My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
BILLING
Environmental Health - Public
>
EHD Program Facility Records by Street Name
>
S
>
SHELTON
>
26842
>
2300 - Underground Storage Tank Program
>
PR0501142
>
BILLING
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
11/5/2020 10:09:00 PM
Creation date
11/6/2018 1:34:19 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
BILLING
RECORD_ID
PR0501142
PE
2381
FACILITY_ID
FA0005001
FACILITY_NAME
CONCAR RANCH
STREET_NUMBER
26842
STREET_NAME
SHELTON
STREET_TYPE
RD
City
LINDEN
Zip
95236
CURRENT_STATUS
02
SITE_LOCATION
26842 SHELTON RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\S\SHELTON\26842\PR0501142\BILLING.PDF
QuestysFileName
BILLING
QuestysRecordDate
10/23/2017 8:11:38 PM
QuestysRecordID
3694959
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
9
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
STATE ID NUMBER 00000046823002 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> ( l 01 NEW PERMIT ( ) 05 RENEWED PERMIT ( ) 07 TANK CLOSED ( ) 09 DELETE FROM FILE (NO FEE) <br /> f ) 02 CONDITIONAL PERMIT ( 1 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAME(COPFOPATION,INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> CONCAR ENTERPRISES, INC. ( ) 01 FED f ) 02 STATE ( ) 03 LOCAL <br /> STREET ADDRESS CITY STATE . ZIP <br /> C/O BANK OF CALIFORNIA, TRUST SAN FRANCISCO CA 94145 <br /> II FACILITY <br /> FACILITY NAME DEALEP/FOREMAN/SUPERVISOR <br /> CONCAR RANCH BOB BARNES <br /> STREET 4OORESS NEAREST CROSS STREET <br /> 26842 SHELTON ROAD <br /> CITY COUNTY ZIP <br /> LINDEN SAN JOAQUIN 95236 <br /> MAILING ADDRESS CITY STATE ZIP <br /> P.O. BOX 45000 SAN FRANCISCO CA 94145 <br /> PHONE W/AREA CODE TYPE OF BUSINESS <br /> 415-765-2421 ( ) 01 GASOLINE STATION (X) 02 OTHER CATTLE RANCH <br /> NUMBER OF CONTAINEPS RURAL AREAS ONLY TOWNSHIP RANGE SECTION <br /> 2 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE NIGHTS: NAME(LAST NAME FIRST) AND PHCNE W:APEA CODE <br /> BOB BARNES 209-887-3252 BOB BARNES 209-887-3252 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( ) 04 OTHER: CONTAINER NUMBER 2 <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: C. YEAR INSTALLED (X) UNKNOWN <br /> 0. CONTAINER CAPACITY: 600 GALLONS ( ) UNKNOWN E. 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 APPROPRIATE BOX(ES): <br /> (X) 01 UNLEADED ( ) 02 REGULAR ( ) 03 PREMIUM ( ) 04 DIESEL ( l 05 WASTE OIL l l 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( ] GAUGE f ) INCHES ( ) CM (X) UNKNOWN <br /> B. f 1 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) ( ) 02 NON-VAULTED (X) 03 UNKNOWN <br /> C. f ) 01 DOUBLE WALLED ( ) 02 SINGLE WALLED f ) 03 LINED <br /> D. ( ) 01 CARBON STEEL ( ) 02 STAINLESS STEEL ( ) 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE f ) 05 CONCRETE <br /> ( ) 06 ALUMINUM f ) 07 STEEL CLAD f l 08 BRONZE ( 1 09 COMPOSITE ( ) 10 NON-METALLIC <br /> (X) 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br />
The URL can be used to link to this page
Your browser does not support the video tag.