Laserfiche WebLink
' 0 STATE ID NUMBER 00000040415001 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> ( l 01 NEW PERMIT ( 1 05 RENEWED PERMIT ( ) 07 TANK CLOSED ( ) 09 DELETE FROM FILE (NO FEE) <br /> ( 1 02 CONDITIONAL PERMIT ( 1 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAME(CORPCRATION.ZNDIVID'UAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> SOUTHERN PACIFIC PIPE LINES. I ( ) 01 FED ( ) 02 STATE f ] 03 LOCAL <br /> STREET ADDRESS CITY STATE ZIP <br /> 610 SOUTH MAIN STREET LOS ANGELES CA 90014 <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREMAN/SUPERVISOR <br /> STOCKTON TERMINAL SAM WILDBLOOD <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 2947 NAVY DRIVE WASHINGTON ST. <br /> CITY COUNTY <br /> 2IP <br /> STOCKTON SAN JOAQUIN 95206 <br /> MAILING ADDRESS CITY STATE ZIP <br /> 2947 NAVY DRIVE STOCKTON CA 95206 <br /> PHONE W/,AREA CODE TYPE 0? BUSINESS <br /> 209-465-7369 ( ) O1 GASOLINE STATION (X) 02 OTHER COMMON CARRIER PIPEL <br /> NUMBER OF CONTAINERS RURAL AREAS ONLY TOWNSHIP RANGE SECTION <br /> 1 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: N4ME(LAST NAME FIRST) AND PHONE W/AREA CODE NIGHTS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE <br /> WILDBLOOD, SAM 209-465-7369 209-465-7369 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( ) 04 OTHER: CONTAINER NUMBER SN-0-1 <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: 1961 C. YEAR INSTALLED 1961 ( ) UNKNOWN <br /> D. CONTAINER CAPACITY: 1470 GALLONS ( 1 UNKNOWN E. DOES THE CONTAINER STORE: ( ) 01 WASTE (X) 02 PRODUCT <br /> F. 0 NER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? (X) 01 YES f l 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br /> (X) 01 UNLEADED ( ) 02 REGULAR f ) 03 PREMIUM ( ) 04 DIESEL ( ) 05 WASTE OIL ( 1 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: 3/16 ( ) GAUGE (X) INCHES ( ) CM f 1 UNKNOWN <br /> B. ( 1 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ( ) 03 UNKNOWN <br /> C. [ l 01 DOUBLE WALLED (X) 02 SINGLE WALLED ( ) 03 LINED <br /> D. (X) 01 CARBON STEEL ( ) 02 STAINLESS STEEL ( 1 03 FIBERGLASS ( 1 04 POLYVINYL CHLORIDE ( ) 05 CONCRETE <br /> ( 1 06 ALUMINUM ( l 07 STEEL CLAD ( 7 08 BRONZE f ) 09 COMPOSITE ( ) 10 NON-METALLIC <br /> ( 7 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br />