Laserfiche WebLink
• STATE ID NUMBER 00000004180002 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> 1 NEW PERMIT f ] 05 RENEWED PERMIT ( ) 07 TANK CLOSED ( ) 09 DELETE FROM FILE (NO FEE) <br /> 02 CONDITIONAL PERMIT f ) 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAME(CORPORATION,INDIVX2LLAL OR FUEL Z AGENCY) PUBLIC AGENCY ONLY <br /> 01 FED ( 1 02 STATE ( ] 03 LOCAL <br /> STREET CRESSoo ' 'L a ' I CAD CITY <br /> r0. STATE ZZP ��� <br /> v 9568E <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREMAN/SUPERVISOR <br /> _10fir 0.n <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 400 W. VALPICO RD TRACY BLVD. <br /> CZT'Y COUNTY ZIP <br /> TRACY SAN JOAQUIN 95376 <br /> MAILING ADDRESS CITY STATE ZIP <br /> 400 W. VALPICO RD TRACY CA 95376 <br /> PHONE W/AREA CODE TYPE OF BUSINESS <br /> 209-836-1971 ( ] 01 GASOLINE STATION (X) 02 OTHER CORRUGATED BOX PLANT <br /> NUMBER OF CONTAINERS RURAL AREAS ONLY TOWNSHIP RANGE SECTION <br /> 3 <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 ARE co 'r 22`� <br /> 209-836-1971 209-836�i' - y LS ��TJv <br /> D <br /> OMPL FOLLOWING ON A SEPARATE F FOR CH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( ) 04 OTHER: CONTAINER NUMBER FOT2 <br /> B. MANUFACTURER (IF APPROPRIATE): OWENS/CORNING YEAR MFG: C. YEAR INSTALLED 1979 ( 1 UNKNOWN <br /> D. CONTAINER CAPACITY: 15000 GALLONS ( ) UNKNOWN E. DOES THE CONTAINER STORE: f ) 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 /> ( ) 01 UNLEADED ( ) 02 REGULAR ( ) 03 PREMIUM (X) 04 DIESEL ( l 05 WASTE OIL ( 1 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: f ) GAUGE ( ) INCHES ( ) CM (X) UNKNOWN <br /> B. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ( ) 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED (X) 02 SINGLE WALLED ( ) 03 LINED <br /> D. f 1 01 CARBON STEEL ( 1 02 STAINLESS STEEL (X) 03 FIBERGLASS ( l 04 POLYVINYL CHLORIDE 1 ) 05 CONCRETE <br /> ( ) 06 ALUMINUM ( 1 07 STEEL CLAD [ 1 08 BRONZE ( 1 09 COMPOSITE ( 1 10 NON-METALLIC <br /> ( ) 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br />