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.................. <br />UNIFIED PROGRAM CONSOLIDATED FORM <br />UNDERGROUND STORAGE TANK <br />nnRu A rnvr PF.RMTT APPT.TVATION - TANK INFORMATION : (O11e tbnnperUST) <br />TYPE OF ACTION . (Check oiie item onl)t For a UST closure or rem w1, comple[e only this secllon and See[ionsJ, Il, I)I, II , end !X belotiv) 430• <br />j] 1. NEW PERM' IT ❑ 3. RENEWAL PERMIT ® S. CHANGE OF.INCORivfATION <br />C) 6. TEMPORARY UST CLOSURE . Q 7. UST PERMANENT CLOSURE ON SITE S. UST REMOVAL <br />DATES UST PERMANENTLY CLOSED: 4;0a DATE EXISTING UST DISCOVER] D:.. 30b <br />: <br />$ <br />"- <br />r <br />:n?':':is'i'.,. .. . .. ,_C`y-+vL• �s..-. .:.4......._ 'fG+•ss.-- `1...:Y:'.S'lf.R .�f^i"'YTf ..?"�+�._, .-€:...:C _ <br />FACILITY 1D it (Agency Use Onl}} <br />BUSINESSNAME.(Sar)eeaslgcilftyNarneorDBA-DoingBtgl.n ss As) 3 <br />FLYERS #427 <br />ES103. CITY 104.. <br />BUSINS,SITEADDRESS . <br />3300 W4telloo R.d Stockton <br />{� <br />} ..__Or.c <br />433. 434. <br />TANK ID # 43x•.. TANK MANUFACTURER TANK CONFIGURATION:THISTANKI I. <br />. <br />14`1. A STAND-ALONE TANK Compteta - page. fac each <br />42%O4 Trosco ❑ 2.UNBINA COMPARTMENTEDUNffeompaatmenlintheumL . <br />DATE UST:SYSTEM.INSTALLCA 435: TANK CAPACITY iN GALLONS 436- NUMBER OF COMPARTMENTS IN THE UNIT 437• <br />Unluiown 10,000 <br />9 <br />TANK USE; la MOTORYCH[CLEFUELEIG ❑ 1b.MARE3AFUELING ❑ lc AVIATION FUELING <br />Q 3,CtiEM[CALPRODUCTSTORAGE D 4.NAZARDOUSWASTE(tncl0esVse49!i) 0 S EMERGENCT.GENERATORFUEL{BSC§25281wm <br />�.6.OTHEROENCRATORFUEL O 95.UNKNOWN_. O 99.OTl R.(SPeci 439x. <br />CONTENTS PETROLEUiy[ : ❑ :.la REGULAR UNLEADED ❑ dc,MIDGRADE UNLEADED :. O lb.PREMIUM 440. <br />. <br />Q `3. JET FUEL Q & AVIATION GAS <br />❑.:8.PETROLEUM BLEND FUEL :10 9.OTHER PETROLEUMS city): Red diesel 440a <br />NON PETROLEUM USER OIL ❑ 10 ETHANOL <br />C44� <br />❑ t 1 OTIIERNON PETROLEUMS ciT <br />a- d [ Nr , 'A' __ •'" :. MUM: <br />"' <br />`x '443. <br />TYPE OF'TANK ❑ 1.SINGLE WALL . `2DOUBLL` O 95. UNKNOWN <br />PRIMARY CONTAINMENT ., 0 ]. STEEL .` .'' [] .3. FIBERGLASS .. . ❑ 6. iNCERNALBLADDER ' <br />❑ 7. STEEL+INTERNAL LINING `: D 95.UNKNOWN ©99.OT11FiR(SpectC 444a <br />SECONDARY CONTAINMENT ❑. i, STEEL '; .. ❑3,FIBERGLASS Q 6.fiXTERIORMEMBRANEL[NER .: ®7 JACKETED. 445.: <br />❑ 90. NONE ' ❑ :95. UNKNOWN ❑ 99.OTHER Specify): 445a <br />OVERFiLL'PREVENTION Q I. AUDIBLE & VISITA452. <br />L.ALARMS 0 :2. BALL FLOAT ®3, FILL TUBE SHUT OFF YALVB . <br />a, TANK MEETS RE U[REMa6��N�T_SFOR)�j,[EMPT[OT�i�FROMsOVERF�ItLLPREV�EcNTION <br />7�[11P,17ENT <br />A <br />PIPING CONSTRUCTION ❑'1:SEN(iLE WALL : ®2 ROUBLE WALL ` ❑ 99.OTHER `' <br />SY$TEM:TYPE ®l.PRESSURE D 2 GRAVITY ❑ '3. CONVENTIONAL SUCTION 0 .4, $AFE SUCTION 23 CCR §263 a)(3)) 458. <br />PRIMARY;CONTAINMENT . O ].STEEL ®.'.4.FiBERGLASS .. D $,FLEXIBL$..'. 0.30 RIGiD.PLA$T(C.; <br />❑ 90.NPNE ❑ 95 UNKNOWN (� 99...... R (Specify 464a . <br />SECONDARY CONTAINMENT D .liSTEEL ®.4 FIBERGLASS ❑ 8 FLEXIBLE ..'. 0 10 R[GIDPLASTIC' 46tb: <br />464a <br />❑:90.NONE.. ❑ '95 UNKNOWN D 99 OTHERS ctfy) <br />PIPINGfrURBINE CON fAiNMENT SUMP TYPE ❑ 1 SINGLE WALL:.:- D 2 DOUBLE WALL Cl 90 NONE 4644 ' <br />_OI �LTr �..� <br />�. <br />464a :. <br />PENT PRIMARY CONTAINMENT ❑ 1 STEEL... ®4 FIBERGLASS : © 10. IIIGiD PLASTIC Q 90 NONE.:: Q 99.:OTHER(Specdy) 464e1.1 <br />....464f. <br />V! NT SECONC)ARY. CONTAIiVMENT Cl1. STEEL .` 0 4. FIBERGLASS ❑ :'IO. RIGIn PLASTIC ` : ® 90 NONE : ❑ 99, OTHER {Spectt)) 46401. <br />144. <br />VItPRIMARYCONTAINMENI © 1.. .Tc L ':.® 4.F IBERGLASS .' ❑ .l4•RIGIDPLASTIG "D.40 NONE : ❑.99.OTHER.(Speclfs) :46491. " <br />UR SECONDARYCONTA1Ni)iENT D ],STEEL :D 4 FIBERGLASS a❑ 10 RIGID PLASTIC ®.90130NE: ❑ 99,.OTHER{SPectCY) 464ti1. <br />VENT P.IPINO TRAI�ISITION SUMP:TYPIr ❑ 1 SINGLE WALL '.D 2 DOUBLE WALL :: ®.90. NONE '': a6ai:; <br />RISER PRiIviARY:CONTAINMI IVT .:. ®1 -STEEL .: ❑ 4, FIIiPRGLASS :.� 19. RIGB) PLASTIC ❑ . 90 NOW-_: ❑ 99.OTHER {Spec4) � ; <br />4y1 <br />R.SERSECONDARY CONTAINMENT: :❑ 1.:STEEL .'.,L7 4. FIBERGLASS' .'❑.10:R[GIDPIA$TIC. .®.:90 NONE: ❑ 99.OTHLR{SpeOtCy) :' '. 464k1. <br />FILLCOMPONENTSiN$TALLED ®1 SPBLBUCKET ®3 STRIE,$RPLATfIIiOTIO'v[PROTECTOR ❑ 4 CONTAINMDNTSUMP. 45 ac <br />a-'� ���' � �. _�� <br />y',[{"1 +AK'.c� ��s. ��,��} � yi,��'a•� ... �� --'� <br />..:'�. <br />CONSTRUCTIONTYPE ®LSINGLEWALL "' D:2,DOUBLEWALL C1 3.NODISPENSERS ❑ 90. NONE 149a <br />.... .. , .... .. .. 469:.' <br />469c. <br />GONSTRUGTIOIV MATERIA] i$ i; .STEEL 0 4 FIBERGLASS..'.: Q 10, RIGID PLASTIC.. ❑ 99 O"IHER {Specify)Lim <br />t' - <br />STEEL COMPONEiVI PROTECTION : [j.2. SACRIF[C1AI ANO..DE(S 4 1Io1PR£SSEp CURRENT ❑ 6 ISOLATION 44s <br />ire.c <br />GERxIRICATION:;Iceriify that #h1s`UST system Js coiupat[bte vitll the.hwzardons substance storcti and ttiRt the info) oration, p3olided 13e1en1 is tlue,: <br />accurate udintullcom 1lancer 11Ie elle hirements <br />470 <br />APPLICANT SIGNATUR DATE 3/18/201 <br />411. <br />APPLIGArIT NAME (print) ' L�I11aI1C�1 Appelt <br />APPLICANT TITLE EriVllOnmerital 1Vlariagef 47z.:. <br />.uPCF UST Ii l4v, (44407) -14: wii-1v.unidocs.org <br />