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� F � <br /> Official Registrati3ln <br /> Callf rnia Water Resources C rrol Board <br /> Hazardous Substance Storage Statement i,7 > <br /> Who Must File: Each person storing hazardous substances in any under- the lank.Wastes are included, <br /> ground container must Isle this form no later than July 1,1984(Alter October Fee: For each lank registered a $10 fee must be paid, except that retail <br /> 1. 1984 and no later than January 1. 1985 for tanks used on farms). gasoline stations pay$5 per lank. <br /> Definition of Underground Containers: The law applies to "concrete Penalders: For failure to file.the penalty is$50045.000 per day It you falsity <br /> sumps. nonvaulted burled tanks or other underground containers." (Water information.you can be fined up to$20.000 for each day the information Is <br /> Code section 13173) All containers, including earthen walled pits, ponds. incorrect and has not been corrected. <br /> lagoons and sumps. that are below the normal ground surface level must Confidentiality: 11 you have information protected by trade secret laws. <br /> register. A tank sitting on the ground is not included. Containers partially please attach a list of the information on this Corm that is confidential and the <br /> beneath the surface are included. Lined or unlined pits, ponds and lagoons justification for confidentiality. including specific citations of relevant statu- <br /> are covered it earth has been removed from the storage area to construct tory and case law. <br /> the facility. Normal grading is not considered construction below ground <br /> level. Multiple Containers: Fill I and II on one form and leave it blank on all the <br /> Deanidon of Hazardous Substance: Any substance listed in Section 6382 remaining forms. Attach all forms together securely. II you own more than <br /> of the Labor Code or in Section 25316 0l the Health and Safety Code.This 50 tanks you can file information on computer tape. Call 916/324-1262 for <br /> includes: gasoline. diesel fuel. all industrial solvents. pesticides. herbicides information. <br /> and fumigants. If the material must be carried by a registered hauler. dis- This Is not a Permit Application. All Underground Tanks will be subject to <br /> posed of at a hazardous waste site,is explosive.generates pressure due to local regulation. Some jurisdictions have already begun programs. Check <br /> heat of decomposition or would harm humans or wildlife you must register with your local county government for further information <br /> NOTE: ALL UNDERGROUND CONTAINERS MUST REGISTER EVEN IF STATE ANO/OR LOCAL PERMITS ARE IN FORCE. <br /> else <br /> I Owner <br /> Name vi:mpwalaxr IndwWual w Puttee Agency; <br /> RAGU FOODS, INC. <br /> Sneer Address Gry Stare zip <br /> 1400 E. WATERLOO ROAD STOCKTON CA 95205 <br /> II Facility <br /> FacJny Name Dealer/Foreman/Saps v.sor <br /> RAGU FOODS INC REX DEFENBAUCH <br /> silver Address Ncaresl Gross$dee, <br /> 1400 E WATERLOO ROAD "D" STREET <br /> City codnry ZIP <br /> STOCKTON SAN JOAQUIN 95205 <br /> Ma,ea Address Cdy $13rC ZIP <br /> P.O. BOX 9200 STOCKTON CA 95208 <br /> Phone w/area code Type of Business <br /> 209-466-9580 ❑dr Motor Vehicle Fuel Station 4 oz other:CANNERY <br /> Num"of Tanks at tna Facility Ruftl Areas Toa^shp Range secuon - <br /> 4 Only: <br /> 169tE fd9 <br /> d❑ zoo <br /> :] Weiaaaa aced <br /> wgwnry dlunoe raduinN 4ununouay <br /> uuw'v t <br /> AINO 3sn 31V1s HOd <br /> Z9ZL-t+ZC/9L6 Ileo u0gewd0tul woui ]o swdoi leuotyppe ao <br /> OHS6-99V 60Z R33NION3 INV-1d aaOIHS21NOA NN"d <br /> Cpod"al/m uudyd <br /> Is 6u,1 d <br /> OOLO-10996 V3'0lu9wei3aS•00l xog 'O'd'P]eOe loiluo0 samnosoU raleM alelS 'luawalelS a6e]olS a3uelsgng snop/ezeH :0140040 pueS <br />