Laserfiche WebLink
STATE ID NUMBER 00000018428001 <br /> (VolPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> A NEW PERMIT ( ) 05 RENEWED PERMIT ( ) 07 TANK CLOSED <br /> r'r02 CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE)) 09 DELETE FROM FILE (NO FEE) <br /> I OWNER <br /> NAME(COPPORATION.INDIVIDUAL OR PUBLIC AGENCY) <br /> CARL KARCHER ENTERPRISES, INC. PUBLIC AGENCY ONLY <br /> ( ) 01 FED ( ) 02 STATE ( ) 03 LOCAL <br /> STREET ADDRESS <br /> 1200 N. HARBOR BOULEVARD CITY STATE IIP <br /> ANAHEIM CA 92803 <br /> II FACILITY <br /> [800MELLON <br /> TY NAME <br /> STRIBUTION CENTER DEALER/FORE N/SUPERVISOR n <br /> 7 e /-,+Al moi- .s <br /> ADDRESS <br /> AVENUE NEAREST CROSS STREET <br /> WETMORE <br /> A COUNTY IIP <br /> SAN JOAQUIN 95336 <br /> MAILING ADDRESS <br /> STATE IIP `zop <br /> CA <br /> PHONE W/AREA CODE TYPE OF BUSINESS J Gi <br /> 209yYGiy(gp� .q�j. ( 7 01 GASOLINE STATION (X) 02 OTHER DISTRIBUTION CENTER <br /> NUMBER OF CONTAIRiTr RURAL AREAS ONLY : TOWNSHIP RANGE <br /> 2 SECTION <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODENIGHTS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE <br /> T <br /> TERRY LANGSTAFF 209-0IBw}T• �y) j2f, " SAME - - <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( ) 04 OTHER: CONTAINER NUMBER 1 <br /> B. MANUFACTURER (IF APPROPRIATE): NJ MCCUTCHEN YEAR MFG: 1984 C. YEAR INSTALLED 1984 ( ) UNKNOWN <br /> O. CONTAINER CAPACITY: 10000 GALLONS f 1 UNKNOWN E. DOES THE CONTAINER STORE: ( ) 01 WASTE (X) 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? fX) 01 YES ( ) 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br /> ( ) 01 UNLEADED ( 1 02 REGULAR ( ) 03 PREMIUM (X) 04 DIESEL ( 1 05 WASTE OIL ( ] 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: 1/4 ( 1 GAUGE (X) INCHES ( ) CM ( 1 UNKNOWN <br /> B. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ( ) 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED (X) 02 SINGLE WALLED ( 1 03 LINED <br /> 0. (X) 01 CARBON STEEL ( ] 02 STAINLESS STEEL ( 1 03 FIBERGLASS ( 1 04 POLYVINYL CHLORIDE ( 1 05 CONCRETE <br /> ( ) 06 ALUMINUM ( 107 STEEL CLAD ( 1 08 BRONZE ( ) 09 COMPOSITE ( 1 10 NON-METALLIC <br /> l 1 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br /> law <br />