Laserfiche WebLink
..i <br /> �. <br /> STATE ID NUMBER 00000054432002 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> E1 NEW PERMIT ( ) OS RENEWED PERMIT ( 1 07 TANK CLOSED f ) 09 DELETE FROM FILE (NO FEEL <br /> 2 CONDITIONAL PERMIT ( ) 05 AMENDED PERMIT ( 7 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAME(CORPORATION.INOIVIOVAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> BERBERIAN BROS. INC. ( 7 01 FED f l 02 STATE ( ) 03 LOCAL <br /> STREET ADDRESS CITY STATE ZIP <br /> 2244 WEST LANE STOCKTON CA 95208 <br /> Ii FACILITY <br /> FACILITY NAME DEALER/FOREMAN/SUPERVISOR <br /> BERBERIAN BROS. INC. RAY AZEVEDO, WAREHOUSE MGR. <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 2244 WEST LANE HARDING WAY <br /> CITY COUNTY ZIP <br /> STOCKTON SAN JOAQUIN 95208 <br /> MAILING ADDRESS CITY STATE Zip <br /> P.O. BOX 8538 STOCKTO14 CA 95208 <br /> PHON209-4 W/AREA CODE TYPE OF GASONESS <br /> LINE <br /> (.t)Aole5,LjC �Qr <br /> 209-464-7311 �01 GASOLINE STATION ( 02 OTHER <br /> NUMBER OF CONTAIN!RS RURAL AREAS ONLY TOWNSHIP RANGE SECTION <br /> 3 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAME( AST NAME FIRST) AND PHONE W/AREA CODE NIGHTS: NAME(LAST++ NAME FIRST) <br /> �AND <br /> pPHONE WI/'AREA CODE <br /> AZEVEDO 209-464-7311 SAME PV�U e CY �" 1) 't 7 3 I <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EAC CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( ) 04 OTHER: CONTAINER NUMBER 2 <br /> B. MANUFACTURER (IF APPROPRIATE)* YEAR MFG: 1981 C. YEAR INSTALLED 1981 ( l UNKNOWN <br /> 0. CONTAINER CAPACITY: 2000 GALLONS ( 1 UNKNOWN E. DOES THE CONTAINER STORE: ( ) 01 WASTE (X) 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? (X) 01 YES ( ) 02 NO IF YES CHECK APPROPRIATE BOX(ESI: <br /> (XI 01 UNLEADED ( ) 02 REGULAR ( ) 03 PREMIUM ( ) 04 DIESEL f ) 05 WASTE OIL ( ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: 3/16 ( ) GAUGE (X) INCHES ( ) CM ( 7 UNKNOWN <br /> B. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ( ) 03 UNKNOWN <br /> C. ( )) 01 DOUBLE WALLED ( ) 02 SINGLE WALLED ( 7 03 LINED <br /> D. 61 CARBON STEEL f l 02 STAINLESS STEEL ( ) 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE ( ) 05 CONCRETE <br /> ) 06 ALUMINUM ( ) 07 STEEL CLAD ( ) 08 BRONZE f ) 09 COMPOSITE ( ) 10 NON-METALLIC <br /> f ) 12 UNKNOWN (X) 13 OTHER: PLATE STEEL <br /> HSC04-070185 (10/18/85) PAGE 1 <br /> LF `� <br />