Laserfiche WebLink
STATE ID NUMBER 00000011293001 <br /> TANK <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE 9GB LE E FROM FILE (ND FEE) <br /> ( O1 NEW PERMIT ( ) 05 RENEWED PERMIT t ) 07 TANK CLOSED <br /> ( ) 02 CONDITIONAL PERMIT t ) 06 AMENDED PERMIT l 1 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER PUBLIC AGENCY ONLY STATE Q_Vr q3 LOCAL <br /> ( } <br /> FNAME(CCPPOP.ATION,IN0IVIoUAL <br /> OR PUBLIC AGENCY) O1 FED [ ) 02 <br /> TE ZIP <br /> TY OF STOCKTON <br /> CITY CA CA 95202 <br /> STP.EET ADDRESS <br /> STOCKTON <br /> 425 N. EL DORADO <br /> II FACILITY <br /> �JOCr,�+� ,n E�`r �, /� 4EALER/FOREMAN/SUPERVISOR. <br /> FACILITY NAME C,.6 `� Z`"r{� C1fiJ COMPANY 0 L <br /> NEAREST STREET <br /> STREET AOOPESS Fru- '`-' r k� <br /> 4010 E. MAIN ST ZIP <br /> COUNTY 95205 <br /> CITY SAN JOAQUIN <br /> IP <br /> STOCKTON STATE <br /> CITY GA 95 95205 <br /> M,AILIN3 .ADDRESS STOCKTON <br /> 4010 E. MAIN ST <br /> TYPE OF BUSINESS <br /> PHONE W/APEA CODE 1 t } 01 GASOLINE STATION (X) 02 OTHER FIRE STATION <br /> 209 `e <br /> -ve /� RANGE`I SECTION <br /> PUPAL AREAS ONLY i TOWNSHIP NIA N/A <br /> NUMBER OF CONTAINEPS N/A <br /> III 24 HOUR EMERGENCY CONTACT PERSON NIGHTS: NAME(LAST NAME FIRST) NO[P ONE W/AREA CODE <br /> SAME <br /> C Y <br /> DAYS M�(LAST NAME FIRST 7 AND �H/ON€ ;/AREA CODE <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORA FOR EACH CONTAINER <br /> IV DESCRIPTION- -_ <br /> CONTAINER NUMBER 4,2'k <br /> A. tX) 01 TANK ( ) 04 OTHER: <br /> YEAR MFG: <br /> G. YEAR INSTALLED (X) UNKNOWN <br /> B. MANUFACTURER (IF APPROPRIATE)* UNKNOWN <br /> STE <br /> D. CONTAINER CAPACITY: 500 GALLONS [ ) UNKNOWN E. DOES THE CONTAINER 592RNO ( IF9YESACHECKtAPPROPRIATEEBOX(ES)- <br /> F. DOES THE CONTAIN€R_5,T042EREGUOARVEH Lto p3FPREM�lR3MWAS7, 04LDIESEL O1 Y <br /> ( )E 05 WASTE OIL t ) 06 OTHER <br /> [ ) O1 UNLEADED _ ��-- <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: 1 l GAUGE t ) INCHES i ) CM (X) UNKNOWN <br /> B. [ ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) f ) 02 NON-VAULTED (X) 03 UNKNOWN <br /> C. ( ) O1 DOUBLE WALLED .pgj-0 2 SINGLE WALLED ( ) 03 LINED <br /> D, ( l O1 CARBON STEEL ( ) 02 STAILESS <br /> NSfEEL08(BRO03 FIBERGL095GOMPOSITE POLYVINYL NON-METALLIC <br /> 05 CONCRETE <br /> LICf ) <br /> ( ) 06 ALUMINUM f ) 07 STEL LESS <br /> (X) 12 UNKNOWN ( } 13 OTHER: PAGE <br /> H5C04-070185 (10/18/85) <br />