Laserfiche WebLink
STATE ID NUMBER 00000008404003 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> ( ) 01 NEW PERMIT ( ) 05 RENEWED PERMIT ( ) 07 TANK CLOSED [ 1 09 DELETE FROM FILE (NO FEE) <br /> ( 1 02 CONDITIONAL PERMIT C ) 06 AMENDED PERMIT ( 1 08 MINOR CHANGE (NO SURCHA.RGE1 <br /> I OWNER <br /> NA.*,E(CORPOPATION,INDIVIOUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> GEORGIA-PACIFIC CORPORATION ( ) 01 FED ( ) 02 STATE ( ) 03 LOCAL <br /> __f <br /> STREET ADDRESS CITY STATE ZIP <br /> 133 PECHTREE STREET, N.E. ATLANTA GA 30303 <br /> II FACILITY <br /> F4CILITY NAME DEALER/FOREMAN/SUPERVISOR <br /> GEORGIA-PACIFIC CORPORATION LEROY WHITELY, PLANT MANAGER <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 75 W. VALPICO ROAD TRACY BOULEVARD <br /> CITY COUNTY ZIP <br /> TRACY SAN JOAQUIN 95376 <br /> MAILING ACD?ESS CITY STATE ZIP <br /> 75 W. VALPICO ROAD TRACY CA 95376 <br /> RHONE W/ARE.A. CODE TYPE OF BUSINESS <br /> 209-836-2151 ( ) 01 GASOLINE STATION (X) 02 OTHER CHEMICAL PKG. <br /> NU"3BR OF CONTAINERS P.UR4L AP.EAS ONLY TOWNSHIP RANGE SECTION <br /> 4 <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/AREA CODE <br /> WHITNEY, LEROY 209-836-2151 - <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. [ ) 01 TANK (X) 04 OTHER: SUMP CONTAINER NUMBER #2 <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: 1978 C. YEAR INSTALLED 1978 ( ) UNKNOWN <br /> D. CONTAINER CAPACITY: 150 GALLONS ( 1 UNKNOWN E. DOES THE CONTAINER STORE: (X) 01 WASTE ( ) 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR. VEHICLE FUEL OR WASTE OIL ? ( ) 01 YES (X) 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br /> ( 1 01 UNLEADED ( ) 02 REGULAR ( ) 03 PREMIUM C ) 04 DIESEL ( 1 05 WASTE OIL C ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( 1 GAUGE ( ) INCHES ( ) CM (X) UNKNOWN <br /> B. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ( 1 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED (X) 02 SINGLE WALLED ( ! 03 LINED <br /> D. ( ) 01 CARBON STEEL ( 1 02 STAINLESS STEEL ( 1 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE (X) 05 CONCRETE <br /> C ) 06 ALUMINUM ( ) 07 STEEL CLAD ( l 08 BRONZE ( ) 09 COMPOSITE ( ) 10 NON-METALLIC <br /> 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br />