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UNIFIED PROGRAM CONSOLIDATED FORM UNDERGROUND STORAGETK AN►f L kT�LHEE-.��.H OPERATING PERMIT APPLICATION-TANINFORNI "I x ono r . I' TYPE OF ACTION (Cheek unc item only, loran u5 I'penommu,closure or remnral,cmnplem only this smtion and Sections LII. ❑ 1.NEW PERMIT ® S.ItENEW.AI.PERMIT O 5.CHANGIS OP INFORMATION El !,TENIPORARY US I'CLOSURE ®Xi.13S'1'1'1'i1tYr[ANENI'C'LOStJRI'ON SI'I'G ❑ S.UST REMOVAL DAfE UST PERNIANEN"r1.1"CLOSED: DA 111 EMS].IN(i LIST DISCOVERE0 ::nn 1. FACILITY INFORMATION PACT L I IN 1 D k(dgco,cr L(ee Onh-) BUSINESS NAMI-(Sums as PACU ITY NAME or DBA-Dome liusines:\s) Miles Trust Property BUSINESS SITF ADDRESS "!77 11. Stockton,CA 95206 ln+ 1940 South Annmrican Street IL TANK DESCRIPTION 'I ANK ID0 4'= 1?\NK MANI!PIFCI'tiRER .'i' Taal:ruN'rua R\fox 'thus r.\SK is ul E] I \si:IND-Al ONEl'SNK Unknown El 2,ONE 3N 1t.(AW T a MU.,WD I)Nrr. Lb„dnc aim +4�f... z......an'ih.•...,a DATE U$'r SYS'fGN•I INSTALLED 'CANE CAPACITY IN GALLONS NI)NIBER OF CONITIA +�` ' +!^ IPAR'I'AIPN'rS IN'I'lIR UNIT +�? Unknosm 150-500 1 ONE Ili.TANK USE AND CONTENTS TAN4i USE IT Ix.N'IOTOR VEHICLE FUIFLINli U lb-MARINA FOELINO U 1<.AN TALION FL IRM(; iln ❑ ?.Cllr\IHC\I.PRODUCE sIORArl E) -1 I IAZARDOI:S11'.\S'JTll h.Ir,t:_d Oill El31N;LR(;FNC\'OESF.R.\'I'Olt n:rl.IIRf _ cl 9aj ❑ G (11'flGIt GLNr:N.YTOR FCiI. ❑ <,i.GNKNU\YN ❑ 99.OI'IIEIt C'ONTUNI'S pi"I'Roini I: Qt I..REGI IL\R IINLFAIIED U 11.NIn)GRADF UNLEADED it,.PREMIUM LN1.1 WED .0 S.PITHOLEIJBLEND L''LL 1-1 'AMIE1ITMOLPL31 VON-IT I'RM R1:M:U ?.r L0(311. L-1u.VIIIANGI. 11.UII',li!t SOi:1•li.l'IU)i.lil i\1 t3 uai A't- +40h W. TANK CONSTRUCTION TYPE OFr:vKml.slsrl.lc`.c:Nl-1 ❑ >_.nOLilut.E m-L. Oo;.uNKvo\%:N Ou rRI%lARYCONraINNUU:r N I.Svin::. ❑ :..Iml:RGL:Nss ❑ ".IN11-RN%I.oLADDFR .ii+ (3-7 ti:'I:P.L' IN'ri-RNAL LINING U !':.i,N1.No\\.\ U 'c. ('r'IILR ISpceilvl: ,AA.I SEC'UND.NIt1'CON!AI iUENI U ISII!P.I. O:.i'ISi"Rtii.ASS ❑ ( FN MRJOR NIE\IOR.N,NI:LINER U l IACKRITI) 1I` N 90.NUSL O os.!:\K )W ❑aq.u:'uE:R i5+.-_iH9: OVI"RI'11.1.I'RFVI-N'TR)N ❑ L:U lnllll.k.N\'Itil::\L:LL;\RNIti _`.13.\LL PI t)\':' LJ U 4.'r:\N4;Nllili i'ti ItF!NIRLMUMS FOR L):P.\I'I}O.N FRO"ON FRFIL1.PIZFUSI'IOS Ern:iP\wNr V. PRODUCT/WASTE PIPING CONSTRUCTION I'IPINO CUNti I'IiUC'iIUN I.SINGI H-'A ALLED U-- DOUBLL-MA(.LED 099.0IIIER SYSTENI I1'1'1! U I.PRESpIatr U 7.ORA%'I'rY ❑ i.CON4'ENI'IONAL SUCTION U 4.SA17F.SUC'r10N Ia)ccit F•clM4il;ii ,K PRI)IARI'CONfI':\I\Slli?"1' l51 I-st 1i1i1.. N a.FIBERGLASS ❑ S.FLEXIBLE ❑ Iii.RIGID I'(ASTIC Ita U no.NoNl: D ,;.t:NKNOWS U 49.0 rr LRISpcd IN): Wo a SECONUARN CON'ibVSNN-M U 1.SHELL U -L Y16F.ItGi.:NS$ U N.PI.r(mill-r. ❑ lU.itlCilD 1'L:1S'rR' I+:b U 910 NuNF. U 9>.I YK A'Ov\N ❑ •,'%.O1'iiPlt(Sne:I'v3: `li"e PI'INC'i URBINE CON IAINMEs'I Sumo'TY11: 19 I.SINGLr\Vnu, U ].noUOLL WAIL, ❑ *in.N'ONII ,.,,a V).VENT,VAPOR RECOVERY (VR)AND RISER/FILL PIPE PIPING CONSTRUCTION FENT PRIMARY('ON'1':\!V\If:ST LS"I'EISL. ❑�I.P 113CRULASS U10 RIGIDPL.1S1 NMI NOAii ❑ ')9.(yl Hl iV+p uJa VEN-'SWONOARF CON'TAINM N' I.STEEL ❑ I.FIBERGLASS U ID RIGII)PLAS'I If 0 on.NONE El 99.OTI iER(Spccilj'+ 44+r +u4r1 Vit PRINIARY CON rINNIf;\I ❑ i.SfLlil. U 4.1:113ERCI1_.ASS U In.RIGIPPLAS'11C [21 W).VONF. ❑ n9.ol'IILR(Spccihf 4ti4;: 11,4¢5 FR Sf:('OND:\R1'CCLST.lIVNlri.\-f El LSI'lirl, El L'r 1131 RGi.:\Sti ❑ IiC RIGID Vi.:\S'I'lo '%^.NONE ❑ 9'1 o'1,11FR(Specir') ,clh ::lhl VENT"PIPINGTRANSITIONSUYIII YVE U I.SINGLL NF:\II. ❑ 1001FILL @ALL "P.NOm .1441. HUGER 110MARY CO:NTAINMENt' U I..STRri. U 4.FInERGI-ASS ❑ In ItIGiDPL,vsric 19 oil.NONE U roJ.OI (ER(.4pttif;) l'H, 4&ni RISER SCCOVDARYCONI'AINMENI' U LS ITEL CI 4.FIBERGLASS U 4.RIGIOP(-Asric pa.NONE 'Fl.O'1'IER IS,,6) 8dh 44-111 PILL COMPONF.VI'5 INSTALLED U I..SI'I1-LI3UCKLI' ❑ .+.til"ItIKiiR PLATE uori'omPROTE(-FOR El1C'OS'r:\INmIEN'r So\R' 4N;'-' Vli.UNDER DISPENSER CONTAINMENT(UDC) CONSTROC'IION TN IT ❑ 1.SINGLE WALL. ❑ 2.DO.'BLLa-Au. ;.No Dlsm sres @ on.NONr- 4e^= CoN5TRUCrION\IAIERI\L U I.STEEL U 1.FIBERGLASS U IQ RIGID I'LASI'IC U oe.011IER(SPc6fy) 1491*e Vlll. CORROSION PROTECTION STEEL COMPONENT PROTECTION U 2.SACRIFICIAL ANODC(S) El 4.lmi-RESSro CURRE:V'f U d,ISOLA TION 145. IX. APPLICANT SIGNATURE CEWH FIC TION: 1 certify thin this US'I'syslen)is compatible with the Imrnrdom substance stored and Ihal the it,formation provided herein is(rue,aceurate, and in full compliance nce with legal re uiremcnlN. APL .I, DA I'E /� " ` 4?u. A PLI i FINAME(print) 'rt APPLICANT TITI.E '1'rushc 4a+ Reba VcIIi UPCP UST-R-112 Rey.(12(3007)