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BILLING 1985-2009
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2300 - Underground Storage Tank Program
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PR0231204
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BILLING 1985-2009
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Entry Properties
Last modified
9/26/2024 4:40:53 PM
Creation date
11/5/2018 9:05:25 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
BILLING
FileName_PostFix
1985-2009
RECORD_ID
PR0231204
PE
2381
FACILITY_ID
FA0003793
FACILITY_NAME
LEARNER COMPANY, THE
STREET_NUMBER
2711
STREET_NAME
NAVY
STREET_TYPE
DR
City
STOCKTON
Zip
95206
APN
14503009
CURRENT_STATUS
02
SITE_LOCATION
2711 NAVY DR
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\N\NAVY\2711\PR0231204\BILLING 1985-2009.PDF
QuestysFileName
BILLING 1985-2009
QuestysRecordDate
8/31/2017 7:30:16 PM
QuestysRecordID
3617633
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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STATE OF CALIFORNI/S WATER RESOURCES CONTRO ARD <br /> FORM `B': UNDE GROUND STORAGE TANK PROMAM o' 4:" <br /> ATION INFORMATION ° , <br /> TANK TANK PERMIT APPLIC _ . <br /> CO LETE A SEPARATE FORM WITH THE FOLLOWING INFORMATION FOR EACH TANK. <br /> MARK ONLY i NEW PERMIT 3 RENEWAL PERMIT 5 CHANGE OF INFORMATION 7 PERMANENTLYCLO K <br /> ONE ITEM 2 INTERIMPERMIT 4 AMENDEDPERMIT 6 TEMPORARY TANK CLOSURE B TANK REMOVED b N <br /> n s ARM TANK-YES❑ NO <br /> FACILITY/SITE NAME WHERE TANK IS INSTALLED: /J <br /> 00 <br /> I. TANK DESCRIPTION COMPLETE ALL ITEMS-IF UNKNOWN-SO SPECIFY 4h- <br /> A. <br /> A. OWNERS TANK ID# <br /> B. MANUFACTURED BY: <br /> C.YEAR INSTALLED U D. TANK CAPACITY IN GALLONS: Q <br /> II. TANK ONTENTS IF(A.1),IS MARKED,COMPLETE ITEM C.IF(A.1),IS NOT MARKED,COMPLETE ITEM D <br /> A. 1 MOTOR VEHICLE FUEL 2 PETROLEUM B. C1 UNLEADED 2 LEADED 3 DIESEL <br /> . ❑ <br /> 3 CHEMICAL PRODUCT 4 OIL PRODUCT ❑4 GASAHOL E] 5 JET FUEL 6 AVIATION GAS <br /> 5 HAZARDOUS 80 EMPTY ❑ 95 UNKNOWN E]2 WASTE 7 METHANOL [:]99 OTHER(DESCRIBE IN ITEM D,BELOW) <br /> D. IF NOT MOTOR VEHICLE FUEL,ENTER NAME OF C.A.S.#: <br /> HAZARDOUS SUBSTANCE STORED&C.A.S.# <br /> III. TANK CONSTRUCTION MARK ONE ITEM ONLY IN BOX A,B,C,&D <br /> A.TYPE OF Q 1 UBLEWALLED F7 3 SINGLE WALLED WITH EXTERIOR LINER El 95 UNKNOWN <br /> SYSTEM 2 SINGLE WALED L4 SECONDARY CONTAINMENT 99 OTHER <br /> I STEELIIRON 2 STAINLESS STEEL F-1 3 FIBERGLASS 4 STEEL CLAD W/FIBERGLASS REINFORCED PLASTIC <br /> B.TANK ❑ 5 CONCRETE 6 POLYVINYLCHLORIDE F-1 771MINUM B 100%METHANOLCOMPAT19LEFRP <br /> MATERIALEl LEY <br /> 9 BRONZE � 10 GALVANIZED STEEL 95 UNKNOWN 99 OTHER <br /> 1 RUBBERLINED E]2 ALKYD UNING ❑:EPDXY UNING E]4 ENOLIC LINING <br /> C. INTERIOR F-15 GLASS LINING F--] 6 UNLINED 95 UNKNOWN <br /> LINING IS LINING MATERIAL COMPATIBLE WITH 100%METHANOL? ES ONO OTHER UnK <br /> D. CORROSION 1-1i POLYETHLENEWRAP F72 TAR OR ASPHALT 3 -WRAP El 4 FIBERGLASS REINFORCED PLASTIC <br /> PROTECTION 0 5 CATHODIC PROTECTION D 91 NONE 95 UNKNOWN 99 OTHER <br /> IV. PIPING INFORM TION CIRCLE A IF ABOVE GROUND, U IF UNDERGROUND,BOTH IF APPLICABLE <br /> A SYSTEM TYPE A 1 SUCTION A U 2 PRESSURE A U 3 GRAVITY A U 91 NONE A U 95 UNKNOWN A U 99 OTHER <br /> B. CONSTRUCTION A U 1 SINGLE WALLED A U 2 DOUBLE WALLED A U 3 LINED TRENCH A U 91 NONE A U 5 UNKNOWN A U 99 OTHER <br /> A U 1 STEEL/IRON A U 2 STAINLESSSTEEL A U 3 POLYVINYL CHLORIDE(PVC) A U 4 FIBERGLASSPIPE A U 91 NONE <br /> C.MATERIAL A U 5 ALUMINUM A A 6 CONCRETE A U 7 STEELCLADW/FRP A U 0100%METHANOL COMPATIBLE FRP <br /> A U 9 GALVANIZED STEEL A U 96 UNKNOWN A U 99 OTHER <br /> V. LEAK DETECTION SYSTEM CIRCLE P FOR PRIMARY,OR S FOR SECONDARY,A PRIMARY LEAK DETECTION SYSTEM MUST BE CIRCLED. <br /> S 1VISUAL CHECK CUP) S 2 INVENTORY RECONCILIATION P S 3VADOSE WELLS P S 4 ELECTRONIC MONITOR P S 5 GROUND WATER MONITORING WELLS <br /> OP S 6 PRECISION TESTING P S 7 PRESSURE TESTING P S 91 NONE P S 95 UNKNOWN P S 99 OTHER <br /> VI. INFORMATION ON TANK PERMANENTLY CLOSED IN PLACE <br /> 2. ESTIMATED QUANTITY OF 3. INE TANK <br /> MATERIFILLED <br /> L?WITH <br /> 1. ESTIMATED DATE LAST USED(MO/VR) SUBSTANCE REMAINING IN INERT MATERIAL? YES NO <br /> GALLONS <br /> THIS FORM HAS BEEN COMPLETED UNDER PENALTY OF PERJURY,AND TO THE BEST OF MY KNOWLEDGE,IS TRUE AND CORRECT. <br /> GATE <br /> APPLICANT'S NAME(PRINTED&SIGNATURE) <br /> LOCAL AGENCY USE ONLY <br /> COUNTY# JURISDICTION# AGENCY# FACILITY ID# <br /> TANK ID# <br /> o � v <br /> APPROVED BY NAME <br /> PHONE#WITH AREA CODE <br /> CURRENT LOCAL AGENCYF �IDk _ � //-/a- <br /> PERMIT <br /> g_/a O� <br /> PERMIT NUMBER LEI//,'- (�X PERMIT APPROVAL DATE PERMIT EXPIRATION DATED <br /> _ o_87Y <br /> CHECK a PERMIT AMOUNT SURCHARGE AMT. FEE CODE RECEIPT# BY: <br /> FORM G IF 29-661 THIS FORM MUST BE ACCOMPA I D BY A FACILITYP , O <br /> ORM 'X,UNLES CURRENT FORMA' HAS BEEN FILED <br /> DATAPROCESSING <br />
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