Laserfiche WebLink
STATE ID NUMBER 000 <br />00042271003 <br />APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br />( 2 NEW PERMIT t ) 05 RENEWED PERMIT ( ) 07 TANK CLOSED t ) 09 DELETE FROM FILE (NO FEE) <br />02 CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br />I OWNER <br />NAME(CCPPOPATION,INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br />BEACON OIL COMPANY I,( ) 01 FED t ) 02 STATE t D 03 LOCAL <br />STREET ADDRESS CTNORD <br />STATE ZIP <br />525 W. THIRD STREET C CA 93230 <br />II FACILITY <br />FACILITY NAME <br />THICKNESS OF PRIMARY CONTAINMENT: .025 <br />DEALER/FCREMAN/SUPERVISOR <br />BEACON STATION # 502 <br />EARL SALE <br />STREET ADD.P.ESS <br />VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON -VAULTED ( <br />NEAREST CROSS STREET <br />35 NORTH CHEROKEE LANE <br />C. <br />ELM STREET <br />CITY <br />) 03 LINED <br />COUNTY <br />ZIP <br />LODI <br />(X) 01 <br />) <br />t ) 12 <br />SAN JOAQUIN <br />-95240 <br />MAILING ADDRESS <br />__] <br />CITY <br />STATE <br />ZIP <br />525 W. THIRD STREET <br />HANFORD <br />CA <br />93230 <br />PHONE W/AREA CODE <br />TYPE OR BUSINESS <br />209-582-0241 <br />M 01 GASOLINE STATION ( 1 02 OTHER <br />NUMBER OF CONTAINERS <br />RURAL AREAS ONLY <br />TOWNSHIP <br />RANGE <br />SECTION <br />3 <br />III 24 HOUR EMERGENCY CONTACT PERSON <br />DAYS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE NIGHTS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE <br />MCCUTCHEN> JIM 209-58.2-0241 SHIFT SUPERVISOR 209-582-0246 <br />COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br />IV DESCRIPTION <br />A. (X) 01 TANK t ) 04 OTHER: CONTAINER NUMBER 3 <br />B. MANUFACTURER (IF APPROPRIATE) YEAR MFG: C. YEAR INSTALLED 1964 t ) UNKNOWN <br />D. CONTAINER CAPACITY 12000 GALLONS { ) UNKNOWN E. DOES THE CONTAINER STORE: t ) 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 BOX(ES): <br />t ) 01nUNIFADF�D t ) 02 REGULAR t 03 PREMIUM t ) 04 DIESEL ( ) 05 WASTE OIL ( ) 06 OTHER <br />V CONTAINER CONSTRUCTION <br />A. <br />THICKNESS OF PRIMARY CONTAINMENT: .025 <br />t ) GAUGE (X) INCHES ( <br />) CM ( ) UNKNOWN <br />B. <br />( ) 01 <br />VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON -VAULTED ( <br />) 03 UNKNOWN <br />C. <br />( ) 01 <br />DOUBLE WALLED (X)'02 SINGLE WALLED t <br />) 03 LINED <br />D. <br />(X) 01 <br />) <br />t ) 12 <br />CARBON STEEL f ) 02 STAINLESS STEEL ( <br />06 ALUMINUM ( ) 07 STEEL CLAD ( ) 08 <br />UNKNOWN ( ) 13 OTHER: <br />) 03 FIBERGLASS t ) 04 <br />BRONZE t ) 09 COMPOSITE <br />POLYVINYL CHLORIDE t") 05 CONCRETE <br />( ) 10 NON-METALLIC <br />HSC04-070185 (10/18/85) <br />t <br />PAGE 1 <br />