Laserfiche WebLink
i <br /> STATE ID NUMBER 00000001276001 <br /> APPLICATION FOR PERMIT TO QPERATE UN-DERGROUND STORAGE TANK <br /> ( 01 NEW PERMIT ( ) 05 RENEWED PERMIT ( ) 07 TANK CLOSED ( ) 09 DELETE FROM FILE (NO FEE) <br /> l 02 CONDITIONAL PERMIT t 1 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAME(COPPOP.ATION,INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> JIM THORPE OIL INC ( ) 01 FED ( 1 02 STATE ( ) 03 LOCAL <br /> STREET ADDRESS CITY STATE ZIP <br /> 351 N BECKMAN RD LODa CA 95240 <br /> II FACILITY <br /> FACILITY NAME DEALER/FOPEMAN/SUPERVSSOR <br /> -" ' .Len ws7[)FdFQTy _lie <br /> RICHARD THORPE <br /> STREET ADDRESSNEAREST CROSS STREET <br /> 351 N BECKMAN RD LOCKFORD ST. <br /> CITY COUNTY ZIP <br /> LODZ SAN JOAQUIN 95240 <br /> MAILING ADDRESS CITYSTATE ZIP <br /> PO BOX 357 LORI CA 95241 <br /> PHONE W/A 'E.A CODE TYPE OF BUSINESS <br /> 209-368-6175 ( 3 01 GASOLINE STATION (X) 02 OTHER FUEL BULK PLANT <br /> --NUMBER OF CONTAINERS RURAL AREAS ONLY TOWNSHIP RANGE SECTION <br /> 12 <br /> III 24 HOUR EMERGENCY CONTACT PE>RSON <br /> DAYS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE NIGHTS: N.AME(LAST NAME FIRST) AND PHONE W/AREA CODE <br /> 44*THORPE 209-368-6175 THORPE, RICHARD J. 209-369-7440 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FO-R EACH CONTAINER <br /> IV $ESCRIPTION. <br /> A. (X) 01 TANK 4 1 04 OTHER: CONTAINER NUMBER 3 <br /> B. MANUFACTURER (IF APPROPRIATE): PERKINS WELD YEAR MFG: 1978 C. YEAR INSTALLED 1978 t ) UNKNOWN <br /> D. CONTAINER CAPACITY: 10000 GALLONS i ) UNKNOWN JE. DOES THIE ,CONTAINER STORE t ) 01 WASTE (X) 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? (X) 01 YES t l 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br /> ( ) 01 UNLEADED t l 02 REGULAR t ) 03 PREMIUM (X) 04 DIESEL i ) OSWASTEOIL ( l 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: 1/4 ( D GAUGE (X) INCHES ( ) CM { ) UNKNOWN <br /> B. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON—VAULTED ( ) 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED (X) 02 SINGLE WALLED l 03 LINED <br /> D. (X) 01 CARBON STEEL ( ) 02 STAINLESS STEEL t l 03 FIBERGLASS f D 04 POLYVINYL CHLORIDE ( ) 05- CONCRET.E <br /> ( ) 06 ALUMINUM t 1 07 STEEL CLAD E ) 08, BRONZE t i 09 COMPOSITE ( 1 10 NON-METALLIC <br /> t ) 12_UNKNOWN ( ) 13 OTHER:; <br /> HSC04-070185 (10/18/85) PAGE 1 <br />