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Ca1dorma Plater Rese.lrces Control Boars! ,• �•. ' =
<br /> .r�
<br /> �zardous Substance Storage Statem ' °
<br /> tl'r'ho Muat File: EJC'""S:`S::". $..5'.a r':.'S ^a` ✓ "E!a I, ',a$CS d,'C�•+.��
<br /> b,C'.,n©tcTa•wrmasi� ,h,5lo•n r - __a' 1s;4 it- r'3c':.Cr• Fee! Fc ea la^• re75-e•tt a 51- ,E-$ Masi De Psa ea:tCm ink tear
<br /> igs:ana nc isle,,nan:an„a,v i ,61L, 'z'.•s useo on lanes SESD.`.e V211: s Cal S: : ':an•
<br /> De!inillon o! Underground Containers: t aw aD:.•e$ IC 'COnC'E a Penalties:Fo!la;..rE to!'e '•ae Ckna.,a 55Y.-SZ.OX Ve C3Y ' Yh-L&WI
<br /> Sump. npn.dLteC Did"Va'All! OI C•iv'I u ._ '."D'J r,P C"_13-hers ^•p•rr.al Jr, Ca'V.bu CaI.nr_u:13�_-...J'C>•CE:n Cat I•,E
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<br /> ,agoOnS arC Sumps roti a,C nE a.'•lite nG'T? [O..nv S_'-a:E e.e Conboen4alliy. ' 1C_ ra.e :—.Z p,o'et:E: Cy iia:e S&:'t a.5 '
<br /> 'ec°!e' A:ani, 5-It,nq On Inc. ;,Ovnr: n:aCeC C-�1d•�$ ]a o d. u5 V'I•_ n':•^ c^ C'm 2"IS co :t E
<br /> J, DErIC a1h Int SurlyCe sit InD-uOC•C L ntC+o'In`E:D'.:5 CI-CS a : cZIC� a'(iC dt:o'1Y LO` 7E as', _`:2C ['.a'.ICn$0',E.t - _a..
<br /> are Coae,eo J earl,has bee'l .?`nOC 1101!•,e s'o'aps a'ea 1: - CASE law
<br /> rite !acJny No,ma''g,aa.nq .$ nc, .C,s.te'ea :C _c, tt De C+1 ; _ _ `, _
<br /> eve Multiple Containers:-•'1 ane 11o-or.e,Drr,an:leave t Dart D`i Int
<br /> _ ._. ac'.a. T'rs!o -rr se:we r !, >a.-.r •O`i:ear
<br /> Dehnrlion DI"Sitardous Substantel Ant,s_:5:anCe ts,e:,n SeCi.:-E:Z _ _
<br /> ' or lite Labor Cone o' �uc,:a,.__'6 a ea a :1e'le.'.e Ca: C.'=_ _ e'ry fpr
<br /> 'ire 1n naSa:e!r �$ -
<br /> ,nvuoes gasoi,ne a.eSC' ave'a' ncLS!,.a stilts nest":.ces re,.c:_5
<br /> ane lumioan!S r the malel,a muS'CC CJarCa c. :raaos:ere:: na_v! ra. This n not a Pera,il Application,..: L,,^rcorg!tiny Ta^a$rZi x sub".^_.to
<br /> poses of a1 a nataraou$wade sae Is Ca,05 a renea,eS press.re cut!q :'Cal Itgv.al,on $Zie _r• _ s rase a'reaey xCJn pr bra-S -`ec'
<br /> -a $o 'Ey s'C• n your Dca Co_ y RI:;'v^.e, Womal.Dz
<br /> nes+or aecompas„Ion rr wlc na huwe
<br /> NOTE: ALL UNDERGROUND CONTAINERS MUST REGISTER EVEN IF STATE ANDIOR LOCAL PERMITS ARE IN FORCE_
<br /> I Owner
<br /> Namc -0r ,I -
<br /> Sim am Paper Company
<br /> 71-Post Street ' San Francisco 4� CA 94104
<br /> II Facility
<br /> I
<br /> H
<br /> 5outh Stockton Street
<br /> 1st A
<br /> pue
<br /> ! Ri on San Joaquin € 95366
<br /> ..wo.aoeaa
<br /> Box 757 Ripon i CA '• 9 366
<br /> e,gne.Y.a rine 1rfY Y o6^rt,
<br /> 209 599-4241 C: V.vo-:'en cle Fue!S:aT or, O!ne, _ RapeX �ifgs.
<br /> hwnen m rsr,a al I,s,testi Rural Areas
<br /> 1 2 On}y:
<br /> CII 24 Hour Emergency Contac! Person
<br /> O.ya Name'13Vmer I•aN air¢Al,dk ava .y::N.,w•.sl a.,•t•.a.a':-+.-�-. ..,_
<br /> Abrahameoa Dennis 209 599-4241 Same 209 529-3.267
<br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER
<br /> IUj
<br /> IV Description LID U
<br /> A.X a,Tank IZc?Sump D ox Lagoon.Pa or Pone 0 w Clher 2 <
<br /> B Manular_turer(It appropriate) Year o!V11IC `•c.r 1rs?a.ec 1982 C Ur,kn_.Il
<br /> U.J �
<br /> D, Container Capacity. —3-0-0gallcns D Unknown i E. Comalrer Repairs&:- :_ =_ Lr.no'wn _^c:Yes Year.
<br /> _ LLA
<br /> F. is Container currently use0 U'Yes D w Nb 1! No.year o' as! useC o Unkn: ?
<br /> .y.' Z
<br /> LLA
<br /> G. Does Ike Cornatner Store(Check One:. D of waste XKI az Proc_ct - - 1
<br /> i
<br /> H. Does the Container Stare Moor ven:c!a Fuel or waste O T? Yes D a:No "I Yes.Cnec arprc;i :rlate bklesl
<br /> [Do, Unleadeo X Regular D in Premium D m Dlese' C__'.vaste 01! Q rt 0!7er L,V
<br /> V Container Construction
<br /> A.. Thickness of Primary Containment O Gau©e 0 Ir�ches d cm I Unkno,n €
<br /> B. D a,Vaulted(Located to an unaergrounC Vaull,I No Non•va-,iea D c:U!kno-,yn I
<br /> r
<br /> C Dat Double Walled Km Single Waueo Dao Lind Wrapped Da Unknown Lice Nsne
<br /> DX D,Camon Steel Dos'Stainless Sreel Cm F.sere ass ''D:.PQ'yyinyl Chlor,ce rh Cc^'cre:e 0 E.:umnLrn
<br /> D o,Sleet Clad L w Bronze Cos Compos'te C la^:c-. ,e•;',c D I cari-en t s i
<br /> 0.;Unknown DID Other
<br /> {
<br /> E. D o, Rubber Linea D Da A!kyC Lining D G.L.Epc ay L,n ne D Pnenet,c L:nlnc C G'asS Lin ng C ffi C!ay?.rn^._
<br /> r
<br /> Xn a,Unlined ❑De Unknown D as Other.
<br /> F 00,Po"thlene Wrap 0at Vinyl Wra.D:N a3 Catnpc,c piaecl,on Ca unitno,vn ct.NDrle CA Omer
<br />
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