Laserfiche WebLink
0 0 <br /> STATE ID NUMBER 00000060759001 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> f ) 01 NEW PERMIT f ) 05 RENEWED PERMIT ( 1 07 TANK CLOSED ) 09 DELETE FROM FILE (NO <br /> ( ) 02 CONDITIOiAL PERMIT f 1 06 AMENDED PERMIT ( l 08 MINOR CHANGE (NO SURCHARUaJ <br /> I OWNER P64STSi A)0 <br /> PUBLIC AGENCY ONLY,IND <br /> NAME(CORPOAATID IVIDUAL DR PUBLIC AGENCY)G�►�ac i ) 01 FED ( 1 02 STATE f ) 03 LOCAL <br /> STREET ADDF.ESS f / { CITY ICA <br /> ATE ZIP <br /> FRANG r�r racni� <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREMAN/SUPERVISOR <br /> UNION OIL SS# 6348 D.FERGUSON/R. NEWHARD JR. <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 3788 TRACY BLVD. HWY 205 A <br /> CITY COUNTY <br /> ZIP <br /> TRACY SAN JOAQUIN 95376 <br /> MOILING ADDRESS } /� /} / CITY S STATE3798 ZIP f)jCR�4E1° LaG CA ` 7i <br /> PHONE W/AREA CODE TYPE OF BUSINESS <br /> 209-836-0646 (X) 01 GASOLINE STATION ( ) 02 OTHER <br /> NUMBEP OF CONTAINERS RURAL AREAS ONLY : TOWNSHIP RANGE SECTION <br /> 1 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAME(LAST NAME FIPST) AND PHONE W/AREA CODE NIGHTS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE <br /> JAURIGUI, L.J. 415 ^-ire-=reSrOp{ — UNION OIL CO. 415x-�—ae <br /> COMPLETE THE FOLLOW°IN�G ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. ( ) 01 TANK (X) 04 OTHER,rm CONTAINER NUMBER 6348-10-1 <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: C. YEAR INSTALLED (X) UNKNOWN <br /> 0. CONTAINER CAPACITY GALLONS (X) UNKNOWN E. DOES THE CONTAINER STORE: (X) 01 WASTE ( ) 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? C ) 01 YES (X) 02 NO IF YES CHECK APPROPRIATE BOX(ES1: <br /> ( ) 01 UNLEADED ( ) 02 REGULAR ( ) 03 PREMIUM ( ) 04 DIESEL ( 1 05 WASTE OIL ( 1 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: 6 ( 1 GAUGE (X) INCHES ( ) CM i 1 UNKNOWN <br /> B. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NDN—VAULTED ( 1 03 UNKNOWN <br /> C. ( 1 01 DOUBLE WALLED (X) 02 SINGLE WALLED f ) 03 LINED <br /> D. f 1 01 CARBON STEEL ( 1 02 STAINLESS STEEL ( ) 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE (X) 05 CONCRETE <br /> f ) 06 ALUMINUM ( ) 07 STEEL CLAD ! 1 08 BRONZE ( 1 09 COMPOSITE ( 1 10 NON—METALLIC <br /> ( l 12 UNKNOWN ( ) 13 OTHER= <br /> HSC04-070185 (10/18/85) PAGE i <br />