Laserfiche WebLink
STATE ID NUMBER 00000004741004 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> C1 0 NE ERMIT ( 1 05 RENEWED PERMIT [ l 07 TANK CLOSED ( l 09 DELETE FROM FILE (NO FEE) <br /> ( ) 02 CONBITION.AL PERMIT f ) 06 AMENDED PERMIT C 1 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAME(COPPORATICN,INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> THRIFTY OIL CO. ( ) 01 FED ( ) 02 STATE 03 LOCAL <br /> STF.EET <br /> ADDRESS <br /> CITY STATE ZIP <br /> 10000 LAKEWOOD BLVD. OOWNEY ICA 90240 <br /> II FACILITY <br /> FACILITY NAME DEALER/FOPEM.AN/SUPERVISOR <br /> THRIFTY OIL STN. #172 <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 7647 PACIFIC AVENUE RIVARA <br /> CITY COUNTY <br /> 2IP <br /> STOCKTON SAN JOAQUIN 95200 <br /> MAILING ADDRESS CITY STATE ZIP <br /> 10000 LAKEWOOD BLVD. DOWNEY CA 90240 <br /> y <br /> PHONE W/APER 4f; TYPE OF BUSINESS <br /> 213-923-9876 1 (X) 01 GASOLINE STATION ( 1 02 OTHER <br /> NUMBER OF CONTAINERS RURAL AREAS ONLY TOWNSHIP RANGE SECTION <br /> 4 _.. __ <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAME(L.AST NAME FIRST) AND PHONE_64APEA CODE NIGHTS: NAMEELAST NAME FIRST) AND PHO��REA CODE <br /> LARRY HAWK 5 2 r876 .�` r_ .�--� 1-� LARRY HAWKS aa_9_ S3=S�93 <br /> 4/G S -ESXr <br /> COMPLETE THE FOLLONING ON A SEPARATE FORM FOR EACH CON <br /> IV DESCRIPTION <br /> A. (X) 01 TANK i ) 04 OTHER: CONTAINER NUMBER 172-7 <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: C. YEAR INSTALLED (X) UNKNOWN <br /> 0. CONTAINER CAPACITY: 6000 GALLONS f l 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 E0x(ES): <br /> (X) 01 UNLEADED ( l 02 REGULAR C 1 03 PREMIUM ( ) 04 DIESEL { ) 05 WASTE OIL I 1 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: 1/4 ( ) GAUGE (X) INCHES ( 1 CM ( l UNKNOWN <br /> B. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ( 1 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED (X) 02 SINGLE WALLED ( 1 03 LINED <br /> D. (X) 01 CARBON STEEL ( 1 02 STAINLESS STEEL 1 ) 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE ( 1 05 CONCRETE <br /> ( ) 06 ALUMINUM f 1 07 STEEL CLAD ( ) 08 BRONZE ( ) 09 COMPOSITE ( ) 10 NON-METALLIC <br /> i 1 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/1$/851 PAGE 1 <br /> i • <br />