My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
COMPLIANCE INFO_1996-2008
EnvironmentalHealth
>
EHD Program Facility Records by Street Name
>
W
>
WILSON
>
437
>
2300 - Underground Storage Tank Program
>
PR0506406
>
COMPLIANCE INFO_1996-2008
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
11/17/2023 3:00:08 PM
Creation date
6/3/2020 9:58:54 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
1996-2008
RECORD_ID
PR0506406
PE
2361
FACILITY_ID
FA0002313
FACILITY_NAME
WILSON WAY CHEVRON
STREET_NUMBER
437
Direction
N
STREET_NAME
WILSON
STREET_TYPE
WAY
City
STOCKTON
Zip
95205
APN
15113052
CURRENT_STATUS
01
SITE_LOCATION
437 N WILSON WAY
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0506406_437 N WILSON_1996-2008.tif
Tags
EHD - Public
Jump to thumbnail
< previous set
next set >
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
469
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
e <br /> RIFIED PROGRAM CONSOLIDATED FOR <br /> TANKS <br /> UNDERGROUND STORAGE TANKS - TANK PAGE 1 <br /> (Two pages per tank) <br /> Page_of_ <br /> TYPE OF ACTION 1.NEW PERMIT ❑ 4.AMENDED PERMIT ❑ 5.CHANGE OF INFORMATION ❑ 6.TEMPORARY TANK CLOSURE 430. <br /> (Check one item only) ❑ 3.RENEWAL PERMIT ❑ 7.PERMANENTLY CLOSED ON SITE <br /> (Specify reason) (Specify reason) ❑ 8.TANK REMOVED <br /> BUSINESS NAME(Same as FACILITY NAME or DBA-Doing Business As) 3. FACILITY ID: I. <br /> l,Ztt_ 0d 6A1 Cr�g" a� <br /> LOCATION WITHIN SITE(optional) 431, <br /> 434--fQ wt&4onf "Al SnXKrb�l <br /> I.TANK DESCRIPTION <br /> (A scaled plot plan with the location of the UST system including buildings and landmarks shall be submitted to the local agency.) <br /> TANK ID# y y 432. TANK MANUFACTURER 433. COMPARTMENTALIZED TANK Yes El No 434. <br /> Fj t6 (,04M&*4&J-r If"Yes,"complete one page for each compartment. <br /> DATE INSTA LED 435. TANK CAPACITY IN GALLONS 436. NUMBER OF COMPARTMENTS 437. <br /> (YEAR/MO) 12 I iggb 12,000 <br /> ADDITIONAL DESCRIPTION(For local use only) 438. <br /> H.TANK CONTENTS <br /> TANK USE 439. PETROLEUM TYPE 440. <br /> K 1. MOTOR VEHICLE FUEL la. REGULAR UNLEADED ❑2. LEADED [15. JET FUEL <br /> (If checked,complete Petroleum Type) ❑lb. PREMIUM UNLEADED <br /> [13. DIESEL [16. AVIATION GAS <br /> ❑ 2. NON-FUEL PETROLEUM ❑lc. MIDGRADE UNLEADED ❑4. GASOHOL ❑99.OTHER: <br /> ❑ 3. CHEMICAL PRODUCT COMMON NAME (from Hazardous Materials Inventory page) 441. CAS#(from Hazardous Materials Inventory page) 442. <br /> ❑ 4. HAZARDOUS WASTE <br /> (Includes Used Oil) <br /> b 2q U -4, -s <br /> ❑ 95.UNKNOWN <br /> III.TANK CONSTRUCTION <br /> TYPE OF TANK ❑1. SINGLE WALL ❑3. SINGLE WALL WITH EXTERIOR ❑5. SINGLE WALL WITH INTERNAL BLADDER SYSTEM 443. <br /> (Check one item only) MEMBRANE LINER ❑95. UNKNOWN <br /> W2. DOUBLE WALL ❑4. SINGLE WALL IN A VAULT ❑99. OTHER <br /> TANK MATERIAL-primary tank ❑ 1. BARE STEEL ❑3. FIBERGLASS/PLASTIC ❑ CONCRETE ❑95.UNKNOWN 444. <br /> (Check one item only) [32. STAINLESS STEEL ❑4. STEEL CLAD W/FIBERGLASS 10 8. FRP COMPATIBLE ❑99.OTHER: <br /> REINFORCED PLASTIC FRP W/100%METHANOL <br /> TANK MATERIAL-secondary tank ❑1. BARE STEEL ❑3. FIBERGLASS/PLASTIC 8. FRP COMPTIBLE W/100%METHANOL 95.UNKNOWN 445. <br /> (Check one item only) ❑2. STAINLESS STEEL [14. STEEL CLAD W/FIBERGLASS ❑9. FRP NON-CORRODABLE JACKET ❑99.OTHER <br /> REINFORCED PLASTIC(FRP) ❑10. COATED STEEL <br /> ❑5. CONCRETE <br /> TANK INTERIOR LINING ❑1.RUBBER LINED [13.EPDXY LINING ❑5.GLASS LINING ❑95.UNKNOWN 446. DATE INSTALLED 447. <br /> OR COATING ❑2.ALKYD LINING ❑4.PHENOLIC LINING ❑6.UNLINED ®99.OTHER ftf <br /> (Check one item only) <br /> OTHER CORROSION ❑1.MANUFACTURED CATHODIC [$3.FIBERGLASS REINFORCED PLASTIC ❑95.UNKNOWN 448, DATE INSTALLED 449. <br /> PROTECTION PROTECTION ❑4.IMPRESSED CURRENT ❑99.OTHER <br /> If A licable ❑2.SACRIFICIAL ANODE <br /> SPILL AND OVERFILL YEAR INSTALLED 45o. TYPE 451. OVERFILL PROTECTION RQ <br /> jjIPMENT: YEAR INSTALLED 452. <br /> (Check all that apply) [11.SPILL CONTAINMENT 1.ALARM 3.FILL TUBE SHUT OFF VALVE <br /> ❑2.DROP TUBE ❑2.BALL FLOAT ❑4.EXEMPT <br /> ❑3.STRIKER PLATE <br /> IV.TANK LEAK DETECTION <br /> (A description of the monitoring program shall be submitted to the local agency.) <br /> IF SINGLE WALL TANK 453. IF DOUBLE WALL TANK OR TANK WITH BLADDER 454. <br /> (Check all that apply) (Check one item only) <br /> ❑ 1. VISUAL(EXPOSED PORTION ONLY) ❑5.MANUAL TANK GAUGING(MTG) ❑1.VISUAL(SINGLE WALL IN VAULT ONLY) <br /> [12. AUTOMATIC TANK GAUGING(ATG) ❑6.VADOSE ZONE ®2.CONTINUOUS INTERSTITIAL MONITORING <br /> ❑3. CONTINUOUS ATG ❑7.GROUNDWATER ❑3.MANUAL MONITORING <br /> ❑4. STATISTICAL INVENTORY RECONCILIATION ❑8.TANK TESTING <br /> (SIR)+BIENNIAL TANK TESTING ❑99. OTHER <br /> V.TANK CLOSURE INFORMATION/ PERMANENT CLOSURE IN PLACE <br /> ESTIMATED DATE LAST USED(YR/MO/DAY) 455. ESTIMATED QUANTITY OF SUBSTANCE REMAINING 456. TANK FILLED WITH INERT MATERIAL? 457. <br /> gallons ❑Yes ❑ No <br /> UPCF hwfwrc-b(1/99)-1/4 http://www.unidocs.org Rev.02/16/00 <br />
The URL can be used to link to this page
Your browser does not support the video tag.