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UNIFIED PROGRAM CONSOLIDATED FOR f) t UNDERGROUND STORAGE TANK I� s ? I 111 OPERATING PERMIT APPLICATION-TANK INFORMATION(one,form per USTI TYPE OF AMON (Check one item only. For an UST permanent closure or removal,complete only this section and Sections 1,I1,111,O( dX(heli, 1 , 1 ❑ I.NEW PERMIT ® 3.RENEWAL PERMIT ❑ 5.CHANGE OF INFORMATION ❑ 6.TEMPORARY UST CLOSURE 123X7.UST PERMANENT CLOSURE ON SITE [:1 UST REMOVAL - DATE UST PERMANENTLY CLOSED: "" I DATE EXISTING UST DISCOVER- PEA' 1. FACILITY INFORMATION FACILITY ID#(Agency Useonly) BUSINESS NAME(Same as FACILITY NAME.or DBA-Doing Business As) 1 Miles Trust Property. BUSINESS SITE ADDRESS In; 1940 South American Street 11TY Stockton,CA 95206 1Ad If.TANK DESCRIPTION TANK ID# 112 TANK MANUFACTURER 431 TANK CONFIGURATION I THISTANKIS 41+1 Unknown M LA STAND-ALONE TANK - ❑2.ONE INA COMPARTMENTED UNIT. Com NUMBER o C each mm TMENTS IN DATE UST SYSTEM INSTALLED 435 TANK CAPACITY M GALLONS 416 NUMBER OF COMPARTMENTS N THE UNIT 437 Unknown � 250-500 ONE III.TANK USE AND CONTENTS TANK USE la.MOTOR VEHICLE FUELING ❑ Ib.MARINA FUELING ❑ Ic.AVIATION FUELING 439 ❑ 3.CHEMICAL PRODUCT STORAGE ❑ 4.HAZARDOUS W.ASFE(Jnclude,Used Oin ❑ 5.EMERGENCY GENERATOR FUEL(HSC425`-8L51q) ❑ 6.OTHER GENERATOR FUEL ❑ 95.UNKNOWN ❑ 99.OTHER (S lecify); 419. CONTENTS PETROLEUM: 1K is.REGULAR UNLEADED ❑ 10.MIDGRADE UNLEADED ❑ Ib.PREMIUM UNLEADED 440 EN 3.DIESEL ❑ 5.JET FUEL ❑ G.AVIATION OAS .❑;S.PETROLEUM BLEND FUEL ❑ 9.OTHER PETROLEUM (5 ecif): 440a NON-PETROLE(IM:❑ 7.USED OIL ❑ '10.ETHANOL El 11.OTHER NON-PETROLEUM(S miff'): 4401, IV. TANK CONSTRUCTION TYPE OFTANK M L SINGLE WALL ❑ 2.DOUBLE WALL ❑ 95.UNKNOWN 441 PRIMARY CONTAINMENT I.STEEL ❑ 3 FIBERGLASS ❑ 6.INTERNAL BLADDER 444 ❑ 7.STEEL+INTERNAL LINING ❑ 95.UNKNOWN ❑ 99.OTHER Slecif): 444. SECONDARY CONTAINMENT ❑ 1.STEEL ❑;.FIBERGLASS ❑ G.EXTERIOR MEMBRANE LINER ❑ 7.JACKETED 4Ji ❑ 90.NONE ❑ 95.uNKNOWNEl99.OTHER(S oeci ): 445s OVERFILL PREVENTION ElI.AUDIBLE.@ VISUAL ALARMS ❑ 2.HALL FLOAT ❑ 3.FILL TUBE SHUT-OFF VALVE ❑ 4.TANKMEETS REQUIREMENTS FOR EXEMPTION FROM OVERFILL PREVENTION EQUIPMENT V. PRODUCT/WASTE PIPING CONSTRUCTION PIPING CONSTRUCTION I.SINGLE-WALLED 02.DOUBLE-WALLED [J 99.OTHER 460 SYSTEM TYPE ❑ LPRE$SURE ❑ 2.GRAVITY ❑ S.CONVENTIONAL SUCTION 4.SAFE SUCTION CCRp?6'6(n) II 458 PRIMARY CONTAINMENT ® I.STEEL ❑ 4.FIBERGLASS ❑ S.FLEXIBLE ❑ 10.RIGID PLASTIC 41,4 ❑ 90.NONE, ❑ 95.UNKNOWN ❑ 99.OTHER(Specifi): 4Ma SECONDARY CONTAINMENT ❑ I.STEEL ❑ 4.FIBERGLASS ❑ R.FLEXIBLE ❑ 10.RIGID PLASTIC 4(.ib ❑ 90.NONE ❑ 95.UNKNOWN ❑ 99.OTHER(Spmify): 464c PIPNG?URBINI:CONTAINNIE14T SUNIPTYPE 1.SINGLE WALL ❑ 2.DOUBLE WALL ❑ 90.NONE 464d VI.VENT,VAPOR RECOVERY (VR)AND RISER/FILL PIPE PIPING CONSTRUCTION VENT PRIMARY CONTAINMENT I.STEEL ❑ 4.FIBERGLASS ❑ 10.RIGID PLASTIC ❑ 90.NONE ❑ 99.OTHER(Specify) 464e Wel VENT SECONDAR`7 CONTAINMENT ❑ I.STEEL ❑ 4.FIBERGLASS ❑ 10.RIGID PLASTIC RI 90`NONH ❑ 99.OTHER(Specify) 464F 6441 VR PRIMARY CONTAINMENT ❑ ],STEEL ❑ 4.FIBERGLASS ❑ 10.RIGID PLASTIC ® 90.NONE ❑ 99.OTHER(Specify) 364y VRSECONDARY CONTANNIEM ❑ I.STEEL ❑ J.FiBERC LASS 4 ❑ 10.RIGID PLASTIC 90.NONE ❑ 92 OTHER ISpeciF) 46 464h VENT PMP ,JG TRANSITION SUMP TYPE4641.1 ❑ I.SINGLE WALL ❑ 2.DOUBLE WALL 90.NONE 46Ji. RISER PEIdIAR]'CONTANN@M ❑ L STEEL ❑ 4.FIBERGLASS ❑ 10.RIGID PLASTIC 0 90.NONE ❑ 99.OTHER(Specify) 46,1j 464'I RISER,:ECONDARY CONTAINMENT ❑ 1.STEEL ❑ 4.FIBERGLASS ❑ I0.RIGID PLASTIC El 90.NONE ❑ 99.OTHER(Specify) 4641 FILI COMPONENTS INSTALLED 1.SPILL BUCKET 46411 ❑ ❑ 3.$TRIKER PLATE/BOTTOM'PROTECTOR ❑ 4.CONTAINMENT SUMP Vilac VR.UNDER DISPENSER CONTAINMENT(UDC) CONSTRUCTION TYPE ❑ LSINGLE WALL ❑ 2.DOUBLE WALL 3.NO DISPENSERS ® 90.NONE 469, CONSTRUCTION MATERIAL ❑ I.STEEL ❑ 4.FIBERGLASS ❑ 10.RIGID PLASTIC ❑ 99.OTHER($ mify) aG96-c VIII. CORROSION PROTECTION STEEL COMPONENT PROTECTION El2.SACRIFICIAL ANODE(S) • ❑ 4.IMPRESSED CURRENT [16.ISOLATION 448. IX. APPLICANT SIGNATURE CERTIFICATION: I certify that this UST system is compatible with the havlydous substance stored and that the information provided herein is true,accurate, and in full com liance with legal requirements. AP L NT IG DATE - 4J0- A PLI TNAME(print) - e7r APPLICANT TITLE Trus(ec 471 Reba Veltri UPCF UST-B-12 Rev.(12/2007)