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`/IFIED PROGRAM CONSOLIDATED FOIA/ UNDERGROUNDSTORAGETANK 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 1,Il,Ol,!V,and LY 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: 4301- DATE EXISTING UST DISCOVERED: 43% I. FACILITY INFORMATION FACILITY ID p(Agency Use Only] - 0 0 0 - 3 7 0 7 BUSINESS NAME(Same as FaciliO A'ame or DBA-Doing Business As) AHMED'S SONS INCORPORATED " BUSINESS SITE ADDRESS 103. CITY 104 1257 WEST YOSEMITE AVENUE MANTECA H. TANK DESCRIPTION 4 TANK ID H 432. TANK MANUFACTURER 433. TANK CONFIGURATION:THIS TANK IS 434 OWENS CORNING ® 1.A STAND-ALONE TANK one page for Bch 2.ONE INA COMPARTMENTED UNIT mmurt.i.,he..i, 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 ® is,MOTOR VEHICLE FUELING ❑ Ib.MARINA FUELING ❑ Ic.AVIATION FUELING 439_ ❑ 3.CHEMICAL PRODUCT STORAGE ❑ 4-HAZARDOUS WASTE(includes USN Oil) ❑ 5.EMERGENCY GENERATOR FUEL[HSC§25281s(c)] ❑ 6.OTHER GENERATOR FUEL ❑ 95.UNKNOWN ❑ 99.OTHER(Specify): 43% _CONTENTS PETROLEUM: ❑ Ia.REGULAR UNLEADED _ ❑ lc MIDGRADE UNLEADED ❑ Ib.PREMIUM UNLEADED 440_ ® 3.DIESEL ❑ 5.JET FUEL ❑ 6.AVIATION GAS ❑ 9.PETROLEUM BLEND FUEL ❑ 9.OTHER PETROLEUM(Specify): 440 NON-PETROLEUM:❑ 7.USED OIL ❑ 10.ETHANOL ❑ 11-OTHER NON-PETROLEUM(S ify): 4406. IV TANK CONSTRUCTION TYPE OF TANK ❑ 1 SINGLE WALL ® 7 DOABLE WALL ❑ 95.UNKNOWN 443_ _._ PRIMARY CONTAINMENT ❑ 1 STEEL ❑ 3 FIBERGLASS ❑ 6.INTERNAL BLADDER 444- ❑ 7 STEEL INTERNAL LINING ❑ 95.UNKNOWN ® 99.OTHER(Specify):FRP 444a SECONDARY CONTAINMENT ❑ LST hF,L. ❑3.FIBERGLASS ❑ 6.EXTERIOR MEMBRANE LINER ❑ 7.JACKETED 445 ❑ 90.NONE ❑ 95.UNKNOWN ®99.OTHER(Specify): FRP 445.. 4 OVERFILL PREVENTION- ❑ 1.AUDIBLE&VISUAL ALARMS ❑ 2.BALL FLOAT ® 3.FILL TUBE SHUT-OFF VALVE 452 ❑ 4.TANK MEETS REQUIREMENTS FOR EXEMPTION FROM OVERFILL PREVENTION EQUIPMENT V. PRODUCT I WASTE PIPING CONSTRUCTION PIPING CONSTRUCTION ❑ 1.SINGLE WALL ® 2.DOUBLE WALL ❑ 99.OTHER 460. SYSTEM TYPE ® 7.PRESSURE ❑ 2.GRAVITY ❑ 3.CONVENTIONAL SUCTION. ❑ 4.SAFE SUCTION[23 CCR§2636(1)(3)) 458. PRIMARY CONTAINMENT ❑ I.STEEL ❑ 4.FIBERGLASS ❑ a.FLEXIBLE ❑ 10.RIGIDTLASTIC 460- ❑ 90.NONE ❑ 95UNKNOWN ® 99.OTHER(Specify): FRP 464a. SECONDARY CONTAINMENT ❑ I.STEEL ❑ 4.FBERGLASS ❑ 8.FLEXIBLE ❑ 10.RIGID PLASTIC 464b. ❑ 90.NONE ❑ 95.UNKNOWN ® 99.OTHER(Specify): FRP PIPING(TURBINE CONTAINMENT SUMP TYPE ❑ t SINGLE WALL ❑ 2.DOUBLE WALL ❑ 90.NONE °W VI. VENT,VAPOR RECOVERY(VR)AND RISER/FILL PIPE PIPING CONSTRUCTION VENT PRIMARY CONTAINMENT ❑ 1.STEEL ® 4.FIBERGLASS ❑ 10.RIGID PLASTIC [390.NONE ® 99.OTHER(Specify): 4=1e; VENT SECONDARY CONTAINMENT ❑ 1.STEEL ® 4.FIBERGLASS ❑ 10.RIGID PLASTIC ❑ 90.NONE ® 99:OTHER(Specify): 46an. VR PRIMARY CONTAINMENT ❑ 1.STEEL ® 4.FIBERGLASS ❑ 10.RIGID PLASTIC ❑ 90.NONE ® 99.OTHER(Specify): 4i54&I VR SECONDARY CONTAINMENT ❑ 1 STEEL ® 4 FIBERGLASS ❑ 10 RIGID PLASTIC ❑ 90.NONE 11 99,OTHER(Specify): g6'M°ghh_ ....._ ........_. ..._ ...___ __.._ ___- ........ ..._ _- d6af. VENT PIPING TRANSITION SUMP TYPE ❑ I SINGLE WALL ❑ 2.DOUBLE WALL ® 90.NONE RISER PRIMARY CONTAINMENT ® L STEEL [1 4.FIBERGLASS ❑ 10.RIGID PLASTIC ❑ 90 NONE ❑ 99.OTHER(Specify): RISER SECONDARY CONTAINMENT ❑ L STEEL ❑ 4.FIBERGLASS ❑ 10.RIGID PLASTIC ❑ 90.NONE ❑ 99.OTHER(Specify): q�j -...._......................................................... ____- _..._...._ FILL COMPONENTS INSTALLED ® 1.SPILL BUCKET ® 3.STRIKER PLATE/BOTTOM PROTECTOR ® 4.CONTAINMENT SUMP 451.,. VII. UNDER DISPENSER CONTAINMENT (UDC) CONSTRUCTION TYPE ® I.SINGLE WALL ❑ 2.DOUBLE WALL ❑ 3.NO DISPENSERS ❑ 90.NONE 469a. CONSTRUCTION MATERIAL ❑ I.STEEL ❑ 4.FIBERGLASS ® 10.RIGID PLASTIC ❑ 99.OTHER(Specify) ; VIII. CORROSION PROTECTION STEEL COMPONENT PROTECTION ❑ 2.SACRIFICIAL ANODE(S) ❑ 4.IMPRESSED CURRENT ❑ 6.ISOLATION i,8. IX. APPLICANT SIGNATURE CERTIFICATION: I certify that this UST system is compatible with the hazardous substance stored and that the information provided herein is true, accurate,and in full compliance with legal requirements. APPLICANT SIGNATURE DATE 470- APPLICANTNAME(print) NADEEMAHMED nL APPLICANT TITLE MANAGER `'- "2 UPCF UST-B Rev.(122007)-1/2 www.unidm s.org