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Catiiornia Water Resources Control Board
<br /> ard 0 us Substance Storage Statemeo
<br /> ho Most file Each pL,..Svn 51D,.n,rn:.,03.S 5.05"a races in any jr,��ta— ,,.;jTres are nC.ov-
<br /> w :ani'mi We!,.s'C"n r1c 1 191$:JAile,0:'=e Fee: �:, eacn tank 4 $'C tee muS! ct Pal: ex:" Inc" lelil-'
<br /> g,o"c 96-t u5ii-C On!alilimsl ;a so no star ons Pat st;:e,'4n-
<br /> 1 19154 anc nc lalli� an Janus 1 A"11A
<br /> Dithn lion or Underground Containers: Tme a. avo,,es TO COncrCit Penalties:For 12,'ulc Ic'le t�it`De'.Stj S500'$5030 Per Cay 1!YO
<br /> i ' :!2::.,: or eac" cly lm r,zwr=---2n-7
<br /> nonyati�IeC L) i-eO tanks 0 C:mer unoc-g-o,no c7o,lz.r,&s li --n )ciii Car.Le 1 1eZ:..--c-c
<br /> "mIts 'Afl Como -.nc �ncrr�a,lxi �,is. --cs an r.as ncj oeen c:"k FE
<br /> Gose seellon 131'31 . Zs nc - I j
<br /> Lagoons araC sumps Ina, We bi 110 lcfl;k. "'Cinr S.Jllace e M's, Com!ioentiality: P yc- '3,� O"Olectec�Cy "ce SeI
<br /> C,o�mc q no, nT;jL,:,eC Com,a�ne,s P ease a9 a..'Z,�M r.Inf'n, tolm ira� s cor.,Cent.aw
<br /> reg! ie, A!anir s-i!,ng on line C
<br /> S 'S an.:la;00"! C :a!0ft C,lete.3 C
<br /> be,eain The sirlace are mcloacc Lnec o-un,ine:D�ts Cronc to,con,.oen,a
<br /> are covered o earn has peen lemovec'ram line SiCra9e,alea to ct'sir"c, ICY ar":case 1h.
<br /> C C W P _J
<br /> in tac Nolma graa,n; s mc.c.Ilszefeo Dns!,,Ct n TWO c.n Multiple Containers: F anct 11 on one ivrin anc leave it otank to >
<br /> Wile: 'e". nini;!cfrns ;,�jac- a iopenef secu,e-Y " ,IV c'n-
<br /> iisicit in Section 63S2 2 On ccrinc-'eF 9a Pe Cal S'6132.= at
<br /> Delmilion of Hazardous Substance:Any suosiance no Saicir,Cwc Tris 50 tan's YOj Cr ble
<br /> or me LaOOf COCe or In Sc:"Cin '3316 Cl'no"'ea"aIrl prma`lon
<br /> InClocles gasoline cl,eSel lucl 3,jncCSjlia:solvents pesi,cces neir,4;ceS This Is no,a permit Application.A:'Unvergrouno Tanks itylil be 10.
<br /> and 1�m,qanis ii the maivia.most De ca-cc rY a ieo's;e,eo nawe C,S- cic _U =0
<br /> at'Cgl,,ia�,or� son -:sc n2�c a-eacy oe;ur.pcv,a
<br /> PCs generates vessioje �e t. _in Vo_,local cc�n,y;�e,r7e- on
<br /> Posed or ai a ruizarcous-Zslt Slit Is 0-C;Oslve -7711 0
<br /> near or D&COmDosillon Or ,,owlo,,arm rum. ans or-01.1e yoj m-s'to-.Ste., —3l 1jj
<br /> NOTE: ALL UNDERGROUND CONTAINERS MUST REGISTER EVEN IF STATE AND/OR LOCAL PERMITS ARE IN FORCE
<br /> Z
<br /> I Owner
<br /> or pi,—Awicy,
<br /> Simpson Paper Coman
<br /> San Era-iristca CA 94 04
<br /> II Facility
<br /> j- T. Eiserunan
<br /> Sren sous.]
<br /> South Stockton Street lot AV
<br /> 77
<br /> Ripon —, San Joaquin 95366
<br /> Box 757 Ripon CA 95366
<br /> a...rear I Tir..
<br /> 209 599-4241 0:,Motor venicie Fje:Stai,on XK,O!ne- Paper Xf e.
<br /> F
<br /> Rural Areas
<br /> Only:
<br /> !1! 24 Hour Emergency Contac! Person
<br /> ..—r.v l—llW--—,._,I ,,- —--.—,"—....c—
<br /> Abrahamson. Dennis 209 599-4241 S=e 209 529-3267
<br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER
<br /> IV Description
<br /> AYSO-Tank 0otSump 0o;iLagoon,P;IOrPDnc oo.iOmer 1
<br /> B Manviarturer(tiappropriake) _Year of vig., 1962 1962 D Unknown
<br /> D. Container Capacity: 30gaitoris 0 UnKITOWn r—crilamer Aepit:rs)a-i%viite Lr�nown Om Yes Year
<br /> IT
<br /> 1 :m Unknown
<br /> is Container currently used? CYes V.No If No.year or Iasi use ,982 [03
<br /> G Does the Container Store(Check One) $4,wasteCc-Proa-itc,
<br /> _H Does the Container Stoie Motor Vehicle fue!or Waste 011 0.a-YeS CL-,-No Cr Yes.Cre--..apxcpfiate lb:x{es)
<br /> L
<br /> Clo,Unleaded DuRegular CciPremium oc.Diese' Qp,WaS,.eoll OcitO!rler' iS';
<br /> V Container Construction
<br /> 61 A. Thickness of Primary Conlainmetilt_0 Gauge 0 Incnes D cm �Knknown
<br /> B. 0 a,Vaulted(Located in an unoergroun9 Vault) Xw.-4on-,ajTeC Da Unknown
<br /> C. 0 or Double Walled X,Single walked Ora Line., C il.Wrapped M o6 Unknown Cot None
<br /> D CK Carbon Steel 0 ti?Stainless Sleet U m lc:tteri;lass 0�Po yvinyl Cnlor,oe Ll ct Cc-Icte!e Coe Alum,rtm
<br /> Dit?Steel Clad Doe Storize 0%Compove [2 to Non-metaii c C -, Earner,Wi. s
<br /> 0 12 Unknown C3,3 Other.
<br /> E. Do, Rubber Lined 0 u Alkya Lining 0 0 Epoly Lining 0;,i Pnenvic Lining 'v.G 2SS Linung 0 x Clay Linnq
<br /> 39,Unlined 0 c#Unknown Do Cirter.
<br /> F.Do,Potyelhilefle Wrap 0 w Vinyl Wrapping X m Carr W.c Proteicillon 0 oi,Unknown 0 as tone 0 sr,Driller,
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