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IRN-31-2014(FRI) 08: 40 AD MS SERVICES (FAX)310 523 1518 P. 002/002 <br /> 0 RECEIVED <br /> UNIFIED PROGRAM CONSOLIDATED FORM <br /> IL17.ARDOUS WASTE �1VIRONME TAL <br /> H"ARIIOUS WASTE TANK CLOSURE CRRTWICATI EALTH DEPARTM NT <br /> ],age,—L—cir1 <br /> L FACILITY MENIMCATION <br /> BUS24M NAME Wnw a.FACII.M NAME 1111A-17nlnk n.-I..A.1 7' PAC1f.DY tDN I I <br /> THRIFPY OIL CO 0171 1250 N. WILSON WAY, STOCKTON. CA 95205 <br /> TANK OWNER NAMI; xu <br /> TMUM OIL COMPANY <br /> TANK OWNER ADDRESS 741' <br /> 23116 IMPERIAL HIGHWAY <br /> TANK OWNER CM SANTA FE SPRINGS "• STATE CA 143' 7)PCODE 90670 7M. <br /> P.TANK CLOSURE INFORMATION <br /> 7sak E,• Concentration or Flammable vapor Cuneen[m[ian of O.ygen <br /> (Auw'h Wrflfl 9:crate, <br /> d Wh di rcfu man e,•4 Top Center Rnnom Up Carter Bonam <br /> TANK <br /> tN1tiRtOR I PIPE lad, 7.W. Q 7Kd. 7.6a. A 7aa. ad Q. 74Th, 9 7.rc. <br /> ATMOSPHERE 149,. 7496. 74VC. 710. Ism. 1d W. <br /> REN)INGS <br /> 7 731. 75711, 7NIL 737c 777e 7Tdh. 1116. <br /> 4 17117 7Na. 7Nh- 7yea 777. 773h. 1516. <br /> df.CEICt1E1CATION <br /> N eaupdtultiun o['the W&I certify the link Is visually free(mm produce sludge,scale(thin,risky luidual or tank emdems),rinNiv:ae4 debris,l rusher certify <br /> thsl the htfarttlWlan vidal hetelp is true wW ttccumle to the licit nr my knowledge. <br /> SIdNATLjKt:�O 'IPiFJ2 i-- VrATUS OR AFFILiti171014 OF CERTIFYING PERSON <br /> CertiOcr l+a trpmanlwlveal'the CUP74 auhorind agency,or[.IA: 7M <br /> N 0 Ph[print] 7y1 ❑ Yes )S(No <br /> ON BEHALF OF TAFOYA. S ASSOCIATES NamenfCUPA,adbrrludage cy,aruA; "' <br /> IM.E OF CERTIFB k 7u NfA <br /> TAFOYA 6 ASSOCIATES, CONTRACTOR IreenRiier isadvcrt]un CUPAILIAcheekuplimpriale hos bet.: U2. <br /> ADDRESS 7� 0 a. 17mtirw4 Industrial HyQlenist(CII{] <br /> 15471 REP BARN COURT 0 b, eculBe4 saraty Proroeslonul(CSP) <br /> Cm 7t1, 0 e. Cori6ed Marine Chemist[CMC) <br /> CRINO HILLS, CA 91709 0 d. Reghmmil Environmental Health Specialist(REI IS] <br /> PHONE a e. Profevaiunul Enghl cr(PF.) <br /> 909-606-6322 C r. Clues H RedWered Envhonmenml Assessor <br /> ONL 77u. CEF07PlCN'!ON TIME r, Cotttradari Swc License,Board Eeaaaed contmdor(with <br /> p� ha7.Wous sul7swnce removal eestir0160 s.) <br /> TANK PREVIOUSLY HELD EIaMMABIE OR COMBU5r1l1LC MATERIALS 76.1. <br /> ltl ym dw link ln¢dar afmr•Idwm,kdtbe mchec]¢dwhh a cmnhwdbie l••wullw Out w smtkking mmpin.4 on:h.wak,i QIYee 0 No <br /> C M=p -A,S TANK MANACEMEN"r INBTRUCMONS FOR SCRAP DENIER,DISPOSAL FACE.M,L•TC 7K <br /> SSC LOVELACE TANKSIPIPING tAMM TITLE 22 REQUIRSNMNCS <br /> 2323 E. LOVELACE ROAD CRUSH WITH HcAYYEQUIPMENT <br /> MANTECA, CA <br /> A copy or 11t1e CdUhA shall aceompwty the tank to the reeyeling)Nspow facility and be provided Io the agency ovcntccing tank chent a R,m CUPA or other <br /> autharlsd(odd 9geneyJ;the u,,w andfarapcmta or the lank syNem:and dw,tank mnwvW CumtadUr, <br />