Laserfiche WebLink
0 STATE ID NUMBER 00000000723002 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> 01 NEW PERMIT C 1 05 RENEWED PERMIT ( ) 07 TANK CLOSED <br /> ( ) 09 DELETE FROM FILE (NO FEE) <br /> 02 CONDITIONAL PERMIT ( 1 06 AMENDED PERMIT ( 1 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER —] <br /> NA.ME4CORPOPATION,INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> F ( ) 01 FED ( ) 02 STATE (,X 03 LOCAL <br /> J CITY STATE ZIP <br /> STPEET .ADDRESS /( �/ 2Cj r-�c} � CA. 453 <br /> II FACILITY <br /> DEALER/FOREMAN:SUPERVISOR <br /> FACILITY NAME <br /> FRANKS EXXON #4 FRANK GUINTA <br /> NEAREST CROSS STREET <br /> STREET ADDRESS <br /> 14800 W. FRONTAGE RD. <br /> COUNTY ZIP <br /> CITY <br /> MANTECA SAN JOACiUIN <br /> CITY STATE ZIP <br /> MAILING ADDRESS CA 95336 <br /> P.O. BOX 67 BANTA <br /> PHONE W/AREA CODE TYPE OF S SINES5 <br /> 209-239-2717 (X) O1 GASOLINE STATION ( ) 02 OTHER <br /> NUM3ER OF CONTAINERS <br /> RURAL AREAS ONLY TOWNSHIP RANGE SECTION <br /> 3 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAME(LAST NkE FIRST) AND PHONE W/AREA CODE NIGHTS: NAME(LAST NAME FIRST) AND PHONE W/AREA �CCDE <br /> MddRE, JERRY 209-835-2750 MOORS, JERRY, 209-946-0749 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION - –— <br /> A. (X) 01 TAMC i ) 04 OTHER: f - �ONTAINER NUMBER 11 <br /> B. MANUFACTURER (IF APPROPRIATE): PERKINS YEAR MFG: C. YEAR INSTALLED (X) UNKNOWN <br /> D. CONTAINER CAPACITY: 10000 GALLONS ( ) UNKNOWNE. DOES THE CONTAINER STORE: ( ) 01 WASTE (X) 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? (X) 01 YES ( ) 02 NO IF YES CHECK AFPROPRIATE BOX(ES): <br /> ( ) 01 UNLEADED (X) 02 REGULAR ( ) 03 PREMIUM C ) 04 DIESEL ( 1 05 WASTE OIL ( ) 06 OTHER <br /> V CONTAINER CONSTRUCTION n <br /> A. THICKNESS OF PRIMARY CONTAINMENT: 1/4 ( ) GAUGE (X) INCHES ( ) CM C ) UNKNOWN <br /> B. C l 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED C ) 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED (X) 02 SINGLE WALLED ( ) 03 LINED <br /> D., CX) 01 CARBON STEEL ( ] 02 STAINLESS STEEL ( l 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE C 1 05 CCNCRETE <br /> C ) 06 ALUMINUM C l 07 STEEL CLAD f ) 08 BRONZE ( ) 09 COMPOSITE i 1 10 NON-METALLIC <br /> i 1 12 UNKNOWN f ) 13 OTHER: <br /> PAGE 1 <br /> HSC04-070185 (10/18/85) <br />