My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
BILLING_PRE 2019
EnvironmentalHealth
>
EHD Program Facility Records by Street Name
>
A
>
ACAMPO
>
4579
>
2300 - Underground Storage Tank Program
>
PR0231504
>
BILLING_PRE 2019
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
9/19/2024 1:33:33 PM
Creation date
11/2/2018 7:52:32 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
BILLING
FileName_PostFix
PRE 2019
RECORD_ID
PR0231504
PE
2381
FACILITY_ID
FA0003573
FACILITY_NAME
A & M MARKET*
STREET_NUMBER
4579
Direction
E
STREET_NAME
ACAMPO
STREET_TYPE
RD
City
ACAMPO
Zip
95220
APN
01703053
CURRENT_STATUS
02
SITE_LOCATION
4579 E ACAMPO RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\A\ACAMPO\4579\PR0231504\BILLING.PDF
QuestysFileName
BILLING
QuestysRecordDate
11/23/2011 8:00:00 AM
QuestysRecordID
98691
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
31
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
%alme STATE 10 NUMBER 00000032075001 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> (41 01 NEW PERMIT 05 RENEWED PERMIT C ) 07 TAW CLOSED ( ) 09 DELETE FROM FILE (NO FEE) <br /> 02 CONDITIONAL PERMIT 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAME(COPPOPATION,INDIVIOUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> SAV-MOR OIL CO. I( ) 01 FED 02 STATE ( 1 03 LOCAL <br /> STREET ADDRESS CITY TATE ZIP <br /> 5150 WILSHIRE BOULEVARD SUIT!f_00 LOS ANGELES SA <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREMAN/SUPERVISOR <br /> A A M MARKET MOHAMMED MOZEB <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 4579 E. ACAMPO ROAD <br /> CITY COUNTY ZIP <br /> ACAKPO SAN JOAQUIN 95220 <br /> MAILING ADDRESS CITY STATE <br /> 4579 E. ACAMPO ROAD ACAMPO CA 95 <br /> 1 1 21;20 <br /> PHONE W/APEA CODE TYPE OF BUSINESS <br /> 209-368-7534 (X) 01 GASOLINE STATION 02 OTHER <br /> NUMBER OF CONTAINERS RURAL AREAS ONLY TOWNSHIP RANGE SECTION <br /> 3 1 <br /> 111 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAMECLAST NAME FIRST I AND PHONE W/APEA CODE NIGHT$: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE <br /> REESE, BOB 916-442-1622 <br /> M. il?_166z <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( ) 04 OTHER: CONTAINER NUMBER 307-1 <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: I C. YEAR INSTALLED 1972 UNKNOWN <br /> D. CONTAINER CAPACITY: 8121 GALLONS UNKNOWN JE. DOES THE CONTAINER STORE: ) 01 WASTE (X) 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? (X) 01 YES ( ) 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br /> 01 UNLEADED (X) 02 REGULAR 03 PREMIUM ( ) 04 DIESEL 05 WASTE OIL I ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ) GAUGE INCHES ( CH (X) UNKNOWN <br /> B. 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) fX) 02 NON-VAULTED ( 03 UNKNOWN <br /> C. 01 DOUBLE WALLED ( 02 SINGLE WALLED 03 LINED <br /> D. 01 CARBON STEEL 02 STAINLESS STEEL 1 03 FIBERGLASS 04 POLYVINYL CHLORIDE 05 CONCRETE <br /> ) 06 ALUMINUM i ) 07 STEEL CLAD 08 BRONZE C ) 09 COMPOSITE t ) 10 NON-METALLIC <br /> (X) 12 UNKNOWN f ) 13 OTHER: <br /> HSC04-070285 (10/18/85) PAGE I <br /> bw <br />
The URL can be used to link to this page
Your browser does not support the video tag.