Laserfiche WebLink
C1-1-1 Logi L!} - <br /> STATE ID NUMBER 00000000716001 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> ( ! 01 NEW PERMIT f ) 05 RENEWED PERMIT ' 07 TANK CLOSED <br /> 09 DELETE FROM'.FILE (NO FEE) <br /> ( ] 02 CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT )-_06 MINOR CHANGE lN0 SURCHAR <br /> I OWNER <br /> NAME(COPPORATION,INOZVIOUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> ( 1 O1 FED ( ) 02 STATE 1 l 03 LOCAL <br /> LODI METAL TECH., INC. <br /> STREET ADDRESS CITY STATE ZIP <br /> 213 S. KELLY ST. LOBI CA 95240 <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREMAN/SUPERVISOR <br /> LODI METAL TECH., INC. ROBERT LIND <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 213 S. KELLY ST. LODI AVE. <br /> CITY , COUNTY ZIP <br /> LODI SAN JOAQUIN 95241 <br /> CITY STATE ZIP <br /> MAILING ADDRESS CA 95241 <br /> P. 0. BOX 558 LODI <br /> PHONE W/AREA CODE TYPE OF BUSINESS - <br /> 209-334-2500 ( ) OL GASOLINE STATION (X) 02 OTHER MANUFACTURING <br /> NUMBER OF CONTAINERS RURAL AREAS ONLY : TOWNSHIP RANGE SECTION <br /> 6 <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 /> GROSS, ALLEN 209-369-5245 GROSS, ALLEN 209-369-5245 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. ( ) 01 TANK (X) 04 OTHER: SUMP CONTAINER NUMBER-6 <br /> B. MANUFACTURER (IF APPROPRIATE): UNKNOWN YEAR MFG: I C. YEAR INSTALLED 1982 l l UNKNOWN <br /> D. CONTAINER CAPACITY: 600 GALLONS ( ) UNKNOWN E. DOES THE CONTAINER STORE: (X) 01 WASTE ( l 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? f 1 01 YES (X) 02 NO IF YES CHECK APPROPRIATE BOX(ESI: <br /> ( ) 01 UNLEADED ( ) 02 REGULAR ( ) 03 PREMIUM f 1 04 DIESEL ( l 05 WASTE OIL ( ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: 6 ( l GAUGE (X) INCHES ( ) CM ( l UNKNOWN <br /> B. f ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ( ) 03 UNKNOWN <br /> C. 1 l 01 DOUBLE WALLED (X) 02 SINGLE WALLED ( 1 03 LINED <br /> D. 1 01 CARBON STEEL ( 1 02 STAINLESS STEEL ( ) 03 FIBERGLASS f ) 04 POLYVINYL CHLORIDE (X) 05 CONCRETE <br /> f l 06 ALUMINUM f ) 07 STEEL CLAD ( ) 08 BRONZE ( ) 09 COMPOSITE f 1 10 NON-METALLIC <br /> t ] 12 UNKNOWN t ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br />