Laserfiche WebLink
1' STATE ID NUMBER 0 000013082002 <br />APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br />( ) O1 NEW PERMIT <br />( ) 05 RENEWED PERMIT (� 07 TAHK rLDSPD ( ) 09 DELETE FROM FILE (NO FEE) <br />( ) 02 CONDITIONAL PERMIT ( 1 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br />I OWNER <br />FlIAME CORPOR ATION, IND IVIDUAL OR PUBLIC AGENCY) <br />SUGAR CORPORATIONT ADDRESS <br />HASE STONE CENTER <br />II FACILITY <br />FACILITY NAME <br />HOLLY SUGAR CORPORATION <br />FADDRESS <br />ADDRESS <br />OLLY DRIVE <br />ADDRESSX 60APEA CODE3210OP CONTAINERS <br />2 <br />PUBLIC AGENCY ONLY <br />( 1 <br />01 FED ( ) 02 STATE ( l 03 LOCAL <br />STATE ZIP <br />SPRINGS CO 80903 <br />DEALER/FOREMAN/SUPERVISOR <br />LOUIS R. GARCIA, JR. <br />NEAREST CROSS STREET <br />LARCH ROAD <br />iIP <br />COUNTY 9E <br />iSAN JOAQUIN <br />TRACY CA <br />TYPE OF BUSINESS <br />( ) <br />01 GASOLINE STATION (X) 02 OTHER SUGAR MANUFACTURING <br />RURAL AREAS ONLY TOWNSHIP <br />RANGE SECTION <br />III 24 HOUR EMERGENCY CONTACT PERSON <br />DAYS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE NIGHTS: NAME(LAST NAME FIRST) AND PHONE W/A EA CODE <br />GARCIAr LOUIS R. JR. 209-835-3210 <br />GARCIA, LOUIS R. JR. 209-835-8216 <br />COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br />IV DESCRIPTION <br />CONTAINER NUMBER 02 <br />A. (X) 01 TANK ( ) 04 OTHER: <br />B. MANUFACTURER (IF APPROPRIATE): UNKNOWN YEAR MFG= C. YEAR INSTALLED (X) UNKNOWN <br />0. CONTAINER CAPACITY: 1000 GALLONS ( 1 UNKNOWN E. DOES THE CONTAINER STORE: ( l 01 WASTE (X) 0 PRODUCT <br />F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? (X1 O1 YES [ 1 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br />(X1 O1 UNLEADED ( l 02 REGULAR ( ) 03 PREMIUM ( 1 04 DIESEL ( ) 05 WASTE OIL ( )06 OTHER <br />V CONTAINER CONSTRUCTION <br />THICKNESS OF PRIMARY CONTAINMENT: 10 (X) GAUGE ( ) INCHES ( ) CM ( ) UNKNOWN <br />B. (X) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) ( ) 02 NON -VAULTED ( ) 03 UNKNOWN <br />L(X) <br />DOUBLE WALLED (X) 02 SINGLE WALLED ( ) 03 LINED <br />04 CARBON STEELINUM ((1)002SSTAINLESSEEL CLAD STEEL <br />OB(BRO03 FIBERGLASS <br />COMPOSITE POLlV10YNONHMETAL LICLORIDE( ) 05 C CRETE <br />2 UNKNOWN ( ) 13 OTHER: <br />PAGE 1 <br />HSC04-070185 (10/18/85) <br />