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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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PR0231948
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BILLING_PRE 2019
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Last modified
1/18/2022 3:44:53 PM
Creation date
4/29/2019 11:24:41 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
BILLING
FileName_PostFix
PRE 2019
RECORD_ID
PR0231948
PE
2361
FACILITY_ID
FA0003855
FACILITY_NAME
TESORO (SHELL) 68153
STREET_NUMBER
2448
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
05814001
CURRENT_STATUS
01
SITE_LOCATION
2448 W KETTLEMAN LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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KBlackwell
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EHD - Public
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Vo <br /> U ED PROGRAM CONSOLIDATED FORrW <br /> UNDERGROUND STORAGE TANK APR 1_ 4 2011 <br /> OPERATING PERMIT APPLICATION -TANK INFORMAT �9a form.per usT) <br /> ITYPEOFACTION (Check one item only. For a UST closure or removal.complete only this section and Sections L 11,111,IV.and 1X be rir, ;�;, iVTAL 430 �l <br /> ❑ I.NEW PERMIT ❑ 3.RENEWAL PERMIT ® 5.CHANGE OF INFQR4IQj�_p, <br /> ❑ 6.TEMPORARY UST CLOSURE ❑ 7.UST PERMANENT CLOSURE ON SITE ❑ 8.UST REMOVAL <br /> DATE UST PERMANENTLY CLOSED: 430. 1 DATE EXISTING UST DISCOVERED: 4306 <br /> I. FACILITY INFORMATION <br /> FACILITY ID#(Agency Use Only) <br /> BUSINESS NAME(Same as Facility;Vane or DBA-Doing Business.-Is) ; <br /> Tesoro/Shell 68153 <br /> BUSINESS SITE ADDRESS 103 CITY 104 <br /> 2448 W. Kettleman Lane Lodi <br /> II. TANK DESCRIPTION <br /> TANK ID# {G[ 432 TANK MANUFACTURER •173 TANK CONFIGURATION:THIS TANK IS 434 <br /> ' <br /> - A U 1 1 I�clb ® 1.A STAND-ALONE TANK Complete one <br /> Owens Coming D page for each <br /> 71!� $ ❑ 2.ONE INA COMPARTMENTED UNIT compartment in the unit <br /> DATE UST SYSTEM INSTALLED 435 TANK CAPACITY IN GALLONS 436 NUMBER OF COMPARTMENTS IN THE UNIT 437 <br /> 1989 10,000 1 <br /> III. TANK USE AND CONTENTS <br /> TANK USE ® la.MOTOR VEHICLE FUELING ❑ Ib.MARINA FUELING ❑ Ic.AVIATION FUELING 439 <br /> ❑ 3.CHEMICAL PRODUCT STORAGE ❑ 4.HAZARDOUS WASTE(Includes Used Oil) ❑ 5.EMERGENCY GENERATOR FUEL[HSC§25281 5(e)] <br /> __ ❑ 6.OTHER GENERATOR FUEL ❑ 95.UNKNOWN if 439a <br /> CONTENTS PETROLEUM: ❑ Ia.REGULAR UNLEADED ❑ la MIDGRADE UNLEADED ® Ib.PREMIUM UNLE 440 <br /> ❑ 3.DIESEL ❑ 5.JET FUEL <br /> _ ❑ 8.PETROLEUM BLEND FUEL [19._OTHER PETROLEUM(Specify): 440a. <br /> NON-PETROLEUM:C37 USED OIL_ J ❑ 10.ETHANOL i - <br /> ❑ 11,OTHER NON-PETROLEUM(Specify): 440b <br /> IV. TANK CONSTRUCTION <br /> TYPE OF TANK _ _❑ 1.SINGLE_WALL_ ® 2.DOUBLE WALL ❑ 95.UNKNOWN 443 <br /> PRIMARY CONTAINMENT ❑ 1.STEEL ® 3.FIBERGLASS ❑ 6.INTERNAL BLADDER 444 <br /> ❑ 7.STEEL+INTERNAL LINING _ ❑ 95.UNKNOWN ❑ 99.OTHER(Speci)y): 444a <br /> SECONDARY CONTAINMENT ❑ 1.STEEL ®3.FIBERGLASS ❑ 6.EXTERIOR MEMBRANE LINER ® 7.JACKETED _445 <br /> _ ❑ 90.NONE ❑ 95.UNKNOWN ❑99.OTHER(Specify): 445a <br /> OVERFILL PREVENTION ❑ 1.AUDIBLE&VISUAL ALARMS ❑ 2.BALL FLOAT ® 3.FILL TUBE SHUT-OFF VALVE 452 <br /> ❑ 4.TANK MEETS REQUIREMENTS FOR EXEMPTION FROM OVERFILL PREVENTION EQUIPMENT <br /> V. PRODUCT/WASTE PIPING CONSTRUCTION <br /> PIPING CONSTRUCTION ❑ I.SINGLE WALL 181 2.DOUBLE WALL ❑ 99.OTHER 460 <br /> SYSTEM TYPE I.PRESSURE _ ❑ 2_GRAVITY _ ❑ 3.CONVENTIONAL SUCTION ❑ 4 SAFE SUCTION 123 CCR§2636(x)(3)1 _ 458 <br /> PRIMARY CONTAINMENT ❑ I.STEEL ® 4.FIBERGLASS ❑ 8.FLEXIBLE ❑ 10.RIGID PLASTIC 464 <br /> ❑ 90.NONE_ [3 95.UNKNOWN ❑ 99.OTHER(Specify): 46_a <br /> SECONDARY CONTAINMENT ❑ I.STEEL ® 4.FIBERGLASS ❑ S.FLEXIBLE ❑ 10.RIGID PLASTIC i x646 <br /> _ ❑ 90.NONE ❑ 95.UNKNOWN ❑ 99.OTHER(Specify): 464c. <br /> PIPING/TURBINE CONTAINMENT SUMP TYPE 19 I.SINGLE WALL ❑ 2.DOUBLE WALL ❑ 9o.NONE 4644 <br /> VI. VENT,VAPOR RECOVERY (VR)AND RISER/FILL PIPE PIPING CONSTRUCTION <br /> VENT PRIMARY CONTAINMENT ❑ 1.STEEL ® 4 FIBERGLASS ❑ 10.RIGID PLASTIC ❑ 90.NONE ❑ 99.OTHER(Specify): 4464j <br /> VENT SECONDARY CONTAINMENT ❑ L STEEL ❑ 4.FIBERGLASS ❑ 10.RIGID PLASTIC ® 9o.NONE ❑ 99.OTHER(Specify): 464n <br /> VR PRIMARY CONTAINMENT [3 L STEEL ® 4.FIBERGLASS [310.RIGID PLASTIC ❑ 90.NONE ❑ 99.OTHER(Specify): dog' <br /> -- 4h4R1 <br /> VR SECONDARY CONTAINMENT [3L STEEL [34-FIBERGLASS [110.RIGID PLASTIC 0 90.NONE ❑ 99.OTHER(Specify): 4601. <br /> VENT PIPING TRANSITION SUMP TYPE ❑ 1.SINGLE WALL [32.DOUBLE WALL ® 90.NONE - _ 4641 <br /> RISER PRIMARY CONTAINMENT ® 1.STEEL ❑ 4.FIBERGLASS ❑ 10.RIGID PLASTIC ❑ 90.NONE ❑ 99.OTHER(Specify): 4 <br /> RISER SECONDARY CONTAINMENT [31.STEEL [34.FIBERGLASS [3l0.RIGID PLASTIC ® 90.NONE 1399.OTHER(Specify): 464k <br /> FILL COMPONENTS INSTALLED ® 1.SPILL BUCKET ® 3.STRIKER PLATE/BOTTOM PROTECTOR v ® 4.CONTAINMENT SUMP 451a a <br /> VII. UNDER DISPENSER CONTAINMENT (UDC) <br /> CONSTRUCTION TYPE ® I.SINGLE WALL ❑ 2.DOUBLE WALL ❑ 3.NO DISPENSERS ❑ 90.NONE <br /> CONSTRUCTION MATERIAL ❑ 1 STEEL [34 FIBERGLASS [110.RIGID PLASTIC E399.OTHER(Specify) '(vc <br /> VIII. CORROSION PROTECTION '�Jr,. <br /> STEEL COMPONENT PROTECTION ❑ 2.SACRIFICIAL.ANODE(S) ❑ 4,IMPRESSED CURRENT ® 6.ISOLATION i48 <br /> IX. APPLICANT SIGNATURE <br /> CERTIFICATION: I certify that this UST system is compatible with the hazardous substance stored and that the information provided herein is true, <br /> accurate,and in full compliance with legal requirements. <br /> APPLICANT SIGNATURETj DATE 4/14/2011 470 <br /> APPLICANT NAME(print) Sandy E ardS 471 APPLICANT TITLE Environmental Compliance L=J i72 <br /> UPCF UST-8 Rev.(1212007)-112 www.unidocs.org <br />
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