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aUa. . Dis` RT - MYA\L j '- INV. NO. OR JOB. COUNTS JRIAL NG A UNT DATE u OR REF. PAYABLE CONTRACT ACCT. AMOUNT DATE INVOICENO. AMOUNT D.L.McLAUGHLIN CO. DATE INVOICE N0, AMOUNT DATE INVOICE ND. STOCKTOK OW, wn0 Must rlra: CIrBn porsod sloping ni,/aw a; `;)e lenl.ON In ;illy unncr Fee:Innh vv)h tews a l,stwdd a $IU led (1104: hu puNL UKCepI that retell.. . ground conlalnul must Ne this term do at, nNul filly 1. 1984 IAllet October eeFor I.,,it I pay 85 par lank 1. 1984 and no later than January I 1985 lel lanky used On tannsl DBIIMIIOn OI UndaroroYnd Dena{nen: rhe low •gyJhcs Id `condom penalties: IlN ludun,In life.Inc penAlly ie 5500-S50rt pl'I nay.II you la1611y t 1 swops nonvaullud bulled junks ur 011101 undulylound cuutnalrni (Wrldol allurlhdlwn. pull rful Ili lawtl up lu$..QGUO for uar.h ddY 1110 ullunnabdn Is Code section 131731 All containars, mrluding ourlhen wakud pis. ponds. Incormrl and 11(15 nut huon conuctud lagoons and 5ump5. dlnl An: below the if........I rilllluce oval Inllst Confidentially: II you have ,,formation prolece'd by bade SeCIOt laws. roglslur A lank silting nn I hn ()round Is I'll au.luden Cunlaupe:; padwlly pNusu nllurIt,I,,ul 111,Intomuraun nn this fon))that Is cunhdentlal and the bunealh the 9wlacd arc included Lined ur unfaanl pi:. ponos and laguo'Is ]us llllcat on fill I'untidugtality. Including specific alatiuns Of relevant slalu- are covered of Garth has hoed removed Item the storage area to consiruci Tory and case law the facility Normal grading is not considered conslrucllon below ground Mill CORUlnenl Fill :Ind II on one form and leave i blank on all the level. IL'rnalnlllg Wells Allacb all joints together Securely. 11 you own more than Definition OI Hazardous substance. Any substance listed In Section 8382 50 lentis you can h10 Inlorrnallon on computer tape. Call 918/324-1202 lot =i of the Labor Code or In Section 25318 01 the Health and Safety Code This Information rincludes: gasoline. diesel luel. all industrial sulvenlspesticides, herbicides This Is not a Permit Application, All Underground Tanks will be subject l0 '. and lumfgants If the malarial must be carried by a registered hauler, dts- local rogulalion Som,, jurisdictions have already begun programs Check posed of al a hazardous waste site.IS explosive.generates pressure due to with our local county govemmenl for further lOfonnason heat or decompO4illon or would harm humans of wddlie you mu51 reglslor NOTE: ALL UNDERGROUND CONTAINERS MUST REGISTER EVEN IF STATE AND/OR LOCAL PERMITS ARE IN FORCE. I Owner Name ICerpOrauon.In,,W.JI a PunO Agency) D. L. McLaughlin CO. Inc. _ c stale $Neel Aerhoss Stockton CA 95205 2829 N. Highway 99 II Facility --- u•aka rwainan su r•IYina FutAly Name pi Nearest Gass$uttl _ $Ileal AWess iyt ZIP �T courtly City City Slwc ZIP ;4i MaArp AObess ?.7 •�' r VMNN w/area<We Type o1 Business ❑01 Motor Vehicle Fuel Station 0t Other`__. ._ .,.. ...... r R.ituv. sucndn NumWr 0 lana al this F.ohly Rural Areas Only: III 24 Hour Emergency Contact Person Days Name Ilan wine INTO ata Ph.w/ale.coda Nynu rvamu San nanm else aNl Pn w mea awe a Y COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER IV Description C- NNV N—NN,til IMnI'n m.nwallLv aSGgn Onal A. pot Tank [3 oz Sump ❑00 Lagoon, Pit or Pond ❑o4 Other: 2 R:A • i B. Manufacturer(if appropriate): unknown -_ Year of Ni C. Year Installed: ] Unknown f.•' D. Container Capacity: gallons SI Unknown E. Container Repairs: 0o None 3C In Unknown 0o r: Yes Year F. Is Container Currently used? $dof Yes ❑o2 No If No, year of last use: --- El oa Unknown G. Does the Container Store (Check One): ❑of Waste :n o2 Product H. Does the Container Store Motor Vehicle Fuel :➢00060011? )lot Yes 0o No It Yes. Check appropriate box(es). r' r Xm Unleaded ❑02 Regular ❑of Premium ❑N Diesel ❑as Waste Oil ❑0s Other(List): -.._ y V Container Construction A. Thickness of Primary Containment: ❑ Gauge ❑ Inches ❑ cm 1§ Unknown B. ❑oI Vaulted (Located in an underground Vault.) 0 Non-vaulted ®o3 Unknown G ❑DI Double Walled ❑02 Single Walled ❑ou Lined ❑a Wrapped 3w, Unknown ❑oh None D. O of Carbon Steel ❑o2 Stainless Steel ❑of Fiberglass ❑04 Polyvinyl Chloride ❑o, Concrete ❑w Aluminum 0 Or Steel Clad 0U Bronze ❑IN Composite ❑to Non-metallic ❑ II Earthen Walls Ixi2 Unknown ❑13 Other. _E. Dot Rubber Lined Q w Alkyd Lining ❑os Epoxy Lining ❑04 Phenolic Lining ❑Ds Glass.Lining ❑vA Clay Lining ❑of Unlined 2 Dv Unknown ❑w Other: -------- --- IF. ❑oa Polyethlene Wrap 0o2 Vinyl Wrapping 0 03 Cathodic Protection Ifo. Unknown 0 os None 0 IN Other: