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UNIFIED I- :OGRAM CONSOLIDATED FORM <br />UNDERGROUND STORAGE TANKS - FACILITY <br />—PE OF ACTION r I, ,YEW SITE PERMIT C ]. RENEW IL PERMIT C S. C:U•NGE OF INFORMATION iSoaaTyararpa <br />Cd✓a one item onryl C +. AMENOI!0 PERMIT 'off usv owy) <br />r A TEMPORARY SITE CLCSURE <br />TANKS <br />(one page per sitel <br />Pagv _ at _ <br />I- T. PERMANENTLY CLOSED S/ <br />-0 <br />RS. TANK REMOVED 0 <br />.). U I A X11, TANK OWNEF INl-UKWIAnUlN <br />i55 ne I <br />-.- <br />:NONICc6sl I- a, LOCAL AGENCY IOISTt11C <br />C I CORPORATION I I y PARI\: C tSHlp C s. COUNTY AGENCY <br />'Y' TKl HO 14 14 <br />_all (976) 322-9669 if questions arise N / A <br />V P�Sa]LELML <br />'NOICATE METH00(S) C'1. SELF4NSUREO C + 3URETY FIND <br />r 2 GUARANTEE C 3. LETTFJi C? CREDIT <br />I- 3. INSURAHCEE C 6. EXEMFTIQS <br />ooa to nwimte <br />C T. STATEFUNO <br />r 9. STATE FUND S CFO LETTER <br />C 9. STATE FUND d CO <br />I• S. STATE AGENCY 420 <br />C'T PEDERAL AGENCY <br />421 <br />C 10. LOCAL GOVT MECHANISM <br />C 99. OTHER a22 <br />2 PROP ?TY OVMER C ]. TANK OWNER <br />2] <br />VII AP21 DC <br />Ganliratwn: 1 cents Nal N in/ormat,o, WOVOW Herm n 3 we and ala lona Oast d my F+ *"e 'ATF y24 PHONE +2$ <br />3IG, ATRE OF AP IC T D,f /' / <br />a1. -� <br />NAME F PUCANT (pnnrl 426EOF APPLICANT +tT <br />MR. JAGENDER SINGH I OWNER <br />3 T T UST FACILITY NUMBER (for laCON use oary) <br />- +29I :99a UPGRAOECERTiFIGA7ENUMBER (�v lomruu onryl 429 <br />0 <br />L -o <br />FACILITY I SITE INFORMATION <br />- - I <br />3U SIn ESS NAME ISama as FACILITY NAME d DBA Davp dueness As) - <br />FACIUW ID a <br />CAPITOL AUTO SALES <br />— <br />FACILITY OWNER TYPE <br />C a. LOCALAGENCYIOISTRICT• I <br />v6 -.REST CROSS STREET 'bl <br />C L CORPORATION <br />C 5 COUNTY AGENCY" <br />Cxs. <br />C,ty� 2 MONIDUAL <br />C J. STATE AGENCY' <br />3NESS TYPE (• I. GAS STATION C 7. FARM <br />COMMERCIAL <br />r <br />l ]. PARTNERSHIP <br />[ T, FEDERAL AGENCY +02 <br />C L DISTRIBUTOR I A. PROCESSOR <br />I <br />W]R <br />- rrL NUMBER OF TANKS <br />C <br />•.s iacury an I ,alan Resse nI, n P ^.f awewr d UST .a a v4oec agercv: name d vwarnas d <br />lemon d aA¢a.nlcn aoruea a+a UST. <br />PEMAINING AT BRE <br />ausamst <br />9.ulPn. <br />(7rya a alv mntaa omen W Into 1. nemn:s) <br />ONE wa (KNOWN) <br />[•Yes <br />[ NR Do <br />I% PROPERTY OWNER INFORMATION <br />PHONE Im <br />eRCPERTY OWNERNAME +01 <br />JAGENDER SINGH <br />_ -- <br />, ITmNG OR STREET ADDRESS +09 <br />650 E. MINER AVENUE <br />SQA —7-7715—COTE a12 I <br />- �TOCKTON+lo <br />` <br />I CA <br />I 95202 <br />as CPERTY OWNER TYPE <br />-- C 4. LOCCALAGE.YCY I OISTRICT+ <br />C Z. INDIYIC U.•L <br />C 6, STATEAGENCY 410 <br />I. EDERAL AGcYCY <br />C L CORPORATION <br />( y PARTN?RSHIP C s COUNTYAGENCY <br />.). U I A X11, TANK OWNEF INl-UKWIAnUlN <br />i55 ne I <br />-.- <br />:NONICc6sl I- a, LOCAL AGENCY IOISTt11C <br />C I CORPORATION I I y PARI\: C tSHlp C s. COUNTY AGENCY <br />'Y' TKl HO 14 14 <br />_all (976) 322-9669 if questions arise N / A <br />V P�Sa]LELML <br />'NOICATE METH00(S) C'1. SELF4NSUREO C + 3URETY FIND <br />r 2 GUARANTEE C 3. LETTFJi C? CREDIT <br />I- 3. INSURAHCEE C 6. EXEMFTIQS <br />ooa to nwimte <br />C T. STATEFUNO <br />r 9. STATE FUND S CFO LETTER <br />C 9. STATE FUND d CO <br />I• S. STATE AGENCY 420 <br />C'T PEDERAL AGENCY <br />421 <br />C 10. LOCAL GOVT MECHANISM <br />C 99. OTHER a22 <br />2 PROP ?TY OVMER C ]. TANK OWNER <br />2] <br />VII AP21 DC <br />Ganliratwn: 1 cents Nal N in/ormat,o, WOVOW Herm n 3 we and ala lona Oast d my F+ *"e 'ATF y24 PHONE +2$ <br />3IG, ATRE OF AP IC T D,f /' / <br />a1. -� <br />NAME F PUCANT (pnnrl 426EOF APPLICANT +tT <br />MR. JAGENDER SINGH I OWNER <br />3 T T UST FACILITY NUMBER (for laCON use oary) <br />- +29I :99a UPGRAOECERTiFIGA7ENUMBER (�v lomruu onryl 429 <br />0 <br />L -o <br />