Laserfiche WebLink
0 <br /> STATE ID NUMBER, 00400059193002 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> } 01 NEW PERMIT ( } 05 RENEWED PERMIT ( ) 07 TANK CLOSED t } 09 DELETE FROM FILE (NO FEE) <br /> 02 CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAMT_(CCRPC?ATION,IN]IVIOUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> ( } 01 FED ( ) 02 STATE [ ) 03 LOCAL <br /> STREET ADDRESS CITY STATE ZIP <br /> STOCKTON CA 95207 <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREMAN/SUPERVISOR <br /> WATER FRONT YACHT HARBOR ROY A. GRUWELL <br /> STREET .ADDRESS NEAREST CROSS STREET <br /> 333 TULEBERG LEVEE CENTER <br /> CITY COUNTY <br /> ZIP <br /> STOCKTON SAN JOA4UIN 95203 <br /> MAILING ADDRESS CITY STATE ZIP <br /> 333 TULEBERG LEVEE STOCKTON CA 95243 <br /> PHONE W/AREA CODE TTYP_E OF BUSINESS <br /> 209-943-1848 01 GASOLINE STATION (X) 02 OTHER MARINA <br /> NUMBER OF CONTAINERS RURAL AREAS ONLY TOWNSHI13 RANGE SECTION <br /> 3 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> CA'YS: NAME(LAST NAME FIRST) AND PHONE W/APEA CODE NIGHTS: NAME(LAST NAME FIRST) AND PHONE W/ARE�CODE <br /> GRUWELL, ROY 209-943-1848 GRUWELL, ROY 209-369-5753 <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 1981 [ ) UNKNOWN <br /> 0. CONTAINER CAPACITY: 5000 GALLONS ( ) UNKNOWN JE. 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 /> f ) 01 UNLEADED t ) 02 REGULAR ( ) 03 PREMIUM (X) 04 DIESEL ( ) 05 WASTE OIL t ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: 1/4 ( 1 GAUGE (X) INCHES ( l CM f ) UNKNOWN <br /> B. f ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (k) 02 NON-VAULTED F�3 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED FILL 02 SINGLE WALLED ( } 03 LINED Uhjv AOK <br /> D. M 01 CARBON STEEL [ ) 02 STAINLESS STEEL (,,�)) 03 FIBERGLASS ( l 04 POLYVINYL CHLORIDE ( 1 05 CONCRETE <br /> ( ) 06 ALUMINUM ( ) 07 STEEL CLAD [ ) OeBRONZE ( l 09 COMPOSITE ( ) 10 NON-METALLIC <br /> t ) 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br />