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Official Registration Form �CKl California Water Resources Control Board rm, Hazardous Substance Storage Statement - ? Who Must File: Each person storing hazardous substances in any under- the tank.Wastes are included ground container must file this form no later than July 1.1984(Alter October Fee: For each lank registered a $10 fee must be paid. except that retail 1. 1984 and no later than January 1. 1985 for tanks used on farms). gasoline stations pay$5 per tank. Definition of Underground Containers: The law applies to "concrete Penalties: For failure to file.the penalty is$500-$5.000 per day.If you lalstly sumps. nonvaulted buried tanks or other underground containers:' (Water information,you can be fined up to$20.000 for each day the Information is Code section 13173) All containers. including earthen walled pits, ponds. incorrect and has not been corrected. lagoons and sumps. that are below the normal ground surface level must Confidentiality: II you have Information protected by trade secret laws. register. A tank sitting on the ground Is not Included. Containers partially please attach a list of the information on this form that is confidential and the beneath the surface are included. Lined or unlined pits.ponds and lagoons justification for coniidentialily, including specific citations of relevant sialu- are covered if earth has been removed Irom the storage area to construct tory and case law. the facility. Normal grading is not considered construction below ground Multiple Containers: FIII I and II on one form and leave it blank on all the levelremaining forms. Attach all terms together seCurely. If you own more than Definition of Hazardous Substance: Any substance listed in Section 6382 50 tanks you can Ide information on computer tape. Call 916/3241262 for of the Labor Code or In Section 25316 of the Health and Safety Code.This information. includes: gasoline. diesel fuel. all industrial solvents. pesticides. herbicides This Is not a Permit Application. All Underground Tanks will be subject to and fumigants. If the material must be carried by a registered hauler, dis-due to local regulation. Some jurisdictions have already begun programs Check heosed at oro decomposition orf at a hazardous wouldaste site. harm humans or wildlife yu musttes e register with your local county government for further information NOTE: ALL UNDERGROUND CONTAINERS MUST REGISTER EVEN IF STATE AND/OR LOCAL PERMITS ARE I itN FORCE. I Cramer n Name ICapwauon.IMrwdual a PuMC Agencyl RACU FOODSf INC Street Address Gly State 1400 E. WATERLOO ROAD STOCKTON CA 95205 II Facility eeala/Fireman/Superwso, Fac49y Name RAGU FOODS, INC Street Add,ess Ne,l sI boss Street 1400 E. WATERLOO ROAD D STREET City STOCKTON zip STOCKTON SANJOAQUIN 95205 Mailing Address C.ly Slate ZIP P.O. BOX 9200 STOCKTON CA 95208 Pnone whoa code Type of Business 209 466-9580 [lot Motor Vehicle Fuel Station 0 o Other. Numper of Tanis at INs Faalrly Townsmp Range Setllon Rural Areas 4 Only: III 24 Hour Emergency Contact Person Gays Name IId51 n e 6rs11 0 P one /area Lpde N�gI�S�Namj&S nar�r�f , no Poona wr arca coda lex �e�en'aug 20 3 865 4 Frank yonesha e — COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER IV Description c..w ar Nease dI tne,, num.ndr assnn on--I A. [jet Tank ❑m Sump ❑in Lagoon, Pit or Pond ❑04 Other: No. 4(Solvent) B. Manufacturer(if appropriate): Unknown Year of Mfg.: Unknown C. Year Installed: ® Unknown D. Container Capacity: gallons N Unknown E. Container Repairs: Igor None ❑02 Unknown ❑m Yes Year: F. is Container currently used? ❑o1 Yes IS oz No If No, year of last use: ®03 Unknown G. Does the Container Store (Check One): ❑of Waste D 02 Product H. Does the Container Store Motor Vehicle Fuel or Waste Oil? ❑of Yes ❑02 No It Yes, Check appropriate box(es): ❑of Unleaded ❑oz Regular ❑03 Premium ❑N Diesel ❑os Waste Oil ❑fie Other(List):---- V List): -V Container Construction A. Thickness of Primary Containment: ❑ Gauge ❑ Inches ❑ cm to Unknown B. ❑oI Vaulted (Located in an underground Vault.) ®02 Non-vaulted ❑03 Unknown C. Dol Double Walled C902 Single Walled ❑m Lined ❑as Wrapped ❑os Unknown ❑os None D. Dol Carbon Steel 0 o Stainless Steel ❑m Fiberglass Do Polyvinyl Chloride 0 0 Concrete ON, Aluminum ❑m Steel Clad ❑0s Bronze ❑its Composite ❑to Non-metallic ❑ II Earthen Walls ❑12 Unknown ❑13 Other: E. ❑of Rubber Lined ❑oz Alkyd Lining ❑03 Epoxy Lining ❑N Phenolic Lining ❑05 Glass Lining ❑os Clay Lining ❑o• Unlined 51 ce Unknown ❑1N Other: IF. 0 of Polyethlene Wrap 0 o2 Vinyl Wrapping 0 03 Cathodic Protection W N Unknown 0 n5 None 0 0s Other: