Laserfiche WebLink
STATE ID NUMBER 00000002326001 <br /> APPLICATION FOR PERMIT TO OPERA ERGROUND STORAGE TANK <br /> ( ) <br /> 01 NEW PERMIT ( ) 05 RENEWED PERMIT ( ) 07 TANK C ( ) 09 DELETE FROM FILE (NO FEE) <br /> ( 102 CONDITIONAL PERMIT ( l 06 AMENDED PERMIT ( -(NO SURCHARGE) JJJI <br /> I.L./ <br /> I OWNER <br /> N.AME(CORPORATION,INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> A. TEICHERT & SONS ( ) 01 FED ( ) 02 STATE ( 103 LOCAL <br /> STREET ADDRESS CITY STATE ZIP <br /> 3500 AMERICAN RIVER DR SACRAMENTO CA 95851 <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREMAN/SUPERVISOR <br /> TRACY ROCK PLANT DAN BARBER <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 29099 SOUTH MAC ARTHUR DR LINNE <br /> CITY COUNTY ZIP <br /> TRACY SAN JOAQUIN 95376 <br /> MAILING .ADDRESS CITY STATE ZIP <br /> BOX 247 TRACY CA 95376 <br /> PHONE W/APE.A CODE TYPE OF BUSINESS <br /> 209-835-4931 ( ) 01 GASOLINE STATION (X) 02 OTHER AGGREGALE PLANT <br /> NUMBER. OF CONTAINERS P.URAL AREAS ONLY JTOWNSHIP RANGE SECTICN <br /> 1 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE NIGHTS: NAME(LAST NAME FIRST) .AND PHONE W/AP.EA CODE <br /> DANIEL K. BARBER 209-835-4931 SAME 209-369-4055 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( ) 04 OTHER: CONTAINER NUMBER C-22 <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: C. YEAR INSTALLED (X) UNKNOWN <br /> D. CONTAINER CAPACITY: 1000 GALLONS ( ) UNKNOWN JE. DOES THE CONTAINER STORE: ( ) 01 WASTE (X) 02 PRODUCT <br /> F. THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? (X) 01 YES ( ) 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br /> (X) 1 UNLEADED t ) 02 REGULAR ( ) 03 PREMIUM ( ) 04 DIESEL l ) 05 WASTE OIL ( ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( ) GAUGE ( ) INCHES ( ) CM (X) UNKNOWN <br /> B. ( l 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ( ) 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED ( ) 02 SINGLE WALLED ( ) 03 LINED <br /> D. ( ) 01 CARBON STEEL ( ) 02 STAINLESS STEEL ( ) 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE ( ) 05 CONCRETE <br /> ( ) 06 ALUMINUM ( ) 07 STEEL CLAD ( ) 08 BRONZE ( ) 09 COMPOSITE ( ) 10 NON-METALLIC <br /> (X) 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br />