COMPLIANCE INFO_2010-2013 - Laserfiche WebLink

Home Browse Search

1 IED PROGRAM CONSOLIDATED FOgey- UQ 0 UNDERGROUND STORAGE TANK Oil B I [✓ OPERATING PERMIT APPLICATION - TANK INFORMATION (One form per U T) TYPE OF ACTION (Check one item only. For an UST permanent closure or removal, complete only this section and Sections I, 11, 111, 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: 43oa 1 DATE EXISTING UST DISCOVERED: 430b sc L:�FACIIITYINFORMATION��M .. , .., FACILITY ID # (Agency Use Only) I-!,- >'11 BUSINESS NAME (Same as FACILITY NAME or DBA -Doing Business As) 3 Stockton Gas BUSINESS SITE ADDRESS 103 CITY 104 322 South Center Street Stockton II.°TANK DESCRIPTION 3 t h (t TANK ID # 432 TANK MANUFACTURER 433 TANK CONFIGURATION: THIS TANK IS 434 1-Regular0 1. A STAND-ALONE TANK Yen"Ies [12. ONE IN A COMPARTMENTED UNIT. Complete one page for each com anment in the unit. DATE UST SYSTEM INSTALLED 435 TANK CAPACITY IN GALLONS 436 NUMBER OF COMPARTMENTS IN THE UNIT 437 G1 2 00o 19,703 h s u try . x.,.? 1§x" III: TANK'USE AND CONTENTS ' " ,k `"y*n,$r , - ii . 1?s f 5 TANK USE ® la. MOTOR VEHICLE FUELING ❑ ib. MARINA FUELING ❑ lc. AVIATION FUELING 439 ❑ 3. CHEMICAL PRODUCT STORAGE ❑ 4. HAZARDOUS WASTE (Includes Used Oil) ❑ 5. EMERGENCY GENERATOR FUEL [HSC §25281.5(c)] ❑ 6. OTHER GENERATOR FUEL ❑ 95. UNKNOWN ❑ 99. OTHER (Specify): 439a CONTENTS PETROLEUM: ® la. REGULAR UNLEADED ❑ 1c. MIDGRADE UNLEADED ❑ Ib. PREMIUM UNLEADED 440 ❑ 3. DIESEL ❑ 5. JET FUEL ❑ 6. AVIATION GAS ❑ 8. PETROLEUM BLEND FUEL ❑ 9. OTHER PETROLEUM (Specify): 440a NON -PETROLEUM: ❑ 7. USED OIL ❑ 10. ETHANOL ❑ 11. OTHER NON -PETROLEUM (Specify): 44ob 'K' 9 STV K CONSTRUCTION....' TYPE OF TANK ❑ 1. SINGLE WALL ® 2. DOUBLE WALL ❑ 95. UNKNOWN 443 PRIMARY CONTAINMENT ❑ 1. STEEL ® 3. FIBERGLASS ❑ 6. INTERNAL BLADDER 444 ❑ 7. STEEL + INTERNAL LINING ❑ 95. UNKNOWN ❑ 99. OTHER (Specify): 444a SECONDARY CONTAINMENT ❑ L STEEL ® 3. FIBERGLASS ❑ 6. EXTERIOR MEMBRANE LINER ❑ 7. JACKETED 445 ❑ 90. NONE ❑ 95. UNKNOWN ❑ 99. OTHER (Specify): 445a 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 "; n , nr°" ' `PRODUCT (WAStk_' 0II!�G,CONSTRUCTION wy , V PIPING CONSTRUCTION ❑ 1. SINGLE -WALLED ® 2. DOUBLE -WALLED ❑ 99. OTHER 460 SYSTEM TYPE ® 1. PRESSURE ❑ 2. GRAVITY ❑ 3. CONVENTIONAL SUCTION ❑ 4. SAFE SUCTION [23 CCR §2636(a)(3)] 458 PRIMARY CONTAINMENT ❑ 1. STEEL ® 4. FIBERGLASS ❑ 8. FLEXIBLE ❑ 10. RIGID PLASTIC 464 ❑ 90. NONE ❑ 95. UNKNOWN ❑ 99. OTHER(Specify): 464a SECONDARY CONTAINMENT ❑ 1. STEEL ® 4. FIBERGLASS ❑ 8. FLEXIBLE ❑ 10. RIGID PLASTIC 464b ❑ 90. NONE ❑ 95. UNKNOWN ❑ 99. OTHER (Specify): 4640 PIPING/TURBINE CONTAINMENT SUMP TYPE ® 1. SINGLE WALL ❑ 2. DOUBLE WALL ❑ 90. NONE 464d TENT yAP,OI RRECOVERY''(VR) `AND RISER/ F]tt'PIPE PIPING CONSTRUC' ION . ` � ` , .: °: .; . 46 VENT PRIMARY CONTAINMENT ❑ L STEEL N 4. FIBERGLASS ❑ 10. RIGID PLASTIC ❑ 90. NONE ❑ 99. OTHER (Specify) 4664e14el VENT SECONDARY CONTAWMENT ❑ L STEEL ® 4. FIBERGLASS ❑ 10. RIGID PLASTIC ❑ 90. NONE ❑ 99. OTHER (Specify) 464f 464f) VR PRIMARY CONTAINMENT ❑ L STEEL ® 4. FIBERGLASS ❑ 10. RIGID PLASTIC ❑ 90. NONE ❑ 99. OTHER (Specify) 4648 4640 VR SECONDARY CONTAINMENT ❑ L STEEL ® 4. FIBERGLASS ❑ 10. RIGID PLASTIC ❑ 90. NONE ❑ 99. OTHER (Specify) 464h 464h1 VENT PIPING TRANSITION SUMP TYPE ® 1. SINGLE WALL ❑ 2. DOUBLE WALL ❑ 90. NONE 464'. RISER PRIMARY CONTAINMENT ® L STEEL ❑ 4. FIBERGLASS ❑ 10. RIGID PLASTIC ❑ 90. NONE ❑ 99. OTHER (Specify) 4641 464' 1 RISER SECONDARY CONCABRAENT ❑ L STEEL ® 4. FIBERGLASS ❑ 10. RIGID PLASTIC ❑ 90. NONE ❑ 99. OTHER (Specify) 464k 464k1 FILL COMPONENTS INSTALLED ® 1. SPILL BUCKET ® 3. STRIKER PLATE/BOTTOM PROTECTOR ® 4. CONTAINMENT SUMP 45la-c "UNDER DISPENSERCONTAINMENT-(UDC)t CONSTRUCTION TYPE ® 1. SINGLE WALL ❑ 2. DOUBLE WALL ❑ 3. NO DISPENSERS ❑ 90. NONE 469a CONSTRUCTION MATERIAL ❑ I. STEEL ® 4. FIBERGLASS ❑ 10. RIGID PLASTIC ❑ 99.0 R (Specify) 469b c �'r•a�s�:��'.''��r# �;��?��iw�,;��~�a��yIII:FCORROSION.PROTECTION��i��i,,ref � �� s,fi ��,�;�,; STEECOMPONENT PROTECTION ❑ 2. SACRIFICIAL ANODES) ❑ 4. IMPRESSED CURRENT ®6. ISOLATION 448. L CERTIFICATION: I certify that this UST system is compatible with the hazardous substance stored and that the information provided herein is true, accurate, and is full compliance with legal requirements. , APPLICAN GNATU Ii tva�T DATE: 2/28/2011 470. APPLICANT NAME (print) 471. APPLICANT TITLE 472. Amar it Rai Secretary UPCF UST -B - 1/2 Rev. (12/2007)