Laserfiche WebLink
• • STATE ID NUMBER 00000045197002 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> O1 NEW PERMIT ( 1 05 RENEWED PERMIT ( l 07 TANK CLOSED ( l 09 DELETE FROM FILE (NO FEE) <br /> '1'02 CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAME(CORPORATION,INOIVIDUAL OR PUBLIC AGENCY) LICEONLY <br /> ONLY <br /> BOGETTI`S ORCHARD INC. ( ) 01 FED [ ) 02 STATE ( ) 03 LOCAL <br /> STREET ADDRESS FV�RNALIS <br /> STATE ZIP <br /> 2553 E. HWY 132 CA 95385 <br /> II FACILITY <br /> FACILITY NAME � ALER/FOREMAN/SUPERVISOR <br /> D CHEVRON OIL <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 2553 E HWY 132 GREENWOOD ROAD <br /> CITY COUNTY ZIP <br /> VERNALIS SAN JOAQUIN 95385 <br /> MAILING ADDRESSCITY STATE ZZP <br /> P.O. BOX 705 VERNALIS CA 95385 <br /> PHONE W/AREA CODE TYPEOF BUSINESS <br /> 209-835-8972 (X) O1 GASOLINE STATION ( ) 02 OTHER <br /> NUMBER OF NTAINEPS RURAL AREAS ONLY TOWNSHIP r GE SECTION <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAME(LAST NAME FIRST) AND PHONE W/AP.EA CODE NIGHTS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE <br /> ALBERT BOGETTI 209-835-8972 ALBERT BOGETTI 209-835-2471 <br /> COMPLETE THE FOLL014ING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( ) 04 OTHER: CONTAINER NUMBER 2 <br /> B. MANUFACTURER (IF APPROPRIATE): MODESTO TANK YEAR MFG: C. YEAR INSTALLED (X) UNKNOWN <br /> D. CONTAINER CAPACITY: 5000 GALLONS ( ) UNKNOWN JE. DOES THE CONTAINER STORE: ( ) 01 WASTE (X). 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? (X) 01 YES ( 1 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br /> ( ) 01 UNLEADED (X) 02 REGULAR ( ) 03 PREMIUM ( ) 04 DIESEL ( ) 05 WASTE OIL ( ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: 1/4 ( ) GAUGE (X) INCHES ( ) CM ( ) 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 ( 1 03 LINED <br /> D. (X) 01 CARBON STEEL ( 1 02 STAINLESS STEEL ( ) 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE ( l 05 CONCRETE <br /> ( ) 06 ALUMINUM ( l 07 STEEL CLAD ( ) 08 BRONZE ( ) 09 COMPOSITE ( l 10 NON-METALLIC <br /> ( ) 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br /> S <br />