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09/25/2009 13:13 2094749151 HAMMER I5 ARCO PAGE 05/16 <br /> • C C <br /> UND'WD PROGRAM CONSOLIDATED FORM VU I (� � <br /> UNDERGROUND STORAGE TANK <br /> OPERATING PERMIT APPLICATION-TANK INFORMATION (Orlie£orim per UST) <br /> TYPI;OF ACTION (Check one item only. For a USI'closure or removal,complete only this section and Sections 411,,1,U,IV,and,lX below) 430. <br /> ❑ I.NEW PERMIT E) 3.RENEWAL PERMT ® 5.CHANCE OF INFORMATION <br /> ❑ 6.TEMPORARY UST CLOSURE 0 7.UST PERMANENT CLOSURE ON SITE 8.UST REMOVAL <br /> DATE UST PERMANENTLY CLOSED: 430% I DATE EXISTING LIST DISCOVERED: <br /> i <br /> FACILITY ID#(Agency Use Only) f <br /> 13U SINESS NAME amne as Factl tty Name or DBA-Doing Bwil As) 3 <br /> Hammer/1-5 ,A,uco <br /> BUSINESS SITE ADDRESS 103• CTTy 104, <br /> 3250 W.Hammer Lane Stockton <br /> Ila 1 <br /> TAMC]D 4az TAMC I�fANUF t#CTUYtER 4R3. TANK CONFIGURATION:THIS TANK IS a3a. <br /> f Z 2 ® 1.A STAND-ALONE TANK Complete ane page for each <br /> z Owens Corning ❑ 2.ONE IN A COMPARTMENTED UNIT compartment in«Lma <br /> DATE UST SYSTEM INSTALLED 43S. TANK CAPACITY IN GALLONS 436. NUMBER OF COMPARTMENTS IN TEE E UNIT 437. <br /> 1985 12 000 11 1 1 <br /> IBM TAUSE 0 1e.MOTOR VMCLE FUELING ❑ ib.MARINA FUELING L1 e AVIATION FUELING 439. <br /> N <br /> ❑ 3.CHEMICAL PRODUCT STORAGE ❑ 4.RAZARDOUS WASTE(Intlude6 Veed Oil) ❑ 5.EMERGENCY GENERATOR FUEL ll j=mx.5(c)] <br /> _❑ 6.OTHER GENERATOR rTJEL 0 95.UNKNOWN _ ❑ 99.OTHER 4394• <br /> CONTENTS PETROLEUM: ® la REGULAR UNLEADED ❑ le.MWGRADE UNLEADED ❑ 1b.PREMIUM UNLEADED d4Q <br /> ❑ 3.DIESEL ❑ 3.JET ruL p 6.AVIATION GAS <br /> ❑ S.PETROLEUM BLM FUEL ❑ 9.OT93R PE ROLEsUM(SPS'y_ 44Qg <br /> NON-PETROl CC!*.USED OIL L1 10.ETHANOL, <br /> D I I.OTHER NON-PETROLEUMS d40b' <br /> TYPE OF TANK _❑ 1.SINGLE WALL ® 2.DOUBLE WALL ❑ 95.UNKNOWN_ "3• <br /> PRIM.A.RY C57MANMENT ❑ 1.STEEL ® 3.FIBERGLASS ❑ 6.INTERNAL BL.AP•DER 444. <br /> 0 7.SSISEL-L INTERNAL LINING ❑ 95.UNKNOWN �p 99,OTM(S ty): 060a <br /> SECONDARY CONTAINMEN1 CI1,STEEL 0 3,FEUEROLM)ASS ❑ 6.EXTERIOR 1vMRANE LINER ❑ 7.JACKETE D eas. <br /> w❑ 90.NONE ❑-95.UNKNOWN Cl 99.MUM(Specify): 445L <br /> OVERFILL PREVENTION CI 1.AUDIBLE et VISUAL A.L,#"S ❑ 2.BALL FLOAT ® 3.FILL TUBE SHUT-OFF VALVE 452. <br /> ❑ 4.TANK MRF.TS RECIUMENIENTS FOR EXEMPTION):ICOM OVERFILL PREVENTION E UIPMENT <br /> , <br /> PIPING CONSTRUCTION _❑ 1.SINGU WALL ® 2.DOUBLE WALL ❑ 99.OTHER 460. <br /> SYSTEM TYPE ® I,PR85SLTA?E___._0 2.GRAVIIX [33.CONVENTIONAL SUCT]ON 0 453. <br /> FRIMARY CONTAINMENT [11.STEEL 4.FIBERGLASS w ❑ S.FLEMBLE ❑ 10.RIGID PLASTIC 464 <br /> ❑ 90.NONE _❑ 95.UNKNOWN _❑ 99,OTHER(Specify): 4G1 <br /> SECONDARY CONTATNMENT O 1.STEEL 19 4.FIBERGLASS ❑ 8,1f zxla B ❑ 10.RIGID PLASTIC 464b. <br /> ❑ 90.NONE ❑ 95.UNKNOWN ❑ 99.OTHER(Specify): 464a _ <br /> PTINO/TURSINE CONTAINMIR417 SUMP TYPE I.sR*1LE WALL 0 2.DOUBLE WALL ❑ 90.NONE 464d, <br /> VENT PRIMARY CONTAINMENT ❑ 1.STEEL 0 4.FIBERGLASS ❑ 10.RIGID MASTIC ❑ 90.NONE ❑ 99.OTHER(Specify): �° 44W6eN' <br /> VENT SECONDARY CONTAINMENT ❑ I.STEEL ❑ 4.FIBERGLASS _ 0 10,RIGID PLASTIC ® 90.NONE ❑ 99.OTHER(Specify): 404fl. <br /> VR PRIMARY CONTAINMENT 0 1.STEEL ❑ 4.FIBERGLASS_❑ 10.RIGID PLASTIC W ❑ 90.NONE ❑ 99.Ult-&K(Specify): <br /> VR SECCINTJAIv'_Y CONTAINMENT 0 1.STEEL ❑ 4,FIBERGLASS 1 <br /> _❑ 0.RIGID PLASTIC Ca 9P,NONE ❑ 99.OTHER(specify): ' <br /> _ _ '� aa4n1. <br /> VENT PIPING TRANSITION SUMP TYPE p 1.SINGLE WALL ❑ 2.DOUBLE WALL !S1 90.NONE T^~--TV464i. <br /> RISER PRNARY CONTAINMENT 19 1.STEEL, d 4.FD9 W(;FMS 0_10.RIGID PLASTIC © 90.NONE ❑ 99,07M(Specify): 46•{ <br /> RISER SECONDARY CONTAINMENT ❑ 1.STEEL ❑ 4.FIBERGLASS ❑ 10.RIGID PLASTIC 0 90.NONE ❑ 99-OTHER(Specify): 4641rt. <br /> PILL CONWONENTS INSTALLED IM 1.SPILL BUCKET ® 3.STRWJ R I'L+TEBOTTOM PROTECTOR 0 a.CONTADNN0ENT <br /> i � <br /> CONSTRUCTION TYPE ® 1.SINGLE WALL ❑ 2.DOUBLE WALL C] 3.NO DISPENSERS C] 90.NO 46va <br /> CONSTRUCTION MATERIAL ❑ 1.STEEL M 4.FIBERGLASS ❑ 10.RIGID PLASTIC 1399.OTHM(Specie) 469b <br /> , <br /> ;CrRT:MCA'n0N- <br /> PONENT PROTECTION ❑ 2.SA==L4L"OD ❑ A.TMMESSED ISOLATION aas. <br /> I CalW that this UST Il lite is compatible with the barardous substance scored a�ad that the information provided herds is true, <br /> accurate a bt 1 coma lis a with legal requirevi <br /> APPLICANT SIGNATIJRF ti DATE 9/21/2009 470. <br /> "42APPLICANT NAME(print) We y Parki mon 471 APPLICANT TITLE Owner 472. <br /> 1UPCF UST-B Rev.(MO07)-W www.utddocs.org <br />