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UNIFIED PROGRAM CONSOLIDATED FORM <br />I TANKS <br />UNDERGROUND STORAGE TANKS -TANK PAGE a (b7Dpages pe, 1&0, <br />Paso S M <br />TYPE OF ACTION r + NEW SITE PERAMT I` 4. AMENOcD PERMIT 15. CNMIGE Ci--RFORTAATIONI T b. TEMPORARY SITE CLOSJRE <br />Cnecx one m only) I- 2 OPERATOR CHANGE r 7 PERWAENTLY CLOSED ON S�7E <br />Lt <br />X3 RENEWAL. PERMIT (3aec/y mmeeJ,i-fw 4w'we c,W. (Sp fY CNenpt-for Axel vee only) r S TAN_KREMOVED 43D <br />9U1;INESS NANO; 15arne As FACILITY NAME or DSA - OaMg Barrs Act S FACE.ItY ID+Y FF <br />I Waterloo Shelt t t ' -- ------ — -� <br />OCATION VVITRIN Sl'E (00o.e"31 4315 Waterloo Rd, Stockton, CA 95205 <br />� I <br />)A <br />13SU3 - Premium j Xerxes <br />AWNTONALJESCRIPTiON(forkcai use onl),) 438 <br />,OMPARTMFNTAU2.::D TANK r -es X No 434 <br />It AYvee. oomolale one papa for sett, oompertr+enl. <br />CONSTRUCTION <br />_TYPE CF TANK <br />F 1 SINGLE WALL <br />N. TANK CONTENTS <br />r 5 S:NGLE WALL wm INTERNAL 9_ADOER SYSTEM 443 <br />TANK (1SE 439 <br />PE rROLEUN TYPE <br />EXTERIOR MEN.BRANE LINER <br />340 <br />X 1 MOTOR VEWOLEFIJEL <br />r 14 REGULARUNLEADED <br />r 2 LEADEC <br />r 5. JLT FUEL 1 <br />of refiled. camoApte poirohum fAe' <br />X IbPREMIUM LN4I.EADPD <br />r 3. aEs=. <br />r e AAA -ICN FUEL <br />r 2 N4FUF1 PETROLEUM <br />NC <br />DE UN_EAO <br />r 1i tuIxRADE <br />t l.ASOHO4 et <br />r 33 07Ri 4 <br />i 3 >eMKAL PRODUCT <br />r 1 RUBBER LINED <br />!' <br />6 G:.ASS LINING r OS !jwmoWN"f <br />r 4. HAzAROOUS WASTE rinaAl:es <br />COMMON NAME rl�om Flaasrduvs WWenels ImMMry psy4l 441 <br />CAS a prom Hawd" s NAMr;an 61vNy doaw) 742 <br />Vsed tin <br />ro5 UNK4OW4 <br />X 6JNLINEC I ay I)TNER <br />CONSTRUCTION <br />_TYPE CF TANK <br />F 1 SINGLE WALL <br />r 3 SINGLE. HALL WITH <br />r 5 S:NGLE WALL wm INTERNAL 9_ADOER SYSTEM 443 <br />r BS UNKNOWN 445 1 <br />X2. DOWLE WA -L <br />EXTERIOR MEN.BRANE LINER <br />['cc INAvuH <br />r 9. FRP NON•COF+ROUIBLE JAOKF. i <br />req OTMER— I <br />i <br />1 4 E NGLE WALL IN A VAU'_T <br />17'9n OTHER —_ <br />TeXK MATER -AL - FtMD(L7 W* <br />r 1 BARE STEEL <br />X 3. FIBERGLASS I E-.ASTIC <br />r S eoNICRETE F95 UNKNOWN 444 <br />1 (C�rocwanede?Only) <br />r 2 bTAINLESSSTEEL <br />r 4 .TEELCLAC <br />...—been oL 4c -r <br />6. TRPCOW-ATI9LEWl10C%h1ET4ANOI roo OrHER_....__ <br />I tANIC MATCRIAt - a.cor%Wy <br />� 1 BARE STEEL <br />X 3 FLBERGL465 , A_ASTtC <br />: 8. FRP COMPAT i9LE LW, 00%MET-tANOL <br />r BS UNKNOWN 445 1 <br />IenM <br />I 2 STAINLESS STEEL <br />r 4 4TEE1 CUD WtFIBERi3LA5: <br />r 9. FRP NON•COF+ROUIBLE JAOKF. i <br />req OTMER— I <br />i <br />'T-hnr:k 5rw dem only, <br />REINFOiCED PL1S1iC L"1P)r <br />S <br />/0. COF TED �'fEEt <br />r S CONCRETE _ <br />—I <br />TANK INTERIOR LINING <br />r 1 RUBBER LINED <br />r 3 EPDXY LINING <br />6 G:.ASS LINING r OS !jwmoWN"f <br />DATE INS'Al if ..- 447 <br />OR COATING <br />r 2 ALKYD LIN,NG <br />I 4. PHENOLIC LINING <br />X 6JNLINEC I ay I)TNER <br />klLaf,.AB vlt —� <br />DATE IN$1ALLEC 449 I <br />� 0 HERCORROSION <br />r 1 MANUFAC'UREC <br />X S. F;BERGLASSR0EINFOACED PLASTIC S 95 UNKU04AN 44 <br />PROTECTIO4 IF APPLICABLE <br />CATH.^.CACt <br />r 4 IMPRE SEED CURRENY rJ9 <br />0 HER <br />r..Rf.it Y�91Aem JMy' <br />PROTf.CfION <br />— <br />Irpr llf.^el..v N:rl <br />T' 2 SAGR:FI:IALANODE <br />—� <br />SPIL,.AND OVERFLL YEAR INS TALL.EO TYPE (Fat loceivsecrly)4,I �OVEFV:KLPRO -E(.TIUNEUUIPMLN1:VLARINS1.ALLkO 462 I <br />4W <br />(Chwx 6.1 th4t appy'1 X 1 SPILL CONIAINMFNT _1895_ _ r' ALARMf X 3 FJLLTLBE SHUT -;;FF VALVE _199$— <br />X 2 DROP TUBE ._..1895._._._. —� r 2 BALL - DAT -- -- I. 4, EXEMPT <br />X3 3-RIKER PLATE <br />N. TANK LEAK DETECTION (A yearpbm of ine mor,Wnp prog,am Shag 0e rubm16ed Io the bc3i S9wKV) _ <br />IF SINGLA WALL TANK (Chc7 Mint *;Of)' 463 IF DOUBLE WALL TANK OR TANK WITH BLADDER GALT. nnP+Ler• )nM4i A� <br />r1. VISUAL!EXPOSEO PORTION OW -1 ri VNNUAL TANK GAUGING(MTG) I , VISLALISINGtEAAtLINVA(1LTUNLVY <br />r 2 AU101447K: TANK C;UIG,NG 0 fG1 r 6 VADCSE ZONE XZ CCNTNUOUS NTERSUTIU M)NI1JnING j <br />r 3 AN"iwOUS ATG I' GROUNDWATER r 3 MANLAL MONITOR'NG <br />l 4 STATIST -CAL iNVE TIiSTIY RECONCII IAIION ISIR) • 1- a ' TF41ER ST'NG — •��_ ----^- I <br />BIL•NNIAI LANK TESTING r3G OTHER <br />ESTIVATFO DATF 'AST USEb (Yc'AADY_14Yi <br />!JPCF (1199 'eYlsed) <br />465 ESTWATED OUANT TY JF 9,19STANCE RLMPJ1494G 455 -ANK FILLEC V1TH T MATERIAL? 4L" 1 <br />r YA9 r• 4n <br />-- — --_--� Formerly SWRC5 Form B <br />5 <br />9•4:1 Tysegn-jeW •1 aonja dne:Ili 20 en czew <br />