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<br /> UNIFIED PROGRAM CONSOLIDATED FORM -7)/
<br /> UNDERGROUND STORAGE TANK 3 ('')
<br /> OPERATING PERMU. APPLICATION--TANK INPORVIATION one form per US.
<br /> F"Y'PE'OF ACTION (Check one item only. For an UST permnnent cio..,rre or rcmovnl,complete only this section and:,Sections i,11,ITT,TV,and IX below) can
<br /> Q 1.NEW 1'r-wPr 0 3.RENEWAL PERMIT M 5-CIIANGr3 OF 1NFOIZI ON r
<br /> El 6,TEMPORARY UST CLOSURE [j 7.UST PJ RMANENT CLOSURE,ON SITE [IS.UST REMOVAL 1(p,1
<br /> DATE UST PERMANENTLY CF.OSED: 4300 1 DATE EXISTING UST DISCOVERED: 7-"'ITT 4srn+
<br /> T. 'FACIL1TY JJ FORMATION
<br /> FACILITY 11)N(Agency Use Only)
<br /> BUSTNI,SS NAME(Same as FACILITY NAME or ORA-Doing Business As) 1 '
<br /> Thornton 76
<br /> BUSINESS SITE ADDRESS 103 CITY 1D4
<br /> 8606 Thoroton Road I Stockton
<br /> 'IT.'TANS J)1E SCRIPTION
<br /> TANK ID 9 432 TANK MANUFACTURER 473 TANK cotmoURATtoN: TI-ITS TANK IS 434
<br /> 2-Plus Xerxes ®1.A STAND-ALONE TANK
<br /> P r ©2,SNF IN A COMPAPTME14TPID UNIT,
<br /> r V Z t+ Com Icta one ydgo for Lnah com nrtmant in 60 onit.
<br /> DATE UST SYSTEM INSTALLED 435 TANK CAPACITY 1N GALLONS 416 NUMBE11Z OF COMPARTM73NTS IN THE UNIT 437
<br /> 1988 10,000
<br /> r III TANXC;'U$E'AND CONTENTS
<br /> TANK USE 0 la,MOTOR VEHTCLF PUBLINO ❑ lb,MARINA FUELING ❑ 10.AVIATIONPUFLTNc: 439
<br /> ❑ 3.CHEMICAL PRODUCT STORAGE ❑ 4.HAZARDOUS WASTE(Inahidu Used 011) ❑ 5.EMERGENCY GENERATOR FUEL 11isc B252n 1.5(c))
<br /> ❑ 6.OTHER GENERATOR rML ❑ 95,UNKNOWN ❑ 99.OTHER (,pcaify); 43%
<br /> CONTENTS PETROL07iM' ❑ Ia.REGULAR UNLEADED 0 10,MMGRADE UNL,F.ADKD ❑ 16,PREMIUM UNL?ADED 440
<br /> ❑ 3.umsn ❑ 5.MT FUEL ❑ ti,AVIATION GAS
<br /> ❑ A,PFMOLEUM BLENT)FUFL [19.OTHER PETROT,I;UM S cai 440n
<br /> NON-PETROLEUM: 7.USED OIL ❑ I0,F7'NANOL
<br /> ❑ 1 L OTHER NON-pt?ROLI4UM S ec{ : 449h
<br /> NK CON
<br /> TYPE OF TANK ❑ 1,SINGLE WALL 0 7„DOUBLE WALL. ❑ 93.UNKNOWN 447
<br /> PRIMARY CONTATOWNT ❑ 1.STRFI. 0 3.FIBERGLASS ❑ 6,iNTt3RNAL BLN)DER 444
<br /> ❑ 7,STEET,+INTT:RNAL LINING ❑ 95.UNKNOWN ❑ 99,OTHER S)tc{ ; 444n
<br /> SECONDARY CONTATWUNT ❑ L STEEL ®3,OBERGLASS Ej 6,EXTF,RTOR Mt,M13RANE LINER ❑ TJACKETED 445
<br /> 0 90.NONE ❑ 95,UNKNOWN (199.OT TPR 3 achy: 415a
<br /> OVP.Ri 11L PREVENTION ® 1.AUDIBLE Fc VISUAL ALARMS [:12.BALI,FLOAT 3.TILL TLMF SITUT•OFf VALVE 452.
<br /> © 4.TANK MPPTS RP..QUTRYSMFNTS FOR EXEMPTION FROM OVERFILL PREVFNTTON VQUMMENT
<br /> .,:PRODUCT,
<br /> /;:WAST.RtPIL'IVG+CONSI' CTION
<br /> MPINO CONSTRUCTTON ❑1.STNGT.PWALLEb 0 7„DOU13T,I7.WAI,.I.R0 ❑99.OTHER 460
<br /> SYSTEM TYPE 23 1.PRT353URE U 2,GRAVITY 3.CONVg:,MONAL SUCTION ❑ 4,$Ali SUCTION 123 CCR g2fi76(a)p)) 45s
<br /> PRIMARY CONTATNMEN I 1.STEEL N 4.FIBERGLASS ❑ A,FLBXIBLE ❑ 10.RIGID PLASTIC nG4
<br /> ❑ 9o,"MMM ❑ 95.UNKNOWN_ ❑ 99.OTHER(St+c6iry); 4640
<br /> SF,CONDARY CONTATNMT,'NT ❑ 1.STEEL N 4.FLBEROLASS U R.FI,F.XR3u, Lj 10,RIGID I*LASTIC 4fi4h
<br /> ❑ 90 NONr 1] 95,UNKNOWN ❑ 99.OT1IER_(Speoify)• 464c
<br /> PmING/CURI3U,M CONTAMVIENT SUMP TYPR ® 1.SINGLE WALL ❑ z,DDU BLE WALL ❑ 90,HONE 4ti4A
<br /> VI�rV NT;
<br /> WOR Wax/ANDWax/F1C,L,PIPB'PIPING CONS'T'RUCTION
<br /> VEN'P PRIMARY CONTAWNIRNT ❑ 1.ST6EL M 4,FIBERGLASS ❑ 10.RIGIDPLASTIC L3 90.NONE El 99.07TMR(Specify) 464e
<br /> 464x1
<br /> VENT srScONt7ARY CONTAfNMTdNT U 1.3TEFt, ® 4,FinaROLnss 10.RIGID PI,ASTIC ❑ 90.NONE 99,OTT-TER(Specify) 4r4r
<br /> 4aan
<br /> VR PRIMARY CONTAINMENT 0 I.STEEL h.PMERGT.ASS ❑ 10.RIGID PLASTIC ❑ 90,NONE 77 9-9,OTHER(SPedrY) 4648
<br /> 46d 1
<br /> VR SECONDARY CONTAINMENT ❑ I.STEEL N 4.FIBERGLASS ❑ 10,RIOID PLASTIC L 1 90,NONE: 99.OITIER(Specify) 4fi4h
<br /> _ 46461
<br /> VENT PIPING TRANSITION SUMP TYP`R E9 1.SINGLE WALL 2.DWI&r,WALL 90,NONE 464i.
<br /> RIST3R PRIMARY CONTATNMFNT 1.STEEL 4,FTnFRGLASS ❑ i D.RIGID PLASTIC ❑ 90.NONE 99.OTFMP(Specify) 464)
<br /> 4en't
<br /> RISER SECONDARY COTMAINMENT 1.STum, 0 4.RBERULISS U 10.RIGID PLASTIC 0'90.NONE 99.UFHE.R(spteiry) 464k
<br /> 46W
<br /> FILL COMPONENTS INSTALLED 1.SPILL BUCKET 0 3.S'MKER PLATR/ROTTOM PROTr3CTOR 0 4.CONTAINMENT.SUMP 45IN-0
<br /> iVjJ.,UNDFICDISPENSER;CONT
<br /> CONSTRt)CTION TYPE 1.SINGLE WALL ❑ 2,DOUBLE WALT, ❑ 3,NO DimTNSr-M ❑ 90,NONE 469n
<br /> CONSTRUCTION MATERIAL ❑ 1,STEEL ® 4.h7BL-RGLASS E5 10.RIGID PLASTIC ❑ 99,O'IuAft. S eeif 469b-a
<br /> 0A.'CORROSION PROTECTION ,
<br /> STEEL COMPONENT PROTECTION ❑ 2.SACRIFICIAL ANOnG(S) 0 4,IMPRF..SSP,T)CI1RRENT ❑ 6.ISOLATION 440.
<br /> XX: A J>LECANTSIGNATURE _
<br /> CERTIFICATION: I certify thnt this UST system is compatible with the lhaaardnna subonnec stored and flint the Information provided herein is true,accurate,
<br /> Rnd in full compliance with Te nF re uiremenls. _
<br /> APPI,TCANT SIGNATURE DATE 470,
<br /> W/17 � --/(;L' 6/29/7.009
<br /> APPLICANTNAMF3(print) 47' APPLICANT TITLE �. 472'
<br /> AmAr'it Rai Owner
<br /> UIPCF UST-R-1/3 Rev.(1212007)
<br />
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