Laserfiche WebLink
STATE ID NUMBER 00000002918002 <br /> "�� APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> L> '01 NEW PERMIT ( 7 05 RENEWED PERMIT ( 1 07 TANK CLOSED <br /> ( 1 02 CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT ( 1 08 MINOR CHANGE (NO SURCHARGE)) 09 DELETE FROM FILE (NO FEE) <br /> I OWNER <br /> tNAME(COPPORATION,INOIVIDUAL OR PUBLIC AGENCY) <br /> ALIFORNIA/DEPARTMENT AF ��� _ PUBLIC AGENCY ONLY <br /> ft/f?v/G. f ) 01 FED f ) 02 STATE ( ) 03 LOCAL <br /> ESSREET - CITY STATE IIP <br /> SACRAMENTO CA 95814 <br /> II FACILITY <br /> FACILITY NAME <br /> 7O%e�de% . DEALER/FOREMAN/SUPERVIfSO/iR <br /> r R% <br /> STREET ADDRESS D <br /> e <br /> MAGNOLIA NEAREST CROSS STREET - <br /> CITY <br /> STOCKTON COUNTY IIP <br /> SAN JOAQUIN 95202 <br /> MAILING ADDRESS <br /> 510 EAST MAGNOLIA CITY STATE IIP <br /> STOCKTON CA 95202 <br /> PHONE W/AREA CODE TYPE OF BUSINESS <br /> 209-948-7411 f ) 01 GASOLINE STATION (X) 02 OTHER STATE HOSPITAL <br /> NUMBER OF CONTAINERS RURAL AREAS ONLY : TOWNSHIP <br /> 13 RANGE SECTION <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE NIGHTS: NAME(LAST NAME FIRST) AND PHONE W/AREA LODE <br /> HINYARO, DARRELL 209-948-7412 HINYARD� DARRELL 209-948-7111 <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): UNK YEAR MFG: <br /> C. YEAR INSTALLED (X) UNKNOWN <br /> D. CONTAINER CAPACITY: r�•♦GALLONS f ) UNKNOWN E. DOES THE CONTAINER STORE: f 7 01 WASTE (X) 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WAS OIL ? ( l O1 YES .& 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br /> S <br /> ) -g-1 UNLEADED ( ) 02 REGULAR ] 03 PREMIUM 04 DIESEL t 7 05 WASTE OIL ( 1 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( ) GAUGE ( 1 INCHES ( ) CM (X) UNKNOWN <br /> B. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ( ) 03 UNKNOWN <br /> C. ( ) 01 DOUBLE.WALLED (X) 02 SINGLE WALLED ( ) 03 LINED <br /> D. (X) 01 CARBON STEEL f ] 02 STAINLESS STEEL ( 7 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE ( ) 05 CONCRETE <br /> ( 7 06 ALUMINUM t ) 07 STEEL CLAD ( ) 08 BRONZE ( ) 09 COMPOSITE ( 7 10 NON-METALLIC <br /> ( ) 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) <br /> PAGE 1 <br />