Laserfiche WebLink
STATE IO NUMBER <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> ( 1 01 NEW PERMIT l 1 05 RENEWED PERMIT ( ) 07 TANK CLOSED 1 1 09 DELETE FROM FILE (NO FEE) <br /> 1 1 02 CONDITIONAL PERMIT 1 ) 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAME(COPPORATION,iNCIVIDVAL DR PUBLIC AGECY) PUBLIC AGENCY ONLY <br /> Union Oil Comrany of lalifornta �bg Lt�NO"_4L_ ( ) 01 FED I ) 02 STATE ( 1 03 LOCAL <br /> STREET ADDRESS CITY STATE ZSP <br /> 2175 N. GaliFofnia RI�I., 9Uita 10 5c Tl lalnLrt Greek GA 94S9Cv <br /> II FACILITY <br /> FACILITY NAME DEALER/FCPEMEN/SUPERVISOP <br /> STREET AOCPESS NEAREST CROSS STREET <br /> CITY COUNTY ZIP <br /> MAILING ADDRESS CITY STATE ZIP <br /> PHONE WIAREA CODE 1 TYPE OF BUSINESS <br /> l 1 <br /> 01 GASOLINE STATION 1 1 02 OTHER <br /> .NVMBE4 OF CONTAINERS PUPAL AREAS ONLY TOWNSHIP RANGE SECTION <br /> I1I 24 HOUR EMERGENCY CONTACT PERSON <br /> OATS: NAM.E(LAST NAME FIRST) AND PHONE W/AREA CODE NIGHTS: NAME(LAST NAME FIRST) AND PHONE W/APER CODE <br /> Ha Faflant , 2. L . 1415) 945 -7(2,767 - <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. ( 1 01 TAMC ( 1 02 OTHER: CONTAINER NUMBER <br /> B: MANUFACTURER IIF APPROPRIATE): YEAR MFG: C. TEAR IHS7ALLE0 I 1 UNKNOWN <br /> D. CONTAINER CAPACITY: GALLONS 1 1 UNKN04M E. DOES THE CONTAINER STORE: 1 1 01 WASTE ( 1 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? I ) 01 YES ( ) 02 NO IF YES CHECK APPROPRIATE BO%(ESI: <br /> 1 1 01 UNLEADED ( ) 02 REGULAR I ) 03 PREMIUM l 1 04 DIESEL 1 1 05 WASTE OIL 1 1 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: 1 1 GAUGE ( 1 INCHES l I CM I I UNKNOWN <br /> B. ( 1 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) 1 1 02 NON-VAULTED 1 1 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED ( 1 02 SINGLE WALLED 1 1 03 LINED <br /> D. ( ) 01 CARBON STEEL l 1 02 STAINLESS STEEL f 1 03 FIBERGLASS 1 1 04 POLYVINYL CHLORIDE ( 1 05 CONCRETE <br /> ( ) 06 ALUMINUM l ) 07 STEEL CLAD ( 1 08 BRONZE ( 1 09 COMPOSITE l 1 10 NON-METALLIC <br /> ( ) 12 UNKNOWN t 1 13 OTHER: <br /> SC04-070185 PAGE 1 <br />