AGE 12f?c STAT-E WATER t ESOURGE�� CONTROL F3fARt 0/048
<br /> tiAZARn.QUS _aUBSTANCE STQRAGE__GONTAINE,R
<br /> RATION-FOR SAN 'JOAQUIN COUNTY
<br /> ( I-FARM MOTOR VEHICLE FUEL TANKS, 2-ALL OTHER PRODUCT TANKS, 3=WASTE TANKS, 4=SUMPS , 5=PITS, PONDS , LAGOONS OTHERS)
<br /> 11 pp
<br /> YYr•'v 7,.mrn�ma�vu
<br /> .nrrrvrk.%a.^s//u9 o"in,
<br /> ONE .-., .�- ..., .._ -,. �.,-.... - . -_
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<br /> ..... ._ .._. _..._. ,..
<br /> .. - - -
<br /> Y OF LODI .
<br /> ,
<br /> 221 W . SINE,.. T LOD.I:` CA 95240
<br /> _._
<br /> II FACILITY
<br /> MAILING ADDRESS DEALER/FOREMAN/SUPERVISOR TYPE OF BUSINESS
<br /> PUBLIC SAFETY BUILDINGTOIJN'aHIP/RANGE/SECTION TEC EF�FIQNE No . O CONTAINERS -_
<br /> 230 td .nw S1" m..w ,. ,. . .
<br /> eLODI CA 952E+p 221 W : PINE ST.v I AFT v RICHARD WIECH POLICEV IRE DEPT .
<br /> LODI CA 952,l�Q'
<br /> CROSS STREET ( 000 ) 000-0000 2
<br /> CHURCtt
<br /> III 241F1R . CONI"ACT PERSON / TELEPHONE . re�GG� l(QC�
<br /> DAY «' LODI SIRE DEPT (203 ) 0NIGH1.:' SAME BUILDING
<br /> 'r7 ._
<br /> OWNER ASSIGNED CONTAINER NUMBES 230-1 * STATE BOARD ASSIGNED CONTAINER ID NUMBER . 00000034919001 *
<br /> IV DFSC'RIPTION
<br /> „-. -
<br /> A . CONTAINER TYPE TANK . REPAI
<br /> � ERS « NONE �F YES ship «
<br /> B . MANUFACTURER/YR OF MFG : /1975 F . CURRENTLY USED YES IF NO, YEAR OF LAST USE :
<br /> C . YEAR INSTALLED '< 1975G . STORES111111PRODUCT
<br /> I,�, CAPAC'VI1`Y �GALL»CaNS ) 1Q1oQD _ m H . MOTOR VEHICLE FUEL/WASTE OIL YES CONTAINS : DIESEL
<br /> IS CONTAINER LOCATED ON A FARM « NO
<br /> V ` CONTAINER CONSTRUCTION
<br /> A . THICKNESS: 1/4 INCHES B . VAULTING NON—VAULTED C . AbIN„G « S„ING,L s, _ .
<br /> D . MATERIAL : CARBON STEEL
<br /> E . LINING : UNKNOWN
<br /> F . WRAPPING : UNKNOWN
<br /> VI PIPING
<br /> A . ABOVEGROUND PIPING «
<br /> C . REPAIRS NONE , . ,.. ...IF YES, YEAR OF MOST RECENT REPAIR :
<br /> VII LEAK DETECTION
<br /> _ w...,.v. . .. .
<br /> VISUAL 5Tf)CK INVENTORY . , , {
<br /> VIII Cl�EMSCAI. COMPOSITIQN OF SUBSTANCES CURRENTLY STORED IN CqU AIN R
<br /> 12034 DIESEL MOTOR VEHICLE FUEL
<br /> c.,
<br /> uy
<br /> :y
<br /> II i
<br /> 77
<br /> ,..,,.. m
<br /> pp: 77"]77.
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<br /> 9 STATE WATER 'RESQURGES CONTROL SOA' „ .,,, „ ,.
<br /> [PAGE 1.2,(1 RD 10/04/85
<br /> i
<br /> HAZARDOUS SUBSTANCE STORAGE CONTAINER IMjbjHA,TION FOR SAINOAQUIN COUNTY
<br /> CONTAINER TYP .,. ......_., .. ,_... .._..__. ._...._,-.__ ...
<br /> ( I=FARM MOTOR VEHICLE FUEL. TANKS, 2=ALL OTHER PRODUCT TANKS , 3-WASTE TANKS , 4=SUMPS : 5=PITS , PONDS , LAGOONS Fx OTHERS)
<br /> ' a� OWNER ASSIGNED CONTAINER _NUMBER,?,T 23Q-Z ...,__..._ ...-..yyyyy*11j; STATE_ _3OARD„ ASSrT,S,N.E.D . Cf3PJTAIN. I:,D N.U.P 13.ER,,,T, OQQ,QQ03.491 0 .
<br /> IVDESCRIPTION
<br /> a: . .....::: A,. C,ONTAMER TYPE « TANK _......:__E . . _REPA IR°, ,. . ,.., E:; IE. Y.ESAH EN «
<br /> B . MANUFACTURER/YR OF MFG : /1965 F . CURRENTLY USED : YES IF N0 , YEAR OF LAST USE :
<br /> C . YEAR INSTALLED 1965 G . STORES PRODUCT
<br /> D . CAPACITY (GALLONS) : 18 , 400 _.._. ..... H . h1QTOf VEHnIG.k. FU ,L/WA,S.TE C)IL ^.. YES _ C,ONTINS : .UN,LEADEA.. .. _... _. __....,..,...
<br /> j; IS CONTAINER LOCATED ON A FARM NO 3
<br /> V` CONTAINER CONSTRUCTION
<br /> A . THICKNESS : 5/16 INCHES B . VAULTING : NON—VAULTED C . WALLING : SINGLE us
<br /> D . MATERIAL
<br /> E . LINING . NOW
<br /> 77
<br /> t
<br /> F . WRAPPING : UNKNOWN �
<br /> VI PIPING
<br /> A . ABOVEGROUND PIPING : B . UNDERGROUND PIPING : PRESSURE
<br /> C . REF'AIRr, YES IF YES; YEAR OF MOST RECENT REPAIR : 1980 _...... ._.--
<br /> i
<br /> VII LEAK DETECTION
<br /> VISUA1, SENSOR INSTRUMENT. _
<br /> VIII CHEMICAL COMPOSITION OF SUBSTANCES CURRENTLY STORED IN CONTAINER
<br /> 12031 ULEADED MOTOR VEHICLE FUEL w... , . -..._ ._ - ,
<br /> i
<br />
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