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r FIED PROGRAM CONSOLIDATED FOtmW UNDERGROUND STORAGE TANK OPERATING PERMIT APPLICATION - TANK INFORMATION (one form per UST) TYPE OF ACTION (Check one item only. For a UST closure or removal,complete only this section and Sections I,A III,IV,and IX below) 430. ❑ 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: 430, 1 DATE EXISTING UST DISCOVERED: - 43% I. FACILITY INFORMATION FACILITY ID a(,agency Um only) 1 1 1 -1010101-131710171 BUSINESS NAME(Same as Faciliry Name or DBA-Doing Business As) AHMED'S SONS INCORPORATED BUSINESS SITE ADDRESS 103- CITY 1W. 1257 WEST YOSEMITE AVENUE MANTECA II. TANK DESCRIPTION TANK]DO 432. TANK MANUFACTURER 433_ TANK CONFIGURATION:THIS TANK IS 434- OWENS CORNING 0 1.A STAND-ALONE TANK C4 Iaea��rr«mb ❑ 2.ONE IN A COMPARTMENTED UNIT -wrt unb. DATE UST SYSTEM INSTALLED 435 TANK CAPACITY IN GALLONS 436. NUMBER OF COMPARTMENTS IN THE UNIT 437 7/1991 12,000 1 III. TANK USE AND CONTENTS TANK USE 0 la.MOTOR VEHICLE FUELING ❑ lb.MARINA FUELING - ❑ It.AVIATION FUELING 439 ❑ 3.CHEMICAL PRODUCT STORAGE ❑ 4.HAZARDOUS WASTE(m Id.U,400) ❑ 5.EMERGENCY GENERATOR FUEL[HSC§25281 5(c)] ❑ 6.OTHER GENERATOR FUEL 0 95.UNKNOWN ❑ 99.OTHER(Specify): 439x. CONTENTS PETROLEUM: 0 la REGULAR UNLEADED ❑ Ic.MIDGRADE UNLEADED ❑ Ib.PREMIUM UhL.EADED 440 0 3.DIESEL 0 5.JET FUEL 0 6.AVIATION GAS ❑ 8.PETROLEUM BLEND FUEL 0 9.OTHER PETROLEUM(Specify): 440x. NON-PETROLEUM:❑ 7.USED OB. ❑ 10.ETHANOL 0 11.OTHER NON-PETROLEUM(Specify): 4406. IV. TANK CONSTRUCTION TYPE OF TANK ❑ 1.SINGLE WALL 0 2.DOUBLE WALL _[1 95.UNKNOWN 443. PRIMARY CONTAINMENT ❑ 1.STEEL ❑ 3.FIBERGLASS ❑ 6.INTERNAL BLADDER 444. ❑ 7.STEEL,INTERNAL LINING ❑ 95.UNKNOWN 0 99.OTHER(Specify),FRP a44a. SECONDARY CONTAINMENT ❑ 1.STEEL [:13.FIBERGLASS ❑ 6.EXTERIOR MEMBRANE LINER ❑ 7.JACKETED 445_ ❑ 90.NONE ❑ 95.UNKNOWN 0 99.OTHER(Specify): FRP 445e. OVERFILL PREVENTION ❑ I.AUDIBLE&VISUAL ALARMS ❑ 2 BALL FLOAT ® 3.FILL TUBE SHUT-OFF VALVE 452_ I ❑ 4.TANK MEETS REQUIREMENTS FOR EXEMPTION FROM OVER FI LL PREVENTIONEQUIPMENT V. PRODUCT/WASTE PIPING CONSTRUCTION PIPING CONSTRUCTION ❑ 1.SINGLE WALL 0 2.DOUBLE WALL El 99.OTHER _ _ 469. SYSTEM TYPE 0 L PRESSURE 0 2.GRAVITY 0 3.COFIVENTIONAL SUCTION 0 4.SAFE SUCTION 123 CCR W36(e)(3)1 458. PRIMARY CONTAINMENT 0 L STEEL ❑ 4.FIBERGLASS 0 8.FLEXIBLE ❑ to.RIGID PLASTIC 464_ -SECOND ❑ 90.NONE 0 95.UNKNOWN 0 99,OTHER FRP . . ..... ........-....-..-.......-...___.._ SECONDARY CONTAINMENT ❑ 1.STEEL ❑ 4.FIBERGLASS ❑ S.FLEXIBLE ❑ lo.RIGID PLASTIC 0 90.NONE 0 95.UNKNOWN 0 99.OTHER(Specify): FRP 464c. PIPINGfFURBINE CONTAINMENT SUMP TYPE ❑ 1.SINGLE WALL 0 2.DOUBLE WALL 0 90.NONE 46x4_ VI. VENT,VAPOR RECOVERY (VR)AND RISER/FILL PIPE PIPING CONSTRUCTION VENT PRIMARY CONTAINMENT 0 1.STEEL ® 4.FIBERGLASS ❑ 10.RIGID PLASTIC 0 90.NONE 0 99'OTHER(Specify): 46 ei_ [3VENT SECONDARY CONTAINMENT L STEEL 0 4.FIBERGLASS ❑ 10.RIGID PLASTIC 0 90.NONE 0 99.OTHER(Specify): 4�9at1 -.........................................._...._._........_......--_ -.__....._..................__....._......_......____ - _._ .. ... VR PRIMARY CONTAINMENT 0 L STEEL 0 4.FIBERGLASS ❑ 10.RIGID PLASTIC ❑ 90.NONE 0 99.OTHER(Specify): .ate 1 VR SECONDARY CONTAINMENT ❑ L STEEL 0 4.FIBERGLASS 0 10.RIGID PLASTIC 0 90.NONE 0 99.OTHER(Specify): a�h l. VENT PIPING TRANSITION SUMP TYPE ❑ I.SINGLE WALL ❑ 2.DOUBLE WALL 0 90.NONE RISER PRIMARY CONTAINMENT 0 L STEEL 0 4.FIBERGLASS ❑ 10.RIGID PLASTIC 0 90.NONE 0 99.OTHER(Specify): RISER SECONDARY CONTAINMENT 0 L STEEL 0 4.FIBERGLASS ❑ 10.RIGID PLASTIC 0 90.NONE ❑ 99.OTHER(Specify): FILL COMPONENTS INSTALLED 0 I.SPILL BUCKET ® 3.STRIKER PLATEBOTTOM PROTECTOR 0 4 CONTAINMENT SUMP 451.. VII. UNDER DISPENSER CONTAINMENT(UDC) _CONSTRUCTION TYPE 0 1.SINGLE WALL_ _ 0 2.DOUBLE WALL ❑ 3.NO DISPENSERS 13 90.NONC^0[ a69a CONSTRUCTION MATERIAL 0 L STEEL ❑ 4.FIBERGLASS 0 10.RIGID PLASTIC ❑ 99.OTHER(Specify) C"+:;� ' VIII. CORROSION PROTECTION STEEL COMPONENT PROTECTION 0 2.SACRIFICIAL ANODE(S) 0 4.IMPRESSED CURRENT ❑ 6.ISOLATION 448. IX. APPLICANT SIGNATURE CERTIFICATION: I certify that this UST system is compatible with the h=rdous substance stored and that the information provided k;E!5 is true, accurate,and in full compliance with legal reguirements. APPLICANT SIGNATURE DATE - tti 470. APPLICANT NAME(Print) NADEEM ARMED 971. APPLICANT TITLE MANAGER `. ""F 47 . UPCF UST-B Rev.(12/2007)-1/2 www.unidocs.org