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<br /> UNIFIED PROGRAM CONSOLIDATTI.D FORM
<br /> UNDERGROUND STORAGE TANK
<br /> OPERATJNG PERMIT APPLICATION-TA1NK INFORMATJON(Ono ferrn .er us1'j
<br /> TYPE OF ACTION (Cheek one item only. For an UST permonent closure or rcmmal,complete only Chin section and Sections T,II,III,IV,and IX below) A10
<br /> [1 1•NEW PERMIT ❑ 3.RENEWAL PERMT ED S.CHANGE OP INJ'ORMATI
<br /> CI C.TEMPORARY UST CLOSURE ❑ 7.UST PERMANENT CLOSURE ON SITE ❑ S.U9T REMOVAL le /
<br /> DATE UST PERMANENTLY CLOSED: 1J0a DATE EXISTING UST DISCOVERED: 410b
<br /> I `1FACT.XTY'iNFOR1VIATION
<br /> FACILITY 1D 4 0grney Use Only)
<br /> 1= �-
<br /> BUSINESS NAME(Sarno as FACILITY NAME or DHA-Doing Business As)
<br /> Thornton 76
<br /> 13USINT;53 31 I E A550-95107 CTTY ro4
<br /> 8606 Thornton Road Stockton
<br /> ;II:TANK DESCRDTION,
<br /> TANK ID# 432 TANK MANTJFAC'I'URER 413 TANK CONPIOURAT[ON:T}118 TANK 1S 434
<br /> 1-Regular )(orxes 0 1.A STAND-ALONE TANK
<br /> 0 2,ONII IN A C0MPARTn1FNTED tNIT,
<br /> "'� � ", �� iCOnI rale mea pn0o fOf O4eh edtTp�Mment In Iha unit.
<br /> DATE UST S'YST'EM INSTALLED 435 TANK CAPACITY IN GALLONS 634 NUMBER OF COMPARTMENTS IN THE UNIT 477
<br /> 1988 10 000
<br /> JII.•TANK.UST,AND CONTENTS-
<br /> TANK USE In.MOTOR VEHICLE FUELING ❑ Ih,MARTA rTjELING ❑ To,AVIATION FULLING 439
<br /> ❑ 3,CHEMICAL PRODUCT STORAGE ❑ 4.HAZARDOUS WASTE(Inalndef U5ad Oil ❑ 5.tiM&RGr:NCY GENERATOR FULL JHRC§25281.8(.)1
<br /> Ll 6.UIT•TFR GENERATOR T-1 ,L ❑ 95.UNKNOWN ❑ 99,OTTIER S cci : 434n
<br /> CONTENTS TVrROLFUM; S I a.REGIY AR UNLEADED p 1 c.MMGRADG UNLF,AOFo © 11),PRYWRIM UNLEADED 640
<br /> ❑ 3.DIESEL EJ S.,TET rum, Q 6,AVIATION OAS
<br /> [] 8.PETROLEUM DLI;ND VtML ❑ 9,OTHER,PEMOLEUM �(Spcelfy) � 440n
<br /> PION-PFTROLtlJM: 7,U3FD On. ❑ m ETHANOL
<br /> © 11,OTHF,R NON-PETROLEUMS eaify).: 44611
<br /> IV T NSC+✓diVSTItcc I foN ^
<br /> TYPR OF TANK 1,SINGLE WALL 0 2.DOUBLE WALL E) 95.UNKNOWN 443
<br /> PRIMARY CONTAINMENT p I.STEEL 29 3.FIBERGLASS ❑ 6,1N'1'ERNAL RI.ADDPR 444
<br /> ❑ 7,STT L+INTERNAL 1,1NING ❑ 95.UNKNOWN D 09,OTHRIt (S fi : 444.
<br /> SECONDARY COITATNM13W ❑ 1.STEEL ®3.r.-IBERGLASS ❑ 6,EXTEMOR MENIBRANF,I•TNER ❑ 7,JACKETUD 1^5
<br /> ❑ 90.NONU © 95,UNKNOWN ❑99.OTIILR(Specify); 445m
<br /> OVERFILL PREVl3N'rION i.AUDIBLE&VTSUAL ALARMS Ir 2.J3AT,T.FLOAT T 3,Tull TUBE SHUT-OFF VALVE 452.
<br /> ❑ 4.TANK MF,RTS REOUIREMENTS FOR EXEMPTION FROM OVERFITJ.PRT?VENTION EQUIPMENT
<br /> V. PRODUCT/,WASTE J'II'ING coNyCRUCT,ION
<br /> P[PTNG CONSTRUCTION ❑I.SINGL&WALLM, ®2.DOUBLE-WALT,91) C199,OTHER 460
<br /> SYSTEM TYPI3 10 1,PRESSURE 0 7-.GRAVTTy p3,CONVENTIONAL SUCTION 4,SAFE,S112121(LJCCR>42696(a)(3)1 454
<br /> PRIMARY CONTAM4FNT ❑ 1.STEEL 0 4,11BERGLASS S.FLEXIRLF, [] i0,RTCTfD H:ASTIC 464
<br /> ❑ 90•NONE Ll 9,5,TJNY•NOWN ❑ 99,OTHER(Spccify); 4Nli
<br /> SP_CONDARY CONTAINMgNT p 1.STEEL ® 4,IFITIFRGLASS ❑ 8.PLEXI13I.E [j 10,RIGTp F'r ASTTC 4646
<br /> ❑ 90.NONE ❑ 95.UNKNOWN ❑ 99.OTHER(Spcqily); _ 4114=
<br /> PrPTNGnU1BINE CONTAiNty IDIT SUMP TYPE ® 1.SINGLE WALT. CI 7.•DOUBLE WALL ❑ 90.NON2 454d
<br /> WX;'VENT,VAPOR RECOVICRV(VR)•ANIY RISER l•FJJ.;;L PTPE•PIPING CONST.u'UCTrON
<br /> VENT PRIMARY CONI AINMENT Lj 1.STEEL N 4.FIBERGLASS U lo,RIGID PLASIIC Ll 94 NONE 99-D'fHER(Sncoify) 4640
<br /> 4G4e1
<br /> VENT SECONDARY CONTAINMENT U I,STEEL M 4-14BERGLAS5 10,810111 PLASTIC 90,NOTVP 99.0111ER(Specify) 464f
<br /> 464r1
<br /> VR PR24ARY CONTARJMF.NT 1.FI-L51. M 4,FIBERGLASS p 10,RIOID PLASTIC 9n,NONr 99,O'T'HER(Specify) 4648
<br /> 464AI
<br /> VR SECONDARY CONTATNMPNT I.ST17,1:1. ® 4-FIFBRGLASS C1 in,RTGFD PLASTIC p 90.NONP, 99,O-FIER(Spcclfy) 464h
<br /> 164h1
<br /> Vt;NT PIPING TRANSITION SUMP TYPE 1,SINOLE W ALL 2,DOUBLE WALL 90,NONE 4e4I,
<br /> RISER PRTMARY CONTAIP THEM' ® 1.TI-EEL U 4.FTRBRGT,A5C ❑ I o.MOID Pl_\STTC 90,NONE ❑ 99,OTHER(Speedy) 4641
<br /> 454'I
<br /> RT•SER SECONDARY CONTAINMENT [I 1.S77P,L 4,F[13ERGLASS ip.mo m PLASTIC 90,NONE 99.O'fI{ER(SPccify) 1"k.
<br /> FTLL COMPONF,NTS TSTALLED I31 1.SPILL 31JO 'T 0 3,STRIKER PLATE/BOTTOM PR(RP.CTOR 0 4,CONTAINMENT SUMP 151n•0
<br /> VII•.UNJ)ER I1,PENSER CONTAINMENT.(UAC)
<br /> CONSmucTION TYPE I-SINGLE WALL ❑ 2,DOUBLE WALL ❑ 3.NO mspr;NSFT2s © 90.NONE 469a
<br /> CONSTRUCTION MATERIAL I.STEEL 0 4.FIRERGLASS ❑ Io.RIGID PLASTIC 99.OT9RR(CPecify 469b.c
<br /> CORztOSJON',P-koT)ZCT;CON
<br /> sTECL COMPONENT PROTECTION ❑ 2.SACRfPICJAT,ANOD147 3) © 4.IMPRESSED CURRENT Q 6,ISOLATION A49.
<br /> JX A>P>P WANT SIGNATURE,
<br /> CERTIFICATION:I certify that lhla IJST syRtem iA compatible with[lie hazardous substance stored and that the information provided herein Is true,accurate,
<br /> and in fell cam1[nnce with]c nl reQuircmcnts.
<br /> APPLICANT SIGNATURE �1 I/` 470.
<br /> ` 6/7.9/2009 _
<br /> APPLICANT NAM13(print) 471- APPLICANT TITLE 472.
<br /> ArnaTift Rai Owner
<br /> UPCF UST-111-113 Rev.(12/2007)
<br />
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