Laserfiche WebLink
A0 v STATE ID NUMBER 00000010752001 <br /> APPLICATION FOR PERMIT TO OPERAT U DERGROUND STORAGE TANK <br /> ( 1 01 NEW PERMIT ( ) 05 RENEWED PERMIT OS NK C ( ) 09 DELETE FROM FILE (NO FEE) <br /> ( 1 02 CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT f 1 NGE (NO SURCHARGE) <br /> I OWNER <br /> NAME(COPPOPATION,INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> PETERSON MFG. CO. SUBSIDIARY K I( ) 01 FED ( 1 02 STATE f ) 03 LOCAL <br /> STPEET ADDRESS CITYSTATE ZIP <br /> 2626 E. 25TH ST LOS ANGELES CA 90058 <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREMAN/SVPERVISOR <br /> PETERSON MFG. CO. HARVEY ALLEN <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 2403 NAVY DRIVE FRESNO <br /> CITY COUNTY ZIP <br /> STOCKTON SAN JOAQUIN 95206 <br /> MAILING ADDRESS CITY STATE 2IP <br /> 2403 NAVY DRIVE STOCKTON CA 95206 <br /> PHONE W/AREA CODE TYPEOF BUSINESS <br /> 209-462-5818 1. ( ) 01 GASOLINE STATION (X1 02 OTHER RENDERING <br /> NUMBER OF CONTAINERS RURAL AREAS ONLY TOWNSHIP RANGE SECTION <br /> 1 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> s <br /> DAYS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE NIOHTS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE <br /> ALLEN, HARVEY 209-462-5818 ALLEN> HARVEY 209-957-4664 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( ) 04 OTHER: CONTAINER NUMBER 18 <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: I C. YEAR INSTALLED (X) UNKNOWN <br /> D. CONTAINER CAPACITY: 1000 GALLONS ( I UNKNOWN E. GOES THE CONTAINER STORE: f ) 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 SOX(ES): <br /> (X) 01 UNLEADED ( ) 02 REGULAR ( ) 03 PREMIUM ( 9 04 DIESEL ( ) 05 WASTE OIL ( 1 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( ) GAUGE f l INCHES f ) CM (X) UNKNOWN <br /> B. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) ( ) 02 NON—VAULTED (X) 03 UNKNOWN <br /> C. ( 1 01 DOUBLE WALLED ( ) 02 SINGLE WALLED f 1 03 LINED <br /> D. ( 1 01 CARBON STEEL ( 1 02 STAINLESS STEEL ( 1 03 FIBERGLASS l ) 04 POLYVINYL CHLORIDE ( 1 05 CONCRETE <br /> ( ) 06 ALUMINUM ( 1 07 STEEL CLAD ( l 08 BRONZE ( ) 09 COMPOSITE ( l 10 NON—METALLIC <br /> (X) 12 UNKNOWN ( ] 13 OTHER: <br /> MSC04-070185 (10/18/85) PAGE 1 <br />