Laserfiche WebLink
STATE ID NUMBER 00000002323006 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> l�Ll <br /> 01 NEW PERMIT ( ] 05 RENEWED PfRMIT 07 TANK CLOSED l l 09 DELETE FROM FILE (NO FEET <br /> r['^j 02 CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT f 1 O8 MI OR CHA GE fN0 SURCHARGE) <br /> I OWNER <br /> NAME(COPPORATION.INOIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> A. TEICHERT AND SON, INC. ( ) 01 FED f ) 02 STATE f ) 03 LOCAL <br /> STREET A_:RESSCITY STATE ZIP <br /> 3500 AMERICAN RIVER DR. SACRAMENTO CA 95851 <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREMAN/SUPERVISOR <br /> STOCKTON YARD VIRGIL WHITE <br /> STREET ADDRESS - NEAREST CROSS STREET <br /> 103 NORTH E ST. D ST. <br /> CITY COUNTY Zip <br /> STOCKTON SAN JOAQUIN 95201 <br /> 44ILING ADDRESS CITY STATE ZIP <br /> P.Oc BOX 1118 STOCKTON CA 95201 <br /> PHONE W/AREA CODE TYPE OF BUSINESS <br /> 209-�.�4-24e8 e!&-4� ( ) 01 GASOLINE STATION (X) 02 OTHER MOTOR VEHICLE MAINTE <br /> NUMBER OF CONTAINERS RURAL AREAS ONLY TOWNSHIP RANOE SECTION <br /> 6 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAM.E.(LAST NAME FIRST) AND PHONE W/AREA CODENIGHTS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE <br /> ie <br /> HHITEr VIRGIL 209--0 -4`r7 WHITE, VIRGIL 209-823-5693 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK f ) 04 OTHER: CONTAINER NUMBER <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: C. YEAR INSTALLED (X) UNKNOWN <br /> no <br /> D. CONTAINER CAPACITY: 1000- GALLONS f I UNKNOWN E. DOES THE CONTAINER STORE: (X) 01 WASTE ( 1 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 /> f 1 <br /> 01 UNLEADED ( ) 02 REGULAR ( ) 03 PREMIUM ( ) 04 DIESEL (X) 05 WASTE OIL f ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( ) GAUGE f ) INCHES ( ) CM (X) UNKNOWN <br /> B. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ( ) 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED (X) 02 SINGLE WALLED ( ) 03 LINED <br /> 0. (X) 01 CARBON STEEL ( 1 02 STAINLESS STEEL f ) 03 FIBERGLASS ( 1 04 POLYVINYL CHLORIDE ( 1 05 CONCRETE <br /> ( ) 06 ALUMINUM f ) 07 STEEL CLAD ( 1 08 BRONZE ( 1 09 COMPOSITE ( ) 30 NON-METALLIC <br /> ( ) 12 UNKNOWN ( ) 13 OTHER: <br /> MSC04-070185 (10/18/85) PAGE 1 <br />