Laserfiche WebLink
Pe G tL STATE ID NUMBER 00000018769002 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> ( ) 01 NEW PERMIT ( ) 05 RENEWED PERMIT (,� ^T reNx r)nscn_ ( ) 09 DELETE FROM FILE (NO FEE) <br /> ( ) 02 CONDITIONAL PERMIT f 1 06 AMENDED PERMIT ( 1 OB MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> N4ME(CORPOPATION,INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCYONLY <br /> STOCKOTN MOTORS, INC. ( ) 01 FED -f ) 02 STATE ( 1 03 LOCAL <br /> STREET ADDRESSCITY STATE ZIP <br /> P.O. BOX 957 STOCKTON CA 95201 <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREMAN/SUPERVISOR <br /> PACIFIC VALLEY MOTOR CO. LTD. JOHN J. SCHIAVO <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 600 N. EL DORADO OAK ST. <br /> CITY COUNTY IIP <br /> STOCKTON SAN JOAOUIN 95202 <br /> MAILING ADOPESSGI TY STATE ZIP <br /> 600 N. EL DORADO STOCKTON CA 95202 <br /> PHONE W/AREA CODE TYPEOF BUSINESS <br /> 209-948-5190 ( ) O1 GASOLINE STATION (X) 02 OTHER AUTO DEALER <br /> NUMBER OF CONTAINERS RURAL AREAS ONLY TOWNSHIP RANGE SECTION <br /> 2 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE NIGHTS: NAME(LAST NAME FIRST) AND PHONE W/ARCA CODE <br /> CAR LSON, JOHN 209-948-5190 - <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( ) 04 OTHER: CONTAINER NUMBER 1 <br /> B. MANUFACTURER (IF APPROPRIATE): UNKNOWN YEAR MFG= C. YEAR INSTALLED (X) UNKNOWN <br /> 0. CONTAINER CAPACITY: 1000 GALLONS ( ) UNKNOWN E. 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 /> IX) 01 UNLEADED ( l 02 REGULAR f ) 03 PREMIUM f ) 04 DIESEL f ) 05 WASTE OIL f l 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: f ) GAUGE ( ) INCHES ( 1 CM (X) UNKNOWN <br /> B. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) ( ) 02 NON-VAULTED (X) 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED ( 1 02 SINGLE WALLED ( 7 03 LINED <br /> 0. ( ) 01 CARBON STEEL I ) 02 STAINLESS STEEL l ) 03 FIBERGLASS f ) 04 POLYVINYL CHLORIDE l 1 05 CONCRETE <br /> ( ) 06 ALUMINUM f ) 07 STEEL CLAD f ) 08 BRONZE ( 1 09 COMPOSITE ( ) 10 NON-METALLIC <br /> (X1 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br /> � �I <br />