRIKER PLATE/BOTCOMPROTECTOA 4.CONTAINMENT SUMP d6le-c VII.UNDER DISPENSER CONTAINMENT(UDC) CONSTRUCTION TYPE 1.SINGLE WALL E 2.DOUBLE WALL ❑ 3.NO DISPENSERS ❑ 90.NONE 469. CONSTRUCTION MATERIAL 1.STEEL U 4.FIBERGLASS 10,RIGID PLASTIC ❑ 99.OTHER(Specify) 4fi9bc VIII. CORROSION PROTECTION STEEL COMPONENT PROTECTION ❑ 2.SACRIFICIAL ANODE(S) ❑ 4.IMERESSED CURRENT ❑ 6.ISOLATION 446. DL APPLICANT SIGNATURE CERTIFICATION: I certify that this UST system is compatible with the hamardous substance stored and that the information provided he A e,accurate, and in full come with legal requireradists. -' APPLICANT S[ONAT(JRE DATE 6/9/2009 470. APPLICANT NAME(prim) Mike Boparal 471. APPLICANT TITLE Owner 47z.