Laserfiche WebLink
y "No STATE IO NUMBER 00000019658011 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> 01 NEW PERMIT ( ) 05 RENEWED PERMIT ( ) 07 TANK CLOSED ( ) 09 DELETE FROM FIL€ (NO FEE) <br /> ! 1 02 CONDITIONAL PERMIT t ) 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAME(COPPOPATION,INOIVIOUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> WOOLSEY OIL INC. ( ) 01 FED ( ) 02 STATE ( 1 03 LOCAL <br /> STREET ADDRESSCITY STATE ZIP <br /> 166 FRANK WEST CR. BTOCKTON CA 95231 <br /> II FACILITY <br /> FACILITY NAME DEAL R/FOREMAN/3 PERVISOR <br /> WOOLSEY OIL INC <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 166 FRANK WEST CR. FRENCH CAMP <br /> CITY COUNTY IF <br /> STOCKTON SAM JOAQUIN 95231 <br /> MAILING ADDRESS CITY STATE ZIP <br /> 166 FRANK WEST CR. STOCKTON CA 95231 <br /> PHONE W/AREA CODE TYPE OF BUSINESS <br /> 209-948-9412 ( ) 01 GASOLINE STATION (X) 02 OTHER PETROLEUM DIST. <br /> NUMBER OF CONTAINERS RURAL AREAS ONLY TOWNSHIP - RANGE SECTION <br /> 11 <br /> II1 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE NIGHTS: NAME(LAST NAME FIRST) AND PHONE W/AP.EA CODE <br /> WOOLSEY, BRUCE 209-334-0652 WOOLSEY BRUCE 209-334-0652 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( ) 04 OTHER: CONTAINER NUMBER SW11 <br /> B. MANUFACTURER (IF APPROPRIATE): UNK YEAR MFG: 1981 C. YEAR INSTALLED 1981 ( ] UNKNOWN <br /> D. CONTAINER CAPACITY: 550 GALLONS f 1 UNKNOWN E. DOES WE CONTAINER STORE: (X) 01 WASTE ( ) 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? (XI 01 YES ( ) 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br /> ( 1 01 UNLEADED ( 1 02 REGULAR ( l 03 PREMIUM f 1 04 DIESEL (X) 05 WASTE OIL ( ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: 10 (X) GAUGE ( ) INCHES ( ) CM ( 1 UNKNOWN <br /> B. [ ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ( ) 03 UNKNOWN <br /> C. f 1 01 DOUBLE WALLED (X) 02 SINGLE WALLED ( 1 03 LINED <br /> D. (X) 01 CARBON STEEL ( 1 02 STAINLESS STEEL ( 1 03 FIBERGLASS ( l 04 POLYVINYL CHLORIDE ( 1 05 CONCRETE <br /> ( ) 06 ALUMINUM ( ] 07 STEEL CLAD ( ) 08 BRONZE f ) 09 COMPOSITE f 7 10 NON-METALLIC <br /> ( 1 12 UNKNOWN ( l 13 OTHER: <br /> PAGE 1 <br /> HSC04-070185 (10/18/85) <br /> �R <br />