Laserfiche WebLink
STATE I0 NUMBER 00000000716006 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> ( 101 NEW PERMIT f ) 05 RENEWED PERMIT ) 07 TANK CLOSED <br /> ( ) 02 CONDITIONAL PERMIT ( l 06 AMENDED PERMIT ( 08 MINOR CHANGE (NO SURCHARG )) 09 DELETE FROM FILE (NO FEE) <br /> I OWNER <br /> NAMC(CORPOPATION,INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> LODI METAL TECH., INC. <br /> ( ) 01 FED ( ) 02 STATE f ) 03 LOCAL <br /> STREET ADDRESS <br /> CITY STATE ZIP <br /> 213 S. KELLY ST. LODI CA 95240 <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREMAN/SUPERVISOR <br /> LODI METAL TECH., INC. ROBERT LIND <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 213 S. KELLY ST. LODI AVE. <br /> CITY COUNTY <br /> ZIP <br /> LORI SAN JOAQUIN 95241 <br /> MAILING AOOP.ESS CITYSTATE ZIP <br /> P. 0. BOX 558 LODI CA 95241 <br /> PHONE W/APIA CODE TYPE OF BUSINESS <br /> 209-334-2500 ( ) 01 GASOLINE STATION (X) 02 OTHER MANUFACTURING <br /> NUMBER OF CONTAINERS RURAL AREAS ONLY TOWNSHIP RANGE SECTION <br /> 6 <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 /> GROSS, ALLEN 209-369-5245 GROSS, ALLEN 209-369-5245 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> D <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( ) 04 OTHER: CONTAINER NUMBER 1 <br /> B. MANUFACTURER (IF APPROPRIATE): UNKNOWN YEAR MFG: C. YEAR INSTALLED 1972 f 1 UNKNOWN <br /> 0. CONTAINER CAPACITY: 500 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 /> (X) 01 UNLEADED ( ) 02 REGULAR ( ) 03 PREMIUM ( ) 04 DIESEL ( ) 05 WASTE OIL ( ) 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 l ) 02 STAINLESS STEEL ( ] 03 FIBERGLASS [ l 04 POLYVINYL CHLORIDE ( ) 05 CONCRETE <br /> f ) 06 ALUMINUM f l 07 STEEL CLAD l ] OB BRONZE f 1 09 COMPOSITE ( ) 10 NON-METALLIC <br /> ( ) 12 UNKNOWN l 1 13 OTHER: <br /> HSC04-070185 110/18/85) PAGE 1 <br /> SPF >.i <br />