Laserfiche WebLink
L. <br /> 't <br /> y r.I STATE 20 NUMBER <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> 1 1 01 NEN PERMIT- 1 1 06 RENEWED PERMIT 1 1 07 TAN( CLOSED l 1 OV OELETO FROM FILE (NO FEEI <br /> 1 1 02 CONDITIONAL PERMIT 1 1 06 AMENDED PERMIT 1 1 00 MINOR CHANGE (NI SURCHARGE) <br /> I OWNER <br /> NAME/CORPORATION.INDIVIDUAL OR PUBLIC AOENCYI PUBLIC AGENCY ONLY <br /> VAT.T.F.Y SYSTEMS 1 1 01 FED ( 1 02 STATE I 1 03 LOCAL <br /> • STREET ADDRESS CITY � STATE IIP <br /> 1385 C E.DIXON STREET STOCKTON I CA 195206 <br /> II FACILITY <br /> FACILITY NAME Ol AI U//OR[MCN/SVP[RVISOP <br /> VALLEY SYSTEMS <br /> STREET ADD•ESS NEAREST CROSS STREET <br /> 1385 C E DIXON STREET, STOCKTON CA AIRPORT WAY <br /> C:TY COUNTY IIP <br /> STOCKTON, SAN JOAQUIN 95206 <br /> f41 MAIL IND ADDRESS CITY STATE ZIP <br /> P. 0. BOX 626 SYOCKTON CA 1 95201 <br /> PKONI WAVE, CODE TYPE OF RUSINIS* <br /> -463-2207 k 1 01 GASOLINE STATION 1 1 02 OTHER <br /> NUMR[R CI CONTAINERS RURAL AREAS ONLY TOWNSHIP RANGE SECTION <br /> 1 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAM[(LAST NAM! FIRST) AND PHONE W/APCA CODE NIGHT$: NAMC(LAST NAME FIRST) AND PHONE W/APEA CODE <br /> Carol Shire - 931-3353 same - <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. 1X1 01 TAtK 1 1 02 OTHER: CONTAINER NUMBER <br /> B. MANUFACTURER (IF APPROPRIATE): N/A _ YEAR MFG: C. YEAR INSTALLED (X) UNKNOWN <br /> 0. CONTAINER CAPACITY: 1 ZOOO GALLIXIS l 1 UNKNOWNE. DOES THE CONTAINER STORE: l 1 01 WASTE (X ) 02 PRODUCT <br /> F. DOES THE CONTAINER STORE ROTOR VEHICLE FUEL OR WASTE OIL ? (XI 01 YES l 1 02 NO IF YES CHECK APPROPRIATE BOXIESI: <br /> 0I1 01 UNLEADED 1 1 02 REGULAR 1 1 03 PREMIUM I 1 04 DIESEL l 1 OS WASTE OIL l 1 06 OTHER'77 <br /> J fA <br /> V CONTAINER CONSTRUCTION fti ¢w <br /> [A,- THICKNESS Of_PRIMARY CONTAINMENT_--_l 1 GAUGE 1 1 INCHES 1 I CM_( 1 UNKNOWN <br /> N z � <br /> B. ( 1 01 VAULTED (LOCATED Itl AN IDtOERGROUND VAULTI ( 1 02 NON-VAULTED 1 1 03 UNKNOWN ~ <br /> > - <br /> 1C. 1 1 01 DOUBLE WILLED 1 1 02 SIt4GLE WALLED 1 1 03 LINED _ 1 <br /> D. l 1 01 CARBON STEEL 1 1 02 STAINLESS STEEL f 1 03 FIBERGLASS ( 1 04 POLYVINYL CHLORIDE l 1 OS CONCRE T EW <br /> ( 1 06 ALUMINUM 1 1 07 STEEL CLAD 1 1 06 BRONZE 1 1 09 COMPOSITE ( 1 10 NON-METALLIC <br /> I 1 12 UNKNOWN ( 1 13 OTHER_-___.-_ <br /> N3C04-0;0l6S PAGE 1 <br />