Laserfiche WebLink
c / TATE ID NUMBER 00000007361001 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> ( l 01 NEW PERMIT [ ! 05 RENEWED PERMIT [ " _ �G 09 DELETE FROM FILE (NO FEE) <br /> ( ) 02 CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT ) 08 MINOR CHANGE (NO SURCHARGE <br /> I OWNER <br /> NAME(CORPORATION.INOIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> FRANK H. MIDDLETON ( ) 01 FED [ ) 02 STATE f ) 03 LOCAL <br /> STREET ADDRESS CITY STATE ZIP <br /> 2038 CALIF - ESCALON CA 95320 <br /> II FACILITY <br /> FACILITY NAME DEALER/FORIMAN/SUPERVISOR <br /> FRANK H MIDDLETON <br /> rkTREET ADDRESS NEAREST CROSS STREET <br /> 2038 CALIF MITCHELL AVE <br /> CITY COUNTY ZIP <br /> ESCALON _ SAN JOAQUIN 95320 <br /> MAILING ADDRESS CSTY STATE ZIP <br /> P 0 BOX 125 ESCALON CA 95320 <br /> PHONE W/AREA CODE TYPE) OF DUSINES$ <br /> 209-838-2439 ( 01 GASOLENE STATION (X) 02 OTHER RESIDENCE <br /> NUMBER OF CONTAIN''-RS RURAL AREAS ONLY TOWNSHIP RANGE SECTION <br /> 1 1L2 9E 4 <br /> -III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAME(LAST NAME FIRST) AND PHONE r/AREA CODE NIGHTS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE <br /> MIDDLETON FRANK 209-838-2439 MIDDLETON FRANK 209-838-2439 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( ) 04 OTHER: CONTAINER NUMBER 1 <br /> B. MANUFACTURER (IF APPROPRIATE): MOWEL CO YEAR MFG: 1955 C. YEAR INSTALLED 1955 f 1 UNKNOWN <br /> D. CONTAINER CAPACITY: 580 GALLONS ( 1 UNKNOWN E. DOES 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 BOX(ES), <br /> ( ) 01 UNLEADED f ) 02 REGULAR (X) 03 PREMIUM ( ) 04 DIESEL [ ) 05 WASTE OIL f ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: 12 (X) GAUGE f ) INCHES ( ) CM f 1 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 ( 1 03 LINED <br /> D. IX) 01 CARBON STEEL f ) 02 STAINLESS STEEL ( l 03 FIBERGLASS f ) 04 POLYVINYL CHLORIDE ( ) 05 CONCRETE <br /> ( ) 06 ALUMINUM f ) 07 STEEL CLAD ( ) 08 BRONZE f ) 09 COMPOSITE l 1 10 NON-METALLIC <br /> f 1 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br />