Laserfiche WebLink
04/24/2012 TUB 10! 18 FAX 7*5206 <br /> UNIFIED PROGRAM CONSOLIDATED F0 <br /> 'UNDERGROUND STORAGE TANK <br /> OPERATING PERMIT APPLICATION-FA TY <br /> One fbm Par facility) <br /> TYPE OF ACTION 0 I.NEW PERMIT El 5-rumcnorwo AmoN 'Ll i.PEiRmANkmTFAcujTYcLosuRs <br /> (Check anoltqni only) M 3.RENEWAL PERMIT 0 6.TEMPORARY FACILITY CLOSURE 119.TRANSFER PERMIT <br /> T <br /> TOTAL NUMBER OF NSTS AT FACILITY 4W. ITACILITYID# ry�, `j <br /> (&ency(AS <br /> BUSINESS NAME(S4 mFACIUTY NAM6,,D"-miB4w—m) <br /> Spirit Gasoline <br /> BVSINESSSLTBADDROS CITY <br /> 1250 North Wilson%y Stockton <br /> FACILITY TYPE 1.MOTOR VEHICLE PURLING El 2,17UBL DISTRIBUTION 10JIs the fkolft)ocated on Indian Reservation or 40z <br /> 3.FARM [1 4.morusm 6.OTHER Twat lends? OYU ®No <br /> ( <br /> 1A, <br /> PROPERTY OWNER NAME 401. PHONE <br /> Tirrifty Oil Company (562)921.3581 <br /> MAILING ADDRESS 409- <br /> 13116I erial <br /> u13116NxTerial Highway <br /> CITY 4M STATE 411 ZJPCODE 413 <br /> Santa Fe Smiso CA 90670 <br /> TANK OPERATOR NAME 423-1 PHONE <br /> Yohinder Lal (209) 547-1700 <br /> MAILING ADDRESS <br /> 840 Dupont Drive <br /> CITY 428-1 STATE 4zea Zrp CODE <br /> Stocktozx CA 95210 <br /> % <br /> 'T <br /> TANXt6ffR-RAM 414. PHONE 4U. <br /> Thrifty Oil Company (562) 921-3581 <br /> -MAILING ADDRESS <br /> 13116 yLm p a ri a I M Il hw a <br /> UTy <br /> I417. STATE ata. ZIP CODE 419, <br /> Santa Fe Springs CA 90670 <br /> OWNER TYPE: 0 4.LOCAL AGENCY/DISTRICT ❑ 5.COUNTY AGENCY El 45.STATE AGENCY <br /> [1 7.FEDERAL A01314CY B.NON-GOVERNMENT <br /> 04 "�50 <br /> LL44, <br /> TY( 44- 0 4 1 4 6 5 <br /> Call the Slate Hoard ol'Equal ization,11mol Ten Division,if them are jut9tions. <br /> 1 1 1 1 1 1 <br /> 119"010100'' <br /> Issue perwAt and send legal notifications and railings to: Cl 1.FACILITY OWNER 0.4.TANK OPERATOR <br /> Q 3.TANK OWNER ❑ 5.FACILITY OPERATOR <br /> SUPERVISOR OF DIVISION,SgMON,OR OFFICE(Required FoT Public Alicnciem Only) <br /> �7.7,� k <br /> CERTIFICATION: I certify that the Informllan Drevided herein Is tme,uccurmte,and in full 96tbinMalate With legal r6quirements. <br /> APPLICANT SIGNATURE'� DATE PHONEnz <br /> dev-- Lak-p 4/10/12 <br /> APPUCANTNAMS(print) 43k APPLICANTT 4v <br /> 11 <br /> Jogiady Lal 7Jb(, /fJbE2-- ) AL Operator <br /> MAY 0 8 2012 <br /> SANJOAQUINCOUNTY <br /> t]PCF UST-A Rev.(1=07) ENViRONMENTAL <br /> HEALTH DEPARTMENT <br />