Laserfiche WebLink
STATE ID NUMBER 00000023498001 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> 01 NEW PERMIT ( l 05 RENEWED PERMIT ( l 07 TANK CLOSED ( ) 09 DELETE FROM FILE (NO FEE) <br /> ( ) 02 CONDITIONAL PERMIT ( l 06 AMENDED PERMIT ( l 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAME(CCRPCRATION,INDIVIOUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> JOHN BREUNER CO. ( ) 01 FED ( l 02 STATE ( ) 03 LOCAL <br /> STREET ADDPESS CITY STATEF94583 <br /> 3201 FOSTORIA WY SAN RAMON CA <br /> II FACILITY <br /> i <br /> FACILITY NAME DEALER./FOREMAN/SUPERVISO <br /> BREUNER'S Q/1GZZO <br /> STGEET ADDRESS NEAREST CROSS STREET <br /> 7676 PACIFIC AVE. HAMMER LN. <br /> CITY COUNTY ZIP <br /> ISTOCKTON SAN JOAQUIN 95207 <br /> MAILING ADDPESS CITY STATE ZIP <br /> 7676 PACIFIC AVE. STOCKTON CA 95207 <br /> PHONE W/A.REA CCD! ]TYPE OF BUSINESS <br /> 1209 -477-8151 ( ) 01 GASOLINE STATION (X) 02 OTHER STORE <br /> NUMBER OF CONTAINERSRURAL AREAS ONLY TOWNSHIP RANGE SECTION <br /> 1 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAME(LA.ST NAME FIRST) AND PHONE W/AREA CODE NIGHTS: NAME(LAST NAME FIRST) AND PHONE W/AP.EA CODE <br /> .. - <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( ) 04 OTHER: CONTAINER NUMBER arel- <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: C. YEAR INSTALLED (X) UNKNOWN <br /> D. CONTAINER CAPACITY: /O GALLONS PA,) 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(ES): <br /> ( l 01 UNLEADED 64") 02 REGULAR ( ) 03 PREMIUM L)UJ4 DIESEL ( ) 05 WASTE OIL ( ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> 0 <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( ) GAUGE ( ) INCHES ( ) CM (X) UNKNOWN <br /> B. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) D�L_02 NON-VAULTED ("SFT 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED ( ) 02 SINGLE WALLED ( ) 03 LINED <br /> D. Q61_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 /> (-%4 12 UNKNOWN ( l 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br />