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UNIFIED i= AMC ONSOLIDATED FARM <br />UNDERGROU'4D STORAGE TANKS - FACILITY <br />TANKS <br />(one page per site) <br />_w -- Page _ of <br />7F ACTION I'r 7, PERMANENTLY CLOSED SITE <br />', NEW SIT-. PERMIT r 3. RENEW,sL PERMIT r S. C;4ANiE OF INFORMATION i$peolyrnaaa,o • <br />,•r� ane ,rem onrY!r 1 AMENOI PERMIT 'scar use WWI 3. TANK REMOVER 100 <br />r 3. , o,-ApORARY SITE CLOSURE <br />3US,rvESs rvaME (Same as FACILITY NAh4E or 09A • Oo,N Bus+ness As) _ <br />C.APITQL AUTO SALES <br />,&,REST CROSS STREET 401 <br />FACILITY I SITE INFORMATION <br />i 6ACILI7Y IO s <br />r t. GAS STATION I 3. FARMrx5 COMMERCIAL <br />r 7- OISTRIBUTOR 1. PROCESSOR r .THER <br />103 <br />-AGILITY OWNER TYPE <br />r 1. CCRPCIRATION <br />,r L 1NOIVIOUAL <br />1 3. PARTNERSHIP <br />-p7AL NUMSER OF TANKS 's iacury an lrwian Rese"at�nn c• ':t Owner d UST :s a ouaac agenw: name cf 3WW"30r <br />-OTA WING AT 05 -Su a u y o 2$vaw n. s+cvan or adics "nKn 0ouates me UST. <br />(This u ote eontars person for e1e tarot nsoores t <br />0 IE 10a (KNOWN) I [ Yes r'J� 1' 406 <br />U. PROPERTY OWNER INFORMATION <br />�RCPERTY OWNER NAME 437 <br />r 4. LOCAL AGE.4CY101STRICT' I <br />r5 COUNTY AGENCY- <br />r 3. STATE AGENCY' <br />7, =EOS AL AGENCY" 102 <br />JAGENDER SINGH _ -- <br />,AAIt,ING OR STREETAOORESS <br />650 E. MINER AVENUE <br />s CA r1, k 95202 <br />coot 1 0 2 Z <br />_.��TGCK7aN _ f � <br />PROPERTY OWNER TYPE X r 7 MOtVICU-L r a.'_OCALAGc.4CYIDISTRICT M r 3. STATEAGcNCY 113 <br />r 1. CCRPORATIONr , FEOERALAGEYCY <br />r S. PARI N _!?SHIP r 5. COUNTY aGENCY <br />�^ll. T NK CWNE INFORMATION _ fug -yam <br />_ �, <br />+n O ER NAME <br />M.,L.NG OR STREET AOCRESS Ji6 I <br />' <br />STATE -+t3 ua COOS 419 I <br />117 r� <br />I <br />„rv.f OWNER TYP_ INOIVIL.l.1L r 4. LOCAL AGENCY IOtSTRICT r -3. STATEAGENCY 420 Y <br />r i CORPORATION r 3. PAR%%, ..,ZSHIP r COUNTY AGENCY r 7 FEDERALAGENCY <br />,��,�.r,.-..; IrcT STf1R��`• c� 1r•C�G9.E� , <br />- I ) <br />421 <br />' <br />TK) HQ 4 4 �alt (96) 322-966 if questions arise N/A <br />• c _ <br />'NOICATE METHOC(s)t. SELF•INSUREO 1. SURETY F'VNO r 7. STATEFUNO r 10. '_OCAL GOV=T MECHANISM <br />r r <br />['S. LE'TTEIi 4,= CREDrT r 9. STATE FUNO a CFO LEITER r 49. OTHER: <br />r 2. GUARANTEE a� <br />r 3. INSURANCE r 3. ExEMFTit;n r 9. STATE FUND d ca <br />Cox ene sex to iayoK:dle wnictt atldress snbUId be used for'ey31 noufiQoan> ei'. n allrx} r 1. FACILITY 2. PRO?' PTYOWNER r 3. -ANK OWNER 123 <br />,31 noidicaoors and mailings will 040 sent ro In^Yank G'rn^.'r unless x 7 (x '-' , c' ea =• <br />_ ill APPI 1rANTSlr i+rtlac <br />tSIG.14APRE <br />lcenlYyInas to in ,ation orovideo Waren is true aro am rat4 Ib ;-ie best of my krww,eoge. Lq ?HANE125 <br />ATE <br />OF AP I T G1f -7 � . � U <br />128 OF AppuCANT 1'T <br />4AN,E F A PECCANT (pnnff I flt� N E R <br />SIR. JAGENDER SINGH - <br />425 :99d UPGRAOE CcRTFICATE NUMBER G'�I'=w ISO 0-11y)429 <br />;7Afc UST FACILITY NUMBER 1Fdrlbcaruse only! � <br />i <br />La r - <br />