Laserfiche WebLink
LINIFIED PROGRAM C )NCOI.IDATFD FORM <br />02 MAY 13 AH <br />UNDERGROUND STORAGE TANKS - FACILITY <br />(one page par Atel <br />Pelle J,r.x.� <br />r 7 PERMANENTLY CLOSED SITE <br />t fC�eCkono.h!mp^�y) 1 NkttiSilkPERMIT ,�(3 RENE,."LPERNIT 1 5 CHAW�.,EOFINFORMATION <br />1` (SPovNd,anT,. <br />...,n r vr•�. �..., .,�..) r K TANK RFW%FO 490 <br />'ANN Wmt_K i TVI! 1 2. INDIVIDUAL 1 4. LOCALAGENCYIDISTMCT 1 e 3TATFAGEN.Y ax <br />r I CORPORATION 13 PMT-01PAHIP I' t C71)NIYAGewcv r 7 FEOERALARENCY <br />. »•v,rau „ate e•rr�r+w n_e: reee •/'•I•rh, r►IT W,•xbtCO <br />TY�-- a 4 0.3 9� 0 2 6 Call (916; 322.W �t a lestlon6 arras 421' <br />- <br />_ v earanrcl)wi,cTl:luAurlat_ _. <br />INDICRI ?EMETNOC(S) X 3ELF•WSURf.:7 r ♦ SUReTYION(] r '_TATEFLNO i- 1D LOCA:GOY.TME7+ANf*4 <br />r : tiVAT41NTEE r 6 tE T7ER CF CREDIT I f TATE FtN08 CSC LE7TcR r 99 OTNER.__. <br />T 1-6 F0101PTION I- 9 STATE FLNO B CD 422 <br />L — <br />vi I F!aar w0ritICATICUANU3 A11 IOC. AnnoFSS-- <br />C+1scx ant box to Ad"118 I'C' Oddr6n fhK.4 be useo tx 0981 11011%atnns IM medin9 X ; FACIL TY r 2 PRO°FRT t OleMER r 3 TANK C'WNER 4231 <br />Legs. nMOICSi on, an4 T6•W'ga -t V.* nal to 1M -41. "Aar .,n'0" box 1 ar 2 M ehe:ked <br />L,en,ACdtlbn 1 "nity !het the'ma,mabon promr.er. hefel( AI M& and swurr-6 ewe test 'ny 00.(edy6 <br />1 519/02 <br />925-766-3498 Q5 <br />' fW`Jdt OF A-FMANT(PM)9 I + .c 1 <br />BRUCE T. MARUBASHI for Shell Oil Products US 425 j H,S&E Analyst <br />rSTAIL JST FAC LITY NUMBER 0'a' 1e Oil w ^,a)' 426 lyse UPORA JI' CP. x{TIPYATt: MUM®FR (Far Htal usp rrvy) 424 j <br />1 <br />L)F'CF (1490 revie*d1 ` Formerly SWRCS Fom, A <br />2•d •-L aonJy C19a:}0 20 60 Rw� <br />r E TEMPORARY SITE CLOSURE <br />L FACILITY I SITE INFORMATION <br />BUSNESS NAYS (Sane os FACY_ TY VANE or CUBA -Doing Bjwwt As) 3 FACILITY tD a t <br />Waterloo Shall, William No -by <br />4315 Wateloo Rd, Stockton, CA 85205 <br />NE4REST CROSS S7REE' "Ot <br />_ <br />FAM. :Ty OWrER TYPE r 4 LOCAL AGENCYIDISMICT' <br />Flwy 99 <br />X I C.)R ^ )RA -K'" j S. COUNTY AGENCY' <br />BUSINESS TYPE r 2 04VVTDUAL r 6. STATE AGENCY <br />X t OAS STATION r 3 BARN r i COMMERCUL r 3 PAF,TNERSFIP <br />r :' FEDERAL AGENCY• sot i <br />r 2 GISrRIOUTOR r 4 PRERwES30P r 6 OTHER <br />603 <br />'01 AL NL;IABLR Oh rANK6 h dbaNd at` 1'nlen YIeLM urban o' '>f orerlsr o- UST is a puhl.a eSenly nertr of s:�atvua of ` <br />REVAP43G A' WE bwaltvtas^ <br />dwlsron. soot on or oe" ent& operalos tho UST <br />(T nib ti 1M Canlaa', perinn Ina '.t lel',• record6) <br />404 2 '�r Yes <br />X Nu 4m 400— <br />---� <br />II, PROPERTY OWNER INFORMATION <br />PROPER -1 0`NNERNAPAE M7 <br />PubNE 099 <br />SHELL OIL PRODUCTS US <br />CICS Sruce T. Marubassni, H,S&E Analyst 925-766-3498 <br />- <br />_ _ ----- <br />YtruUNO OP 3TRFF.T ADDRESS 409 <br />---- -- — -- -- — — --- - - - <br />-- - - <br />P.O. BOX 8509 <br />r1Tv Vo4t1 <br />DUDE 411 <br />� SAN JOSE <br />PROPI ERTY 01AWR TYPE <br />I, 2L WUNFDUX r 4 LOCAL AGENCY101STRICT -- C 6'ATF ,4GFNC\ -- <br />X t CORPORA -ION <br />r ?. PARTNERSHIP I S. COUNTY AGENCY 7 FEDF_RAL AGENCY <br />kAW <br />III. TANK OWNER INFORMATION <br />ONM NAME 414... <br />----- <br />SAME AS 0 <br />II.WLINC JR STREET ADDRESS 416 <br />t?-�---- 4•r--- -- <br />------------- STA—ESTA—E 416 i t <br />'ANN Wmt_K i TVI! 1 2. INDIVIDUAL 1 4. LOCALAGENCYIDISTMCT 1 e 3TATFAGEN.Y ax <br />r I CORPORATION 13 PMT-01PAHIP I' t C71)NIYAGewcv r 7 FEOERALARENCY <br />. »•v,rau „ate e•rr�r+w n_e: reee •/'•I•rh, r►IT W,•xbtCO <br />TY�-- a 4 0.3 9� 0 2 6 Call (916; 322.W �t a lestlon6 arras 421' <br />- <br />_ v earanrcl)wi,cTl:luAurlat_ _. <br />INDICRI ?EMETNOC(S) X 3ELF•WSURf.:7 r ♦ SUReTYION(] r '_TATEFLNO i- 1D LOCA:GOY.TME7+ANf*4 <br />r : tiVAT41NTEE r 6 tE T7ER CF CREDIT I f TATE FtN08 CSC LE7TcR r 99 OTNER.__. <br />T 1-6 F0101PTION I- 9 STATE FLNO B CD 422 <br />L — <br />vi I F!aar w0ritICATICUANU3 A11 IOC. AnnoFSS-- <br />C+1scx ant box to Ad"118 I'C' Oddr6n fhK.4 be useo tx 0981 11011%atnns IM medin9 X ; FACIL TY r 2 PRO°FRT t OleMER r 3 TANK C'WNER 4231 <br />Legs. nMOICSi on, an4 T6•W'ga -t V.* nal to 1M -41. "Aar .,n'0" box 1 ar 2 M ehe:ked <br />L,en,ACdtlbn 1 "nity !het the'ma,mabon promr.er. hefel( AI M& and swurr-6 ewe test 'ny 00.(edy6 <br />1 519/02 <br />925-766-3498 Q5 <br />' fW`Jdt OF A-FMANT(PM)9 I + .c 1 <br />BRUCE T. MARUBASHI for Shell Oil Products US 425 j H,S&E Analyst <br />rSTAIL JST FAC LITY NUMBER 0'a' 1e Oil w ^,a)' 426 lyse UPORA JI' CP. x{TIPYATt: MUM®FR (Far Htal usp rrvy) 424 j <br />1 <br />L)F'CF (1490 revie*d1 ` Formerly SWRCS Fom, A <br />2•d •-L aonJy C19a:}0 20 60 Rw� <br />