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UNIFIED PROGRAM CONSOLIDATED FORINT UNDERGROUND STORAGE TANK OPERATING PERMIT APPLICATION—TANK INFORMATION (�fotnt per IIS') TYPE Of ACTION (check see item Q* Fora(r1T cloture m renrona/conoylete a>ly tint sretion sad Secrfoss!,!L 1lI,!'l,and IX belcv) Oto ❑ 1 NEW PE Ell ❑ 3 RENEWAL PERMIF 5 CHANGE OF IoIFORMAI ION 6.TEMPORARY UST CLOSURE ❑ 7.UST PEP-N r NEVI CLOSURE ONSME ❑ 8.USI RE-%IOVAL DATE LIST PERtiINENTL.Y CLOSED EXI51 WG UST DISCOVERED: I. FACMILTY INFORMATION FA0*)CFLITY LD (dgemy Us0*) ' LT_1 _ i BUSWFSS NAME,r-vw as Faciliry:Vam,or,?EA--Nfng&urrneSS A#C) s CRLLC#2705446 BuslNEss SITE ADDRESS 1403 CopClub Blvd Stockton II. TANK I)ESRIP`TI4N. TANK ID �� u — fl3 TANK MANUFACTURER ut I�NKCONFIGUR0.noN:THISTANxIs--- {K t 4 C='I Gi 15 �( �I AsiArID.tLar�tANK c�pie<��a 2 ONE IN A COMPARIMENIED UNIT is the%5*. DATE UST SYSTEM INSTr1LLED '3t TANK CAPACITY IN GALLONS-�--a3t NUMBER OF COMPARTMENTS IN THE UNPT aYJ I/t1i991 2�500 — "- i1 TANKKUSF 1s IAYTORl.'£HICLEFIIF_'_ING Q I.f 1b ARINAIPUELIIdG ❑ tc AVIATiONFUELING 4 ❑3 COAL PRODUCT STORAGE Cl 4 IIAdARDM WASTE t thed Oih ❑ 3 E?.F e4CY GVENERAIOR FUEL LM 125Ut 14)) [3 6 OJHEXGENERAtOR FUZE - --- C7 99 UNKNOWN - Qt9.oTFmt�r!g CONTENTS PETRIII-A 4t: {] to REGMARUNLEADED ❑ to Ma)GRADEUW. IAD€D ❑ ib PREMIUMUNIS.AOFD ❑3 DIESEL ❑S FET"FUEL ❑ 6 AVIATION GA.S ❑tPEIROLELWBLEND FUEL ❑9.OTHER PETROLEUMtSI�k FIO!*I4°EIROI.Et}yt:. 0 7 US�ML � IO E17IAFR/I. ❑ ti OIHERN0 7>tOtEU�bctt k r exx 7E of TANKH ---M © '-SiN(R E 91-— F a Jot- E WALL 0 4 U CI PTI➢NaiRY&6j iT'A&liwl VT ❑ .S7EE ®3 Pi813t�ETT AS8 ❑6 L*IIERNAI 13[AD 7t ❑ 7 SIS *INTERNAL.LINIING 0 5FJCOTiUARY OC4tVTAlIAiVl 1FT C31 SIF.E[i - ®3'FtBE2tGLA55 ❑8 EICPFRIOR MEi4lBRA2IE I CtER E3 T JACKETED ❑90.NONE ❑95.UNKNOW ❑_49 OTHER . _ oi OVERFILL PIEYENTION ❑ L AtR?7t3LE dt veSIIAL ALARFkS -._❑ 1$ALL FLOAT (,�3 F4.1.TU$EMLII'4SFf VALVE ❑ 4.1 b(EENT ISAEq$T!Ej S FOR EXEW710KFROM OYERF[LL VENTIONEWIPMEfi _ PI��ef r.�► Flri��cOr1��I�ION° _�_._____ ..__ PwM Ct NSTIkUcnor� "Q" SaXjLE WALL rffi z DOUBLE WALL p FSSURe SYSTEM TYPE _ ❑ i PR -2r GITAViTY D 3 CONVENitONAL s_uC_rK)N CI 4.SAFE siiCiTiha'iu CCR tD6�6c aQt3 Vis: ____ PRIMARY CONTAINMENT ❑ 1 STEEL ffi 4 FM-ER& ❑9 FIMMIE ❑ IO MID PLASTIC � ❑90 NONE ❑95.U-Na(SOWN Q 99.OILffR(Spaifyj ` SECAh'IlAiY coi rI Atrr rPe p a Sim i$a FIBERGLASS Q 3 FLEXIBLE Q 1010 R GTT)KASsu: ❑90.NONE ❑95.UtoaaawN Q 99.OTHfiR PIPIN&TURDM COtNTAINME rT SUNIP TYPE p L SINGLE WALL x DOUBLE WALL <`yF.NT,.. l 'Oft I 7F.A Wit} II7F 14'1 .F r P.IFEZ' I*IIAi CgN 'ItU+L'ITON. , VENT PRIMARYC(XSrrAlPQAENT ❑ t STEEL. 0 4 FIBERGLASS El 10 RIGIDPLASTTC Q 90 *IDNE ❑99 O1Ha'$(Specvfy) _- VENTSECt?NDARYCONTeisi+MEPri ❑ I STEEL ❑ t.FME%tCrL.ASS ❑ IO RIGIDXASTTC ❑9O NODE Q 99 OIFiE((S�eeifYk - 4601 VLtP--R RYCONTARIMENT ❑ 1 STEFI 4.FIBERGLASS 0 IO RMIDPL9SIIC �e9O NONE ❑99.0MER(SpaifYr VR SECONDARYCOIITAINMENT ❑ t STEEL 4 FI6ERGL48S E3 t0 RIGIDPASTEC NONE ❑44 OTHER(Sgmiy7. VENT PIPING TRA iil 10N SUi4(P TYPE ❑ I SINGLE WAIS. ❑2 DOUBLE WALL 90 NOINE _-- RLSERPRLMAR`ICONTAiNMF1VT El I STEEL ❑4 FIBERGLASS ❑ 10 MID PLASTIC 090.TdCY1V5 099 OTHER(Sp,*)-, —_4641 RISER SECONDARYCONIAINME`:T 0 1 ST 11. ❑4 FME RGLASS ❑ IO RPjTD PLASTIC ❑_9"O' FE ❑99 OI}iER( -----)� _aMkt FELL COMPO*FENTS L`STr1LL]7? ® 1.SPILL BUCKET D 3 STRlSCERPt ATFseo'sone PROTECEOR 3.CONTAIT0649•17 SUMP VII. TNI)ER DISPENSER CONTAINMENT fitl}C} — CONSTRUCTION TYPE_ __ ®C31 SINGLE WALL [32 DOUBLE WALL _ 3 NO INSPENSE.RS ❑90 NONE CONSTRUCTION 44TERIAL t.SIE-E 0 4 FIBERGLASS Q 10 RIGID PLASTIC [3T1C 99 OR(Spe<ih) - VIII. CORROSION PROTECTION _ STEEL COMPONENT PROTECTR}N ❑ 'SACRW.LLAL ZZ E(S) --U 4.IMP"MED CURRENT ❑6 ISOLATION IX. APPLICANT SIGNATURE CERTIFICATION.I testify that t ' '3y tenapati a with the hazardous substance stored and that the information provided hereto is true. aeeura n m ee with sea niremeon. - -, 470� DATE APPLIGiNTSIGNAr APPLCAUTNAMF ' ) thu&<Softich APPLICAN r I I I LE Manager of Compliance&Nlaint. UPCF UST-B Rev_(122007)-1.2 w".unidomorg