Laserfiche WebLink
i <br /> • CONSOLIDATED FORM TANKS <br /> UNIFIED PROGRAM UST FaciftY <br /> ❑ 5 CHANGE OF INFORMATION <br /> 7 PERMANENTLY CLOSED SITE <br /> ❑ <br /> 3 RENEWAL PERMR TEMPORAAY SITE CLOSURE❑ 6 <br /> ,.w�• ❑1 NEW PERMIT — —__— <br /> m [3,AMENDED PERMIT TION I <br /> [3RM <br /> 2,,maim PEN <br /> I FACILITY/SITE-;INFORMA <br /> 3 FAC( 0197,A6 <br /> pgA OR FACILITY NAME 40) <br /> ./g0%TO INDICATE OWNER TYPE ❑4l COUNTCAL Y <br /> GENCI STRICT <br /> Betty Foster ❑scoDNnAGENG <br /> Mrs. ❑1 coavoRAT1oN <br /> NUMBER T&21NDMDUAL ❑6 STATE AGENCY' <br /> STATE UST FACILITY 'Il'J 402 [3 3 PARTNERSHIP ❑7 FEDERAL AGENCY' 405 <br /> NFA F1EST C0.0S5 STREET ` C V ( �1 d UST a.Ptec <br /> 404 n�a 400 <br /> P1naSCO a nb^ "UST <br /> TOTAL NUMBER OF TANKS AT SNE <br /> 1958 UPGRADE CERTIFlCATE NO. — <br /> _ ❑.iIF Irqun Res.I1"6o^�V.a, � 1 <br /> ❑5 OTHER <br /> TATo 3 FARM 409 <br /> 1. 1 GAS STATION - TION <br /> BUSINESS ❑ ❑,PROCESSOR _ <br /> 2 o1STRIEuTOR_ f ROERTY DINNER INFORMA <br /> ❑ <br /> oAl II:PROP <br /> �B0, att <br /> INDICATE <br /> U 410 PROPERTY OWNERTY� ❑3 PARTNERSHIP <br /> ER NAME ❑,CORPORATION ❑4 LOCAL AG AAS j <br /> PROPERnoYB Foster s <br /> Betty tty []2 WDMDUAL 414 PNONER <br /> (,{AILING OR STREET <br /> AD <br /> LIN <br /> s 916 98a 1240 <br /> A zip <br /> M( <br /> Rd. .- <br /> M( 9254 Tamara Jean 412 STATE „3 95662 <br /> (NA-1 is nottmaAo CA" R4dATtON „s$ PNOT� <br /> CITY NA14E ;p,TANK DyERtNFc?' <br /> ❑2PET evale _ ... <br /> Dia¢ Oran, ,LOCAL AGENCY IDI <br /> OWN� E .BOXTO plDICPTE- �6000NfY AGENCY I <br /> ❑400. " 418 T CO <br /> ❑ESTATE AGENCY <br /> so❑93 U�NIN NAME Bett Foster �2II40MDUAL ❑iFmERAL AGENCY <br /> Mrs. wP 1 <br /> Jean ❑3PAMN 421 zw <br /> AD an <br /> Tamara Rd. 42D STATE <br /> -� 95662 <br /> CA <br /> I — ZAC,EF�ACCOUNT hUDA8E4?=__ <br /> cNY <br /> Oran9evale OF EQUALIZAT ON UST 51-TO9A9D�tionsa <br /> `. IV-BOARD Call(916)322"� <br /> NT EOFrSPONSIBILnY ❑,OLOCAL GOY' <br /> USi FINANc1Al-RE <br /> Clwtl.ms awn TY HQ 4 4 - V PE(ROIL ❑T STATE FUND ❑43 OTHER: <br /> ❑4 ❑ B STATE FUND 8 CFD LEITER <br /> SURETY BOND —= <br /> B.TANK MATE{ - 6 LTS <br /> EOf CREDIT C] 9 STATE FUND 6 CO <br /> .,OXTo [X15ELHNSURED ❑ <br /> ❑ 6 V EMpDOM ING ADDRE55 <br /> Clava msi.mt INDICATE ❑ 2GOAROrME -1�T.J AND MJ+B- DWNER <br /> GAL NOTIFICA ❑z PROP�RT'- <br /> ❑3 WSURAS Vl.LE. T t�m ,FACILITY <br /> C.INTERIOR LINT RE <br /> cn.a Orr awn an L.WI wd .w+b w�.d WI.0°I n,,,e mal=es yll.APPI]CANT SIT '� 42T DATE <br /> d my pb.,I.4 7 426 APPLIOA,aTS TNLE 11 ' <br /> w,; ,a .a Agent <br /> o CORROSION PFY„,+am.u°"F""�e6 <br /> APCAMS NAME PRUNED ANDS <br /> cI»a.mwn... Keith A TaT�a <br /> E.SPILL AND OV ER i <br /> cnwA <br /> SWRCBFm^Al <br /> F. 140 <br />