REMOVAL_1989 - Laserfiche WebLink

Home Browse Search

California Water Resources Control Board w 1�.. Hazardous Substance Storage Statement Who Must File: Each person slurmg hazardous substances In any under" me lank. Wastes are included. ground Contand no l roust life this loan . 1 later Oran July t. d On JAIlorlarms October Fee: For each lank registered a $10 ler•. must be paid, except that retail I. 1984 and no later Than January I. 19A5 for tanks used on larmsl r' Definition of Underground Containers: rho law appfirs to "cnncmlc gasoline stations pay SS per lank sumps. nonvaulled buried tanks or other underground containers" (Water Penalties: For lailurd to life.the penalty Is$50045.000 per day.If you falsify `^ Code section 13173) All containers. including earthen walled pits. ponds. Information. you can be Imed up to$20.000 for each day the information Is ;. -,lagoons and sumps. Ihel are below the normal ground smler:e level must incorrect and has not been c:orrectetl register. A lank sitting on the ground is not Included. Containers partially Confidentiality: It you have information protected by bade secret laws. F>.beneath the,curf�ca are included. Lined or unfined pits.ponds and lagoons please alfach a list of the Information on this form that Is confidential and the are covered it earth has been removed from the storage area to construct justification for confidentiality Including"specific citations of relevant stalu- ';�'.-,, the laeady. Nnrmal grading is lint considered Construction below ground tory and case taw level. -� Multiple Containers: rill 1 and II on one form and leave it blank on all the Dellniaon oI Hazardous Substance: Any suhstance listed In Section 8382 remaminli Ions Allorn all forms In ether securely If •! of the Labor (:ext•, 9 y you own more than di m Aduel l'!iI lull ul Ii f6•.dlh and i,d, y Cede Thr! ='g links gnu inn IAn udnrnialion on eompulr•r latV` tall 918;3?•1 12h:'In includes: gasoline. diesel fuel all nWuslnul aulvenP. prslu eL . horhn ub•n minrn ctlnrn and fumigants If the material must bit carried by a registonld hauler. des This Is not a Permit Application. All Lindnryround Tanks will be sublcci In posed of at a hazardous waste site.is PXPOSIVe.gl:neenlob ILe:%urn duo to local rngulahOn. Some vnabr LunS have already begun programs. Check hold ni'decomrsosmon or would harm humans or ,widjde i, most rrgsh•e with yuw Irn:al rounfy gev,•rnlnenl Inr lurcher information. • NOTE: ALL UNDERGROUND CONTAINERS MUST REGISTER EVEN IF STATE ANWOR LOCAL PERMITS ARE IN FORCE. - x I Owner Ff4' ' Ware(CMpxMlnn rnpvxlWlM Public AgMx.Y) -- 'y. David T. Price, Inc. 60"Addeft, epeY Stam [IP .. 21657 Dodds Road Escalon — -- Ca. 95320 II Facility y. rapyY Myem ---.-_—.____—__ b.•dM.v Friwnnn.ygxr—.—_— David T. Price, Inc. David T. Price Pres. Nea,ml C'.S 9e�•QI Same oty Gn,mv ZIP Same San JO uin .. Maeeep AdYa55 --- c.a 4�"". SIMe ZIP 216 7 Dodds Road `;.< W xcrrx•e,nxY. -- - Escalon Ca. 95320 Inn• 10( -46, TVev.— ❑LI0I MotorLRVehicle Fuel Station ] Other — WmxxYNlmes.xinmRn.•Iy Rural Ansi tO".:n4' _._ ninon %act nn Only: _Ill 24 Hour Emergency Contact Person 9 ex. ;. •inn a .� uru" ._.n e '� Price, David 209-465-34053 Price, David z09-465-3405 COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER Y 1 x IV Description _ —_ -- Conukur NumYer ep L,v n en.,xx.rm.xss+r rx., a A. V l ank Ow Sump Our Lagoon. Fht or Pond C] e i11hul fir.. B. Manulaclnna td apprupliate) r ,N.,. f 7, - Yoar ul Mir ! , J G. Year Installed .,�97,�._. O Unknown Y` D. Cunlalnw ( Ip-er I]}._ 'a0yagun:-- Cl UnN. n-11 C tin I n,v rlepanti tk�,,. Nand ❑r:• Unknown ❑e-; Yes Year. • F. Is Continua e.uuonily used:' 41< Yrs:: 13 1+ II No -.cot s Iasi Ilse: ❑.r. Unknown G Doo% fill• Conlauue Store. (Check Onrl' U,, W-r:l•: 1•Ineatr.1 - br` H. Dons IN! Uontainr•I Slofc. Mott VON(-li3 Fuel in Wa:du Od7 Cl '.e LJ No If Yos Chink appropriate box(es)' ❑lie Unll!arlud )Knr Regular Ll Pn:rnuni I J, , DiW,0 I-J Wa:,If: OII ❑ Other (Llsly—_-- „ V Container Construction • A. Thlckne"4f Prinoaty Cunlaulmunl FlGautw Cl Irn1.li: C! con 0 Unknown ,r }` B. Om Vaulted lLnadud in an und.:npuuud Vault •'E Fdnn nullrvl 11 llnkrn nvn y 1- - C. ❑lir DUubtu Walled mgloWalled LJ Iinert L1 Wfilpiwd ❑o Unknown O None ' D. Camon Slot Clu• Stautle.;�, �,Iool FI Flh,trgfa. . IJ : Polyvinyl (Jhluadr ❑u• Concrete O,Y• Aluminum On,Steel Clad O s Bronze O: •Conipomb. 0 Num metallic O .I Earthen Walls ' O or Unknown ❑e• _ E. Om Rubber Lined O w Alkyd Luling — C1 Epoxy Lining CJ Phellom' Lining 0.,Glass Lining O rx; Clay Lining • Untmed O•. Unknown ❑ :'Other • F. On, Polyelhlene Wrap Our Vinyl Wrapping O Cathodir. Protection ( ' Unknown One• None O.... Other :•r