Laserfiche WebLink
w, s <br /> r t STATE ID NUMBER 00000020115004 <br /> • ow. w <br /> AFPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> 01 NEW PERMIT ( ) 05 RENEWED PERMIT ( r-07 TANK CLOSED <br /> f ( 109 DELETE FROM FILE (NO FEE) <br /> ( ) 02 CONDITIONAL PERMIT f ) 06 AMENDED PERMIT ( l 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER — <br /> PUBLIC AGENCY ONLY <br /> NF"'E(COPPCPATION.INDIVIDUAt OR PUBLIC AGENCY) [ ) O1 FED ( J 02 STATE ( l 03 LOCAL <br /> SHELL OIL COMPANY <br /> CITY STALE ZIP <br /> STPEct = �eEssEE HOUSTON TX 77001 <br /> ONE SHELL PLAZA <br /> II FACILITY <br /> DE4LER/FOR E'MANiSUPERVISOR <br /> FACILITY NAME <br /> • <br /> STOCKTON PLANT A' P <br /> NEAREST CROSS STREET <br /> STPEST ADDRESS <br /> ROUGH & READY ISLAND <br /> COUNTY ZIP <br /> CITY SAN JOAQUIN 95203 <br /> STOCKTON <br /> CITY SLATE TIP <br /> MAILING ADnPEss WEST SACRAMENTO CA 95691 <br /> P.O. BOX 775 <br /> PHONE W/APEA CODE TYPE OF 'BUSINESS <br /> 916-371-6911 ( J 01 GASOLINE STATION (X) 02 OTHER BULK GASOLINE STORAG <br /> NUMBER OF CONTAINERS <br /> RURAL AREAS ONLY TOWNSHIP <br /> RANGE SECTION <br /> 4 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> CAIS: NAME(LAST NAME FIRST) AND PHONE W%AREA CODE <br /> FNIGHTS: NAME(LAST NAME FIPST) AND PHONE W/AREA CODE <br /> i R, G.D. 916-78I 2643 <br /> Mh&*R'T— <br /> 'R.A. R��� 9 E V- G?s-d-2�Lf'�- r5,rm e <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> USk'r CONTAINER NUMBER 03 <br /> A. (XI 01 TANK ( } 04 OTHER' <br /> B. MANUFACTURER (YF APPROPRIATE): UNKNOWN YEAR MFG: 1975 C. YEAR INSTALLED 1975 ( ) UNKNOWN <br /> 13 <br /> D. CONTAINER CAPACITY: .7�9 GALLONS ( ) UNKNOWN E. DOES THE CONTAINER STORE: ( 1 01 WASTE (X) 02 PRODUCT <br /> F. DOES THE CONTAINER TORE MOTOR VEHI LE FUEL OR WAS OIL ? (X) 01 YES C ] 02 NO YES CHECK APPROPRIATE BOX(ES): <br /> (X) 01 UNLEADED ( 02 REGULAR C f 03 PREMIUM (/'\ 04 DIESEL ( ) 05 WASTE OIL ) 06 OTHER <br /> r <br /> V CONTAINER CONSTRUCTION <br /> EA. THICKNESS CF PRIMARY CONTAINMENT: [ ) GAUGE ( ) INCHES ( ) CM (X1 UNKNOWN <br /> 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 42 NON-VAULTED ( ] 03 UNKNOWN <br /> C. ( 1 01 DOUBLE WALLED (X) 02 SINGLE WALLED ( ) 03 LINED <br /> D. (X) 01 CARSON STEEL ( 102 STAINLESS STEEL [ 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE ( 1 05 CONCRETE <br /> ( ) 06 ALUMINUM C ) 07 STEEL CLAD ( 1 08 ONZE ( 1 09 COMPOSITE ( 1 10 No <br /> ( 1 12 UNKNOWN ( ) 13 OTHER: <br /> PAGE 1 <br /> HSC04-070185 (10/18/65) <br />