Laserfiche WebLink
COPY <br /> STATE ID NUMBER 00000035002014 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> E_m2t <br /> Ru pFRHIT ( ) 05 RENEWED PERMIT 1 1 07 TANK CLOSED PERMIT ( 1 06 AMENDED PERMIT ( 1 08 MINOR CHANGE INO SURCHARGE)) 09 DELETE FROM FILE (NO FEET <br /> I OWNER <br /> r <br /> NAME(CO;PORATION.:NOIVIOUAL OR PUBLIC AGENCY) <br /> SAN JOAQUIN COUNTY -DEPARTMENT PUBLIC AGENCY ONLY <br /> ( 1 <br /> 01 FED ( ) 02 STATE V1 03 LOCAL <br /> STREET ADDRESS <br /> 5000 S. AIRPORT WAY CITY STATE ZIP <br /> STOCKTON CA 95206 <br /> II FACILITY <br /> FAC:LITY NAME <br /> STOCKTON METROPOLITAN AIRPORT DEALER/FOREMAN.SUPERVISOR <br /> GfORGE L. SPADAFORE, AIRPORT M <br /> STREET ACORES$ NEAREST CROSS STREET <br /> 5000 S. AIRPORT WAY ARCH ROAD <br /> ,Tv <br /> COUNTY ZIP <br /> STOCKTON SAN JOAOUIN 95206 <br /> MA:I:NG ACDPESS CITY STATE ZIP <br /> 5000 S. AIRPORT WAY STOCKTON CA 95206 <br /> 'MCN! Wi ACEA C..-- TYRE OF 5US:NESS <br /> 209-982-4270 ( 1 01 GASOLINE STATION (X) 02 OTHER AVIATION FUEL STORAG <br /> Dr CONTA:NEIS PUPAL AREAS CNL) : TOWNSN:P RANGE SECTION <br /> 15 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> CAYS: NCM!(LAST NAC£ FI+ST) AND PHONE W/AREA CODE NIGHTS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE <br /> AIRPORT OPERATIONS OFFICE 209-982-0313 AIRPORT OPERATIONS OFFICE 209-982-0313 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( ) 04 OTHER: CONTAINER NUMBER 14 <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: C. YEAR INSTALLED (X) UNKNOWN <br /> 0. CONTAINER CAPACITY: 12000 GALLONS 1 1 UNKNOWN E. DOES THE CONTAINER STORE: ( ) 01 WASTE (X1 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 /> (XI 01 UNLEADED ( ) 02 REGULAR ( ) 03 PREMIUM 1. 1 04 DIESEL 1 1 OS WASTE OIL ( 1 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: 1 ) GAUGE 1 1 INCHES ( 1 CM (X) UNKNOWN <br /> B. f 1 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) ( 1 02 NON-VAULTED (X) 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED ( 1 02 SINGLE WALLED 1 1 03 LINED <br /> D. ( ) 01 CARBON STEEL ( 1 02 STAINLESS STEEL 1 1 03 FIBERGLASS ( 1 04 POLYVINYL CHLORIDE ( 1 05 CONCRETE <br /> ( 1 06 ALUMINUM ( ) 07 STEEL CLAD 1 I 08 BRONZE 1 1 09 COMPOSITE I 1 10 NON-METALLIC <br /> (X) 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/16/BS) PAGE 1 <br />