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Tank 1110E. a 12 a 14 UNIFIED PROGRAM CONSOLIDATED FORM UNDERGROUND STORAGE TANK OPERATING PERMIT APPLICATION-TANK INFORMATION IOnc into' er Us7i TYPE OF ACMN (Cluck one item oniv. For an UST permanent closum or removal,complete onis this section and Sections 1.11.111.IV.and IX hclnal ❑ I NI�.W'ITHMII ❑ 3 RliNI-WALITI(Mll 9 P (IIAN6E OF INFORMATION El G TI_NWORARY LIST CLOSURE 7.CST PERMANE\T CLOSURE ON SITE n K.UST REMOVAL DAII[USI ITI(SIANI".NI'LY("LOSH). J'O' IL1'Ih.IXiSIIN(i CSI'UIS('i161'.NI:D: DN` 1. FACILITY INFORMA'T'ION FActu'r),In N f.lprn:t lir unit) I BUSINESS NAME(S.une as FACILITY NAME ur DBA-Doing Business As) Costco Gasoline(Loc. No. 1031) LIUSINLSS SI I E ADORLSS I"' C11Y 11•+ 2440 Daniels Street I Manteca It.TANK DESCRIPTION -- .._. 'I,\SK IU :A :; 1'1 TANK MNl1FA('1-CItF.It +n GN4aP IAnnl 'a� ,tnm: THIS rANK 15 � 111 El A S l%N'I1-:M ONI 1 ANK 1 Conlalnment Solutions ❑ .OMi IN A(USIPARINII N D,G RRD . ...__._ .- __L .___.___ . . __. [)A'[Ir L!S'I'SY5'I"ISM INS'I'ALLIiU +'i IANK C'.APAC'I'IY IN GALLONS 4"' NCNiB11R OP C'OMPARI;VIIiN"FS IN"f m UNIT Au ust 2008 30,000 1 Ill.TANK USE AND CONTENTS 'I ANK LIS) ❑• Ia NIDI OK\'1'HI('11 Fl FI NO ❑ Ih MAKINA It VI INO ❑ Iv .AVIAOON FIIFI INO Jt9 ❑ 3 ('11"11('.AL PROIIUL"T STORAGE ❑ 4 IIAZAR0011S WASTE jli Iljc.P.ca Gill ❑ 51 NiF.RCFNCYOWFRATOR FIIF.I lllscl!52•11nt1 ❑ 6-OTIIF-R(IENERAI'ORFL!IN. ❑ 95 vNKNOWN ❑ 9'I.OTHF"R (S ,hi. CONTFNIS PEI ROLI_I INf. IB la REOUI AK LNI I:AI140 ❑ Ir MIOURADF.CNIEAUFO ❑ Ill PKEMRWI Ni MIXED EO NI' ❑ 3.DIFSFI ❑ 5,II-T Il:F.L ❑ h.AVIATION CAS ❑ N.PrrRof ECM HI ENO Ft:rl ❑ 9.OTHFR PFTROI FI:M (s •'I(H: toy NON-PFTRO)HIM T 1:51-11011 In III,FI'll.\NOI IL(1TIIER NON-I'FTROLI'1'S11N wlfi. J+r^ IV. TANK CONSTRUCTION 1YPI.Or TANK ❑ 1.SI.NOIF1\AII O -.00(f IF51'.11 (] 9s.IIVK!1OWN IN PRINIARYC'ONI'AINN11:N1 ❑ I,SI PPI • t FIHERIiLIN, r. INIFItNA[ HI ADnLK JN 7.SFIi E1. • INTLRNAI.I_INING ❑ Y5.UNKNOWN ❑ 99.01HER (S al'yl: 444, SI(ONUAR1+'UNIAINNIPNI ❑ 1 SI Ell 3 EIRE RGI ASS ❑ h.I NU RIOR MI NIIIRANII IN4.R ❑ 7 IAl KI ITU 1+` 911 NONE 95 LINK Nlll1'N 991/114Rl% r,Al UN, I IVFRI III PRI•V1-N no\- 1.AUD1111 E.0 VIStIAI Al.AI(\15 If All 11 GAf i.Fit 11!ItF S1111T-OFI`VA1 V'F . ❑ 4.TANK MEtm RCOUIRENIEN'FS FOR EXEMPTION FROMOVIERFILLPREVEN'RON EOUIPNILNI' V. PRODUCT I WASTE PIPING CONSTRUCTION IIIPING('ONSTRUCHON 0 I.SING]F.-WALLED '_OOLHLF.-WALLED 99,01111;R +I•I' SYSTEM I"N'1•li [IU I.PRESSI IRR ❑ 2.CkA\'TTY ❑ i.l'ON\'LK71ONAL SUCI ION 4 S.\fl til l(-I(1N 1a vR Urvtp.l l;b 431. PRIn1ARY('ONI'AINMEN1' t.SI PFI • 4H11FRAiISN % FTI FSII(IF In RllilU l•I ASTiI' 1"+ On.NOM ❑ 9a.UNANOWN ❑ 99.(Illll RIS N) SLEONDARYCONL:MSNILN I- ❑ I.STELL 1111 J.FIBERGLASS ❑ S.I9_EIIBLI 0 Ill RIOIDPLASIR InIL ❑ Va.NONE ❑ 0-UNKNOWN ❑ 99.0111ER(sl' l I. I'IIIINO1PRRINL('OMAINNIENI MAW ll'PF 0 1 SIMMEWAL4 g ? pounl1 Q 9m NON iM9 V1.VENT.VAPOR RECOVERY(VR AND RISER/FILL PIPE PIPING CONSTRUCTION ('ENI PRIM.AKYCONIAINMFNI ISI CPI • 1,FIHF.RGLASS In RR i1DPIASIK" 911.NONI Il9 OIIIER Ispealll 44, 110 1'1'NISL('f)NOAIlY'('ONIAINMItNI ❑ 1 SIHLI J FIFIERCI:ASN In RIfiIDPIASIA C1 'AI MINI, ❑ 99 OIIILKISN,lhl +'•+( +Nn VK Pklh1AkY('(INIAINNIFNF 0 1514.1.1 ■ 4rIRFR(iI ASS IV RIGID Ili X7-111 7570- 9711111 F•K I Sf."fyl +91g wo VR SP ONDA KY CON TA INNI I:M Li I.si 11:1 OU J,FIBERrLW I u.RIG IU Ill.S fI( C1 911. D f. o jq.oTl1FR,%l.7(,, 4,41 4141 I VI:NTPiPIN'G IRANSITIONSUMP M-1 I.S1NtiLK1%'ALL 11R1URIA %%'\I.I. 9a.NOW +nJ' RISER I'RISiARY t ON I AINNI4.N I • 1.Sl 1+1i,l Illl mil-Is] • I(! MOW 1'I-ASI I( U 911.NOM U 99 O1111.R INpecifrl Ildl 414,1 RISE RSLCONDARY CONTAINNILNi Ell 1 STEEL Q i.FIHERCII.:ASS El In RIGID PLAS71l CC 90 NONP 0 91I OTIIIAISr' ,i(,I 161L anal FILL COMPONENTS INSTALLED • I.SPH.1-1114 FET • 3 STRIKER PI_A1F BOTTON11,55THC FOR a J,('ONTAINNIFNSCMT 1 L. VII-UNDER DISPENSER CONTAINMENT(UDC.') cONSIRI'('11ON, [fill. ❑ I.SIN(iI F WAIL Q 2 I)OURl E W'AI l Q 1 NO DISPINSFKS ❑ 7p NONT .n9, I ONSTIOICTIGN MATERIAL ❑ I.NT1:1:1. ■ A,I'IBURG1..ASs Q I n.RIGILIPLASTR 99,0THERISteeiNl a„m• Vlll. CORROSION PROTECTION SItII COMPONFNI I1WlWIION ❑ 7 s:1CR1FRTA1 AN01111D ❑ "I I%ll+l SSlD('PRKFNI ❑ a,1501 \I ION IX. APPLICANT SIGNATURF, C'I:R'IIFICA'I IOXu 1 certlfc that this I.SI s)atcm Is emnpalihle With the hazardous substance Onred and that the informulion provided her},"i59rue,ueeursic. and In full Pant lianas nilh I(•ml re oirclnenis, APPLICANT S) "TURB DAT F. APPI I('AN'f N:\)Il[(pnnt) I'I AI'PI ItANI 1111.1 David H o efs Director 9t Real Estate Develo l PC-F LIST-R-IR Res.l I ZiZ007)