Laserfiche WebLink
STATE ID NUMBER 00000017974001 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> �} 01 NEW PERMIT ( ) 05 RENEWED PERMIT l ) 07 TAM( CLOSED ( 1 09 DELETE FROM FILE (NO FEE) <br /> ( ) 02 CONDITIONAL PERMIT ( 106 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAME(CORPORATION.INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCx(�ONLY <br /> CALIFORNIA HIGHWAY PATROL ( ) 01 FED (>O 02 STATE ( l 03 LOCAL <br /> CITY STATE ZIP <br /> TREET ADDRESS <br /> S <br /> P.O. BOX 898 SACRAMENTO CA 95804 <br /> II FACILITY <br /> FACILITY NAME DEALERSFO AN/SUPERVISOR <br /> CALIFORNIA HIGHWAY PATROL <br /> STREET ADDRESS N E T <br /> 385 GRANTLINE RD /21 <br /> ZIP <br /> CITY <br /> TRACY SAN�JOAQQUIN 95376 <br /> MAILING ADDRESS CITYSTATE ZIP <br /> P.O. BOX 1088 TRACY CA 95378 <br /> PHONE W/AREA CODE TYPE OF BUSINESS <br /> 209-835-8920 ( ) O1 GASOLINE STATION (X) 02 OTHER CHP <br /> NUMBER OF CONTAINERS RURAL AREAS ONLY TOWNSHIP RANGE SECTION <br /> 1 <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/AREA CODE <br /> FACILITIES SECTION 916-322-5310 - DISPATCHER 916-445-2211 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A( (X) 01 TANK ( ) 04 OTHER: CONTAINER NUMBER 266-1 <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: I C. YEAR INSTALLED 1976 ( ) UNKNOWN <br /> 0. CONTAINER CAPACITY: 12000 GALLONS f 1 UNKNOWN E. DOES THE CONTAINER STORE: ( ) 01 WASTE (X) 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? (X1 01 YES ( ) 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br /> (X) 01 UNLEADED ( ) 02 REGULAR ( ) 03 PREMIUM f ) 04 DIESEL f ) 05 WASTE OIL f ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( ) GAUGE l ) INCHES ( ) CM (X) UNKNOWN <br /> B. f 1 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. ( 1 01 CARBON STEEL ( ) 02 STAINLESS STEEL (X) 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE ( 1 05 CONCRETE <br /> [ ) 06 ALUMINUM ( 1 07 STEEL CLAD ( 1 08 BRONZE ( ) 09 COMPOSITE ( ) 10 NON-METALLIC <br /> ( ) 12 UNKNOWN ( ) 13 OTHER: <br /> MSC04-070185 (10/18/85) PAGE 1 <br />