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�CIFIED PROGRAM CONSOLIDATED FC UNDERGROUND STORAGE TANK OPERATING PERMIT APPLICATION-TANK INFORMATION one form per UST) 430 TACTION (Check one item only. For an 3UST permanent closum.RENEWAL PERMIT r removal,complete only this sec i 5.CHANGE OF INFORn and Sections 1,it,III,MATION and IX below) YPE OF [) 1.NEW PERMIT ❑ 6.TEMPORARY UST CLOSURE 7.UST PERMANENT CLOSURE ON SITE ❑ S.UST REMOVAL 4386 g DATE UST PERMANENTLY CLOSED: DATE EXISTING UST DISCOVERED: L FACILITY INFORMATION FACILITY ID M(Agency Use Only) - - 7 BUSINESS NAME(Same as FACILITY NAME or DBA-Doing Business As) Dart Container Corporation of Northern California Iw BUSINESS SITE ADDRESS 303 Cyyy 1400 Victor Road Lodi II.TANK DESCRIPTION 433 TANK MANUFACTURER 433 TANK CONFIGURATION: Dos TANK IS 414 TANK IDM TA 195102 1.ASTAND-ALONBTANK Stockton Manufacturing ❑ Co. 2. COMPARTMENTED UNIT. C lne.eox W earc each can is Weuart. DATE UST SYSTEM INSTALLED 435 TANK CAPACITY IN GALLONS 436 NUMBER OF COMPARTMENTS IN THE UNIT 437 5 ')S •� 10,000 1 III.TANK USE AND CONTENTS TANK USE ❑ Ia.MOTOR VEHICLE FURLING ❑ Ib.MARINA FUELING ❑ Ia.AVIATIONFUE-ING o9 ❑ 3.CHEMICAL PRODUCT STORAGE ❑ 4.HAZARDOUS WASTE(Iaduda Used Oil) ❑ 5.EMERGENCY GENERATOR FUEL(HSC§253aL5(c)I 439+ ❑ &OTHR GENERATOR FUEL 095.UNKNOWN 19 99.OTHER(Spoefy): Boiler fuel � CONTENTS PETROLEUM: ❑ I&REGULAR UNLEADED ❑ Ic.MIDGRADE UNLEADED ❑ Ib.PREMIUM UNLEADED ® 3.DIESEL ❑ 5.JET FUEL. ❑ 6.AVIATION GAS 44Da ❑ S.PETROLEUM BLEND FUEL ❑ 9.OTHER PETROLEUM (Specify): NON-PETROLEUM:❑ 7.USED OIL ❑ 10.ETHANOL 4401, ❑ II.OTHERNON-PETROLEUMS i : IV. TANK CONSTRUCTION TYPE OF TANK ❑ I.SWGLEWALL ® 2.DOU13LE WALL ❑ 93.IINKN0WN su PRIMARY CONTAINMENT 29 1,STEEL ❑ 3.FIBERGLASS ❑ 6.INTERNAL BLADDER 444 ❑ 7.STEEL+INTERNAL LINING ❑ 95.UNKNOWN ❑ 99.OTHER i : 444. SECONDARY CONTAINML+N'I' ® L STEEL ❑3.FIBEROI.ASS ❑ 6.EXTERIOR MEMBRANE LINER ❑ 7.JACKETED 415 4452 ❑ 90.NONE ❑ 95.UNKNOWN ❑99.OTHER JS i OVERFILL PREVENTION I.AUDIBLE&VISUAL ALARMS ❑ 2.BALLFLOAT 3.FILL TUBBSHUT-0PF VALVE 453. ❑ 4.TANK MEETS REQUIREMENTS FOR EXEMPTION FROM OVERFILL PREVENTIONEQUIPM ENT V. PRODUCT/WASTE PIPING CONSTRUCTION 460 PIPINGCONSTRUCTION [11.SINGL&WALLED ®2.DOUBLE-WALLED ❑99.OTHER SYSTEM TYPE ❑ I.PRESSURE ❑ 2.GRAVITY ❑ 3.CONVENTIONALSUCTIDN 29 4.SAFESUCTON 73CCR Ir ,X3) 458 PRIMARY CONTAINMENT 09 1.STEEL ❑ 4.FIBERGLASS ❑ R FLBXIDLE ❑ 10.RIGID PLASTIC ❑ 90.NONE ❑ 95.UNKNOWN ❑ 99.OTHER(S iry): 464a SECONDARY CONTAINMENT ® I.STEEL ❑ 4,FIBERGLASS ❑ S.FLEXIBLE ❑ I0.RIaIDPLASTIC 4616 ❑ 90.NONE ❑ 95.UNKNOWN ❑ 99.OTHER(Specify: 466 PIPINGtrURBINE CONTAINMENT SUMP ❑ 1.SINGLE WALL 02.DOUBLE WALL ® 90.NONE 464d VI.VENT,VAPOR RECOVERY(VR)AND RISER/FILL PIPE PIPING CONSTRUCTION VENT PRIMARY CONTAINMENT' 1.STEEL 4.FIBERGLASS IO.RIOIDPLASTIC 90.NONE 99.OTHER(Specify) 64el 6k1 VENT SECONDARY CONTAINMENT 1.STEEL ❑ 4.FIBERGLASS I0.RIGID PLASTIC 90.NONE ❑ 99.OTHFR(Specify) 461f 4612 VR PRIMARY CONTAINMENT 1.STEEL El 4.FB3ERGLASS 0 10.RIGID PLASTIC 90.NONE 99.OTHER(Specify) 464s 464 1 VR SECONDARY CONTAINMIBNT I.STEEL 4.FIBERGLASS 10.RIGID PLASTICR 90.NONE El 99.OTHER(Specify) 461h 461h1 VENT PIPING TRANSITION SUMP TYPE I.SINGLE WALL ❑ 2.DOUBLE WALL ® 90.NONE 4ML RISER PRIMARY CONTAINMENT U 1.STEEL U 4.FIBERGLASS 10,RIOID PLASTIC ® 90.NONE 99.OTHER(Specify) 16j4 I RISER SECONDARY CONTAINMENT 01.STEEL 4.FIBERGLASS 0 10.RIGID PLASTIC 0 J-3-.NONE--099.OTHRR(Specify) /65k 461k1 FILL COMPONENTS INSTALLED 1.SPILL BUCKET 3.STRYKER PLATFIBOTTOM PROTECTOR 4.CONTAINMENT SI1MP 451as VII.UNDER DISPENSER CONTAINMENT(UDC) CONSTRUCTION TYPE ❑ 1.SINGLE WALL ❑ 2.DOUBLE WALL ❑ 3.NO DISPENSERS ® 90.NONB 469' CONSTRUCTION MATERIAL ❑ 1.STEEL ❑ 4.FIBERGLASS ❑ 10.RIGIDPLASTIC ❑ 99.OTHER S i 469b0 VIII. CORROSION PROTECTION STEEL COMPONENT PROTECTION ❑ 2.SACRrFICIALANODE(S) ❑ 4.IMPRESSED CURRENT 4 6.1So1.A nON fir' IX. APPLICANT SIGNATURE _. CERTIFICATION: I certify that this UST system is compatible with the Inuardous substance stored and that the informa(iou proridui herein ie frac, .curate, and In full Iia w 1 ai re uirements. APPLICANT SIGNATURE / DATE 12/8/2011 �,;.,x',11 °10 2011 APPLICANT NAME(print) Ron Crookham 411' APPLICANT TITLE Plant Manager an. " JiP,ONN7ENTAL- , UPCF UST-D-12 ALTH DEPARTbrev.'(122007)