REMOVAL_1986 - Laserfiche WebLink

Home Browse Search

Official Registration Form California Water Resources Control Board j1 Hazardous Substance Storage Statement ..;:. I Who Must File: Each person storing hazardous substances in any under- the tank.Wastes are included. i ground container must file this form no later than July 1. 1984 Aller October Fee: For each lank registered S 10 lee must be paid. except that retail 1. 1984 and no later than January 1. 1985 for tanks used on arms). gasoline stations pay$5 per lank.'--- Definition of Underground Containers: The law applies to "concrete Penalties: For failure to file,the penalty is$500-$5.000 per day.It you falsify sumps. nonvaulled buried tanks or other underground containers.' (Waley information.you can be lined up to$20.000 for each day the Information is Code section 131731 All containers. including earthen walled pits, ponds. incorrect and has not been corrected lagoons and sumps. that are below the normal ground surface level must Confidentiality: If you have information protected by trade secret laws. iegislat, A lank silting on the ground Is not included. Containers partially tease attach a list of the information on this Idem Ina)is confidential and the beneath the surface are included Lined or unlined oils,panes and lagoons justification for confidentiality. Including specific citations of relevant 5talu- are coveted it earth has been removed from the onstage area to construct joy and case law Itis facility Normal grading is not considered construction below ground y level. Multiple Containers: FIII 1 and t[ on one form and leave it blank an all the Definition of Hazardous Substance: Any substance listed in Section 6382 remaining forms Attach all forms together securely 11 you own more than of Ina Labor Code or in Section 25316 0l the Health and Solely Code This 50 ranks you can life Information on computer tape. Call 916/324 1262 for includes: gasoline. diesel fuel, all industrial solvents, pesticides, herbicides information and fumigants. 11 the material must be carried by a registered hauler, dis- This Is not a Permll Application. All Underground Tanks wilt be subject to posed of at a hazardous waste site.is explosive.generates pressure due to local regulation Some jurisdictions have already begun programs. Chock heal or decomposition or would harm humans or wildlife you must register with your local county government for Iurlhel information. NOTE: ALL UNDERGROUND CONTAINERS MUST REGISTER EVEN IF STATE AND/OR LOCAL PERMITS ARE IN FORCE. I Owner Name ICar calm examual or Pudic Agencyl UNION CARBIDE CORPORATION Skeet Aaaess CA, state ZIP Old Ridgebury Road Danbury CT 06817 II Facility Fac",Name UcaRv6acman/aupnvrsa Union Carbide Ag Products Co. , Inc. Vince R. Parman Shea Aaaesa Nearest Cross Sven 10144 E. French Camp Road Austin Road CdY CouniY ZIP Manteca, CA San Joaquin 95336 MaAm,Aaaess CXy Rate ZIP R.R. #1 Box 10144 Manteca CA. 95336 Pnkrm w/tea cane Type m Busotor nNs 209 982-1031 ❑or MVehicle Fuel Station 11 ox Other:—Res earch_Farm Numeer d Tams at IMS PoCXXI TownsM1p Rarye S^e1i^^ Rural Areas 3 Only: III 24 Hour Emergency Contact Person Days Name Ibsl name lea arra Phone wlarea coon N,,# Name past name Is aN Pham w arca Cade V. R. Parman (209) 982-1031 V.R. Parman (209) 982-1031 COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER GASOLINE TANK IV Description Conlalno NumMr IN Iharn ra no nanM1ar assign om•I A.27 of Tank O m Sump Ow Lagoon, Pit or Pond ❑N Other: 1 B. Manufacturer(if appropriate): Year of Mfg.: A�DTOX. 197 C. Year Installed: 1978 O Unknown D. Container Capacity: 1000 gallons O Unknown E. Container Repairs: ❑or None O az Unknown O oa Yes Year: F. Is Container currently used? M w Yes O m No li No• year of last use: O m Unknown G. Does the Container Store(Check One): O or Waste M oz Product H. Does the Container Store Motor Vehicle Fuel or Waste Oil? m of Yes ❑o2 No If Yes, Check appropriate box(eS): O of Unleaded I1 m Regular O oa Premium ❑N Diesel O m Waste Oil O w Olher(List): V Container Construction A. Thickness of Primary Containment: 20 C Gauge O Inches ❑ cm ❑ Unknown 4 S. O of Vaulted(Located in an underground Vault.) M o2 Non-vaulled ❑or Unknown C. ❑as Double Walled G m Single Walled ❑oa Lined ❑o.Wrapped O as Unknown ❑m None D. O or Carbon Steel 9 m Stainless Steel ❑to Fiberglass ❑04 Polyvinyl Chloride ❑as Concrete O as Aluminum ❑of Steel Clad ❑m Bronze ❑re Composite ❑to Non-metallic ❑ it Earthen Walls ❑r2 Unknown O ri Other: — E. O or Rubber Lined ❑az Alkyd Lining O no Epoxy Lining ❑w Phenolic Lining ❑as Glass Lining ❑as Clay Lining 10 of Unlined O as Unknown O m Other: IF. 0ar Polyethlene Wrap 0oz Vinyl Wrapping Oar Cathodic Protection ON Unknown Des None lam OlherAsphalt