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<br /> Will Aft
<br /> UNIFIED PROGRAM CONSOLIDATED P'7
<br /> UNDERGROUNDSTORAGETANK
<br /> OPERATING PERMIT APPLICATION--TANK INFORMATION (one form per us,r)
<br /> TYPE OF AC i'ICdN
<br /> (Check one itertt only, Fnr art UST penna lerlt closure or relnovaL complete only this section and S tions I,II,IEI,I V,and IX bela�s��
<br /> 43,0
<br /> 0 1.NFW PERMIT (� 5.C'IIAPvCiE OF I"dF{)RMA'I'ICTN
<br /> 3.ItF,NE18dAI PERMIT
<br /> °
<br /> 6.T NFORARY UST{.LC}SURC T UST PERMANFI�T CLOSURE ON SITE ( 8_USI REMOVAL 03Caa
<br /> DATE F1S'I°PFRMA PERMANENTLY C'LOSEI3; 411€11 C}AIIa rXISTINCr US°r f)ISCOVEaRED:
<br /> I. FACILITY INFORMATION
<br /> FACILITY dI {JXerl L<<`°se Onl};)
<br /> k3USiNESS NAME(Sarne as FACILITY NAME or DBA-Doing,Business As)
<br /> CRLLC#5443 E 111
<br /> BUSINESS SITE ADDRESS 103 CITY
<br /> 322 S.Center St. Stockton
<br /> TT.TANK DESCRIPTION
<br /> 4;1: 1133 434
<br /> Tr'EitilC ID� TANK MA?*Id,I=ACTCII2I:R TANK CO*�FEGURAI`Ic}�.'I`Ek4s TANK
<br /> C1°A STAND-AkONr TANK
<br /> 0 2.ONE IN A CO.MPARTMEN
<br /> Aerxes ED UNIT,
<br /> J# PEJq pJ om
<br /> etc me 'afar each cm artincm in the toll,
<br /> DATE UST SYSTEM INSTALLED ass TANK CAPACITY IN GALLONS 436 NUM 3I R OF COMPAIt`I"VIENTS IN THE UNIT
<br /> 437
<br /> N/A 20,000
<br /> III,TANK USE AND CONTENTS
<br /> TANK USE la.Mt)'E"f}R VIiPEIC,I E.TUFI INCr [) tb.MARINA FLIEL,ING ❑
<br /> Ic AVIATION FUELING 9311
<br /> ❑ s.CHEMICAL,PRODUCT STORAGE ❑ d,HAZARDOUS WASTE(Includes Used Oil) [3 i EMERGENCY GENERATOR FULL[HSC§Zszar.5(c)l 4342
<br /> ❑ 6,OTHER GENERATOR rUEL ❑95.UNKNOWN ❑ 94 OTHER (Specify):
<br /> 440
<br /> CON FENTS PETRO1757m. ® Ia REGULAR UNLEADED ❑ Ec MIDGRADE UNLEADED D ❑ Ib,PRI MEUM UNL ADED
<br /> ❑ 3,I)EESF.L ® 5.JET FUEL ❑ 6,AVIATION GAS 9
<br /> ® 9.PETROLEUM BLEND FUEL ❑ 9,OTHER PETROLEUM (S >cify):
<br /> NON-I'd I R{)I.I C13vt: 7 USED 011, 0 10.ETI J Air OL 440b
<br /> 11,OTHER!SON-PETROLEUM(S cif
<br /> IV. TANK CONSTRUCTION
<br /> TYPE OF TANK ❑ I SINGLE WALT. ® 1 DOUBLEWALL0 94 UNKNOWN ��
<br /> PRIMARY CONTAINMEPTT 01I STEI.I' 3,FIBERGLASS ❑ fi IN71',RNAI.BLADDER 4444
<br /> ❑ 7,STEEL+INTERNAL LININGiv: ❑95UNKNOWN ❑ 99,O'mER (Specify)_ ��
<br /> SE.CC}NL}ARY Cc NiTAINI INT ❑ I.S I't IrL ®3.FII3ER4zLASS ❑ 6 F,XTERIOR MEM'I LdNER ❑ 7.JACKETED assa
<br /> ❑ 90.NONE ® 95.UNKNOWN ❑99 OIIIER S Ef ,
<br /> 1142:
<br /> f)VE:RFIL.L 9 RiE,VENTION ❑ I.AUDIBLE VISUAL ALARMS 2.HALL FLOA"r 3.FII I TTSE3P SEtU[GI F ttALVE
<br /> ❑ A.TANK MEF-TS REQUIREMENTS FOR EXEMPTION FROM OVERT ELI.PREVENTION EQUIPMENT
<br /> V. PRODUCT/WASTE PIPING CONSTRUCTION
<br /> 460
<br /> PIPING CONSTRIICTIC' ❑L SINGE E-Wi t-LD 2 DOtJBI.I;-WJAI.I:"ED ❑99.OTHER 4Sk
<br /> SYSTEM TYPE I,PIILSSURE [] 2.CiRAVIT m 3,CONVEeNTIONAt.SUCTION ❑ 4.SAFE SUC flttN3 f SI �536{a331
<br /> I0.RIGID PLASTIC s'I"EC 464
<br /> PRIMARY'CONTAENMEN'f ❑ I.STEEL 4 rIEILRC,)LASS ❑ 8.FLEXIBLE ❑ 464a
<br /> ❑ 90.NONE ❑ 95.UNKNOWN ❑99,OTIIE R(5peeify):
<br /> Sz C",ONDAIt1'c:'K NTAIRME KI' Cl 1,STFj-"L 4 FIBERGLASS ❑ 3,FLEXIBLE ❑ 10,RIGID PLASTIC a64b
<br /> ❑ 90_NONE ❑ 95 UNKNOWN ❑ 99,OTHER(Specify); 9(c
<br /> PIPINC3 TURBINE CONTa NMIENT SUMP TYPE: I,SINGLE EVALL ❑ 7.OmiLE WALT, ❑ 943.NONE
<br /> VI.VENT,VAPOR RECOVERY ' )AND RISER.J FILL PIPE P'IP'ING CONSTRUCTION
<br /> d Ish'E'PRIMARY CONTAINMENT I.S I EEL 4,FIE3El2GI ASS I0.RIGA)PLAS'I"IC 90.NONE99.LTIiER(Spc6iy'} 4feie
<br /> 4£9e 2
<br /> VENT SECONDARY CONTAINMENT I.STEEL 4.FIIB;RCiE ASS ICF.RIGID PLASTEC 9q.NONE 99.C}TI II R(Spectfy3 9611E
<br /> 96911
<br /> VR PRIMARY CONTAENMEN9669 tr E,STEEL 4.FIBERGLASS I0.RIC;EE3PLASTIC tQ.NOMF> 49.Oi"HER 4;Spealfy9 4
<br /> VR S,.0NDARY CONrAINMEsNT I.STI3E3L 4,FIBERGLASS III.RIGI&y PLA i°TEC 9�.*aC?VE X89.QTEIE?R Specify} 46cht4hI
<br /> VENT PIPING TRANSITION SUMP TYPE E SINGLE WAIL ? DOUBLE W ALL 1 90,NONE
<br /> 9w
<br /> RISER PRIMARY CONTAINME M I I STEEL 4,FIT3f;RGLASS E0.RIGID PLASTIC °IQ,ht)'ht 95,01 HER(Specify) I
<br /> 11d�r
<br /> RISER SECONDARY CON7AINMI-NT ❑ I:STEEL 4.FIBERGLASS ❑ 10,RIGID PI°ASTEC )t).Nt}NI >?.OTHER{Sp ssfy) 9Gt(AkI
<br /> E
<br /> FIE.E,C;C}MPONENTS L�vSTALI.EI� I,SPit_I BUCKET 3 STREXER PLATFs`E3O7TGM PRO'TI�L"IC3:4 4.C(}"+II'AINMEiNT SE`MP
<br /> 951a,c
<br /> VTT UtfiTER I)iSI'ENSER C+CTITAINEtT IJ1?C}
<br /> EINGI,1 WAE.I, ❑ 2.S7C51 BLE WAI_I ❑ 3 #vO DISPI NSF RS ❑ 70.NON! 469a
<br /> cc}rss°I`r�ueTlc}N'rYP� $69b.c
<br /> CC}NSTRkiCTEt7;�bMATERIAL ❑ E.S3`EE:L d FIkIIwRCfLASS � 10,RkCill3IaE,ASE�EC ❑ 99.C}rEEERISpeciCy)
<br /> VIII. C(3RRQSIGN I'RC}TEC'TIC3N
<br /> 11114
<br /> STEEL COMPONENT PRC)'I`ECI'ION ❑ ? SACRIFIC'-IAI,ANODI-.(S) ❑ 4.IMPRESSED CURRF"N7 ® 6,ISOLA'E'IU V
<br /> IX APPLICANT SIGNATURE
<br /> CEIi'I`II ICi1TI(3ti: I eertlry tdaat Phis C'S d systrnr Es 4:Isurpatiblc+pith the.harardckus substance stored and that the information provided herein is true,accurate,
<br /> and in dull encs l'€auce Ith Ie aI re uire eats. 470
<br /> APPd..IC;AN'l'SIGNATURE DATE
<br /> APPLAPPLIC;ANTTrrLF �
<br /> I'CTAS�T IvAMI;t'.prinfi
<br /> Allen Fa asa Compliance
<br /> t,,Pc'us'r-I3-InRew.(12/2007)
<br />
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