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BILLING_PRE 2019
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2300 - Underground Storage Tank Program
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PR0518624
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BILLING_PRE 2019
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Entry Properties
Last modified
3/10/2021 4:11:03 PM
Creation date
11/5/2018 11:18:35 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
BILLING
FileName_PostFix
PRE 2019
RECORD_ID
PR0518624
PE
2371
FACILITY_ID
FA0024496
FACILITY_NAME
Costco Wholesale #38 (Gas Station)
STREET_NUMBER
1630
Direction
E
STREET_NAME
HAMMER
STREET_TYPE
Ln
City
Stockton
Zip
95210
APN
09428011
CURRENT_STATUS
01
SITE_LOCATION
1630 E Hammer Ln
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\H\HAMMER\1630\PR0518624\BILLING 2011-2015.PDF
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EHD - Public
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0 Tank 4 <br />UNIFIED PROGRAM CONSOLIDATED FORn'1 ly- ,(r, 10 ) q % <br />UNDERGROUND STORAGE TANK V <br />OPERATING PERMIT APPLICATION - TANK INFOR3IATION (One florin }sh 117/ <br />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) Jia <br />❑ I. NEW PERMIT ❑ 3. RENEWAL PERMIT ❑• 5, CHANCE OF INFORMATION <br />6. TEMPORARY UST CLOSURE 0 7. UST PERMANENT CLOSURE ON SITE El A. UST REMOVAL <br />DATE UST PERMANENTLY CLOSED: "" I I)ATE f:XIS-FIND UST DISCOVERED: 4:11, <br />1. FACILITY INFORMATION <br />FACILITY IDN fdgency Use Onh'I <br />I <br />BUSINESS NAME (Salnc as FACILITY NAME or DBA -Doing Business As) <br />Costco Gasoline (Loc. No. 38) <br />BUSINESS SITE AOLIRFSS 1'" <br />QTY r" <br />1616 E. Hammer Lane <br />Stocklon <br />IL TANK DESCRIPTION <br />'I.\N'K II] : +1' <br />LANK M1ANUFA( TCRFR 411 <br />'MASK CONFIGURATION: THIS TANK IS 14 <br />Q1'ASTANO-ALONE TANK <br />4 <br />Containment Solutions <br />❑ _.ONE IN A CONIPARTSI MI HD UNI -I'- <br />(: I'li vl: ux pJHe fnr eMll Cnn''rI 1" in Ia.' I Iul <br />11:ATI: 1.''S I" SYS'T'EM INSTALLED Jt5 <br />TANK C'APAC'ITY IN GALLONS 411. <br />NGMBER OI' C•OMPARI"MIEN"I"SIN PHI' UNIT --------- --- <br />TOD <br />1,500 <br />1' <br />111. TANK USE AND CONTENT'S <br />TANK USE ❑ In MRIOR VEHICLE FLIELIN'O ❑ It, MARINA FUELING ❑ Ie. AVIA IION FUFI Ih(1 J]'1 <br />❑ 3. CHEMICAL PRODUCT STORAGE ❑ 4, 1 L\"LARDOUS WASTE omhdes Usad Oil, ❑ 5.ENfERGF,NCVGF"NISIl:\TOIi FUELRiscp252el31vl <br />❑ 6. OTHER GENERA "TOR FUEL ❑ 95. UNKNOWN IN 99.OTHER (Sp,cIJNL Fuel Additive <br />CONTENTS PEIROLLUM: ❑ Ia. RL6IJLARLNLLAPLD U Ic %IJOCRADEUNLLSDID ❑ I h. PREMIUM UNLEADED „o <br />❑ 3. DIESEL ❑ 5.11'-T FUEL ❑ 6. AN LATION GAS <br />❑ S. PETROLEUM BLFND FUEL IN v. 01 HER PETROLFUM (s e'ilvl: Fuel Additive 4'19x <br />NON-PFTROI.FUN1❑ 1, USFD 011. ❑ In, FTI1ANO1 <br />I1.OTI IER NON -PETROLEUM I S wdfbl: AIOh <br />IV. TANK CONSTRUCTION <br />TYPE. OF TANK ❑ I. SINGLE WALL tN 2. DOUIH F WALL ❑ 95. IfNKNOW'N I n <br />PRINIARYCONTAINMEN'I' ❑ ].STEEL 9 3. FIBERGLASS ❑ 6, IN'1'ERNALBLADDEIt +LI <br />❑ 7. STEEL 1 INTERNAL LINING ❑ 95, UNKNOWN ❑ 99.OTl1ER ispceifyl: +140 <br />SI' CONDARY CONTAINMENT ❑ L.SIFEL IN 3.17I1ERGLASS ❑ 6.liNilLRIORNII'Nl]IRANEI.INI'.R ❑ 7.JA(KIFlil) <br />❑ 90. NONE ❑ 95. UNKNOWN ❑ 90. OTHER (s xsJ' ): usn <br />0% FIRTILL PRFVENTION IN 1. AUDIIiI E R VISUAL AI aR11S U '. RAI 1. FI OAT (] 3. Fill. TI 113r SHUT-OFF VALVF --- <br />4. TANK MEETS REQUIREMENTS FOR EXEMPTION FROM OVERFILL PREVEN"I ION EQUIPMENT <br />V. PRODUCT I WASTE PIPING CONSTRUCTION <br />PIPING CONSTRUCTION ❑I -SINGLE. -WALLED O-'. DOUBLE -WALLED 0 99. OTHER 4i9' <br />SYSTEM TYPE Q I. PRESSURE ❑ 1(;RA1'I I ' ❑ 3. CONVENTIONAL SUCTION D 4. SAT E SUCTION [231 LCR I2616IIS31 J`s <br />PRIMARY CONT.AINNIRNT ❑ L STF.FL Q 4. FIBFk(JI-.ASS ❑ 1. FLEXIBIT Lj 10- RI(i1I] I'IASI'IC ,b, <br />[] 90. NONE ❑ 95. UNKNOWN ❑ 99. CFI HERIS ,nfvl: awa <br />SECONDARY CONTAINMENT ❑ 1. STEEL [C 4, FIBERCLASS ❑ a. FLEKIBLL O 1(]. RIGID PLASTIC L,lb <br />❑ 90. NONE ❑ 94. UNKNOWN ❑ 91). OTHER (Sprcdv c 4119' <br />PIPINOA L'RBINE CON T 4 IS\II NI'SUMP 1) 11 ❑ I. SINGLE WALL IN 2. DOUBLE AVALL ❑ 90 NONE JIUd <br />VI. VENT, VAPOR RECOVERY (VR) AND RISER/ FILL PIPE PIPING CONSTRUCTION <br />VENT PRIMARYC'ONI'.AINMIENI ❑ I. S'TEE'L N d. FIBERGLASS ❑ 10 RIGID PLAS IIC ❑ 94 NONE ❑ IN O'I'HERISpecif)t 464. <br />_M1JvI <br />V IN'TS1,01NUARY(ONIAINNIENI" ❑ I. S'I EEL I] i, FIBER/iLASS ❑ III 10611) PLASH( ❑ 90. NONE ❑ 9'). OI'H6R1NN<111) 41AI <br />MJI I <br />VR PRIMARY CONTAINMENT ❑ L STFEI. ❑ 4. FIRFROLASS ❑ 10. RIGID N ASPIC IM 9a. NONE ❑ 99. OTHER (SpL ify) -WJ.° <br />lbFl <br />VR SECONDARY CONTAINMENT C3 1. STILL C3 4. FIBERGLASS 0 10. RIGID PLASTIC IN 90. NONE 0 99. OTHER, Specify l 414h <br />L�ILI <br />VENT PIPING TRANSITION SUMP TYPE LJ I. SINULE WALL • '_. DOUBLE WALL 0 90. NONE JnJ; <br />RISER PRIMARY CON'I'AINMENI' 1. SINN. ❑ 4.1 IBLRf LASS ❑ 10. RIGID PEAS I IC ❑ 911. NONE U 99.01'16. R iSp..:i 1!,I 494I <br />46411 <br />RISER SECONDARY CONTAINMENT 0 I, STEEL 0 i. FIBERGLASS 0 10-RICIDPL:7NTIC' a 90. NONE El 99.OTIIER,SPc;d\1 ARIk <br />!hlLl <br />FILL COMPONENTS INSTALLED • 1. SPILL BUCKET IN 3.STRIKF.R PLATE,BOTTONI PROTECTOR • 4. CONTAINMENT St MP <br />VII. UNDER DISPENSER CONTAINMENT (UDC) <br />CONSTRUCTION TYPE ❑ 1. SINGLE WALL ❑ 2. DOUBLE \A'ni1 ❑ LNODISI'FNSERS IN M. NONE <br />CONSTRUCTIONMATERIAL ❑ LSTEEL C1 4. FIBERGLASS I] III. RIGIDPLASTI( ❑ 90.C/THER(Sp96fyl 411`, <br />VIII. CORROSION PROTECTION <br />SJUEL(ONIPONENI PRUI'E'C-DON ❑ 2. SACRIFICIAL.ANODEIS) ❑ "1. IMlPRESSEDCCRRENI" ❑ 6.1501AITON <br />1X. APPLICANT SIGNATURE <br />C -t -R IIFICATION: l eolify Thal this t;tiF System is compatible with Abe hazardous substance stored and that the infra nation pie)ided herein is true, accurate, <br />and in full colo Ranee mitR Ic'al r u(rcnuvns. <br />APPLICANT SIONATURE AIL <br />Z - � <br />APPL.ICAN-F NANIF (punt) <br />°1 <br />APPLICANT" TITL . <br />David H Rogers',,, <br />Director of Real Estate Development <br />V <br />UPCF UST -R- 112 Hes'. (12121197) <br />
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