Laserfiche WebLink
r STATE TO NUMBER 00000042548002 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> t l O1 NEW PER)1IT ( 1 05 RENEWED PERMIT ( 1 07 TANK CLOSED <br /> i ) 09 DELETE FROM FILE (NO FEE.) <br /> f 1 02 CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT ( 1 08 MINOR CHANGE (NO SURCHAROE1 <br /> I OWNER <br /> PUBLIC AGENCY ONLY <br /> NAME(COPPOPATION,INDIVIDUAL OR PUBLIC AGENCY) ( ) O1 FED ( ) 02 STATE ( 1 03 LOCAL <br /> STOCKTON-EAST WATER DISTRICT <br /> CITY STATE ZIP <br /> STREET ADDRESS STOCKTON CA 952 <br /> 05 <br /> P.O. BOX 5157 <br /> II FACILITY <br /> DEALER/FOREMAN/SUPERVISOR <br /> FACILITY NAME <br /> STOCKTON-EAST WATER DISTRICT <br /> NEAREST CPCSS STREET <br /> STF!ET ADDRESS <br /> 6767 EAST MAIN STREET NEW WATER LANE <br /> COUNTY ZIP <br /> CITY 95205 <br /> ISTOCKTON SAN JOAQUIN <br /> CITY" STATE ZIP <br /> MAILING ADOPESS STOCKTON CA 95205 <br /> P.O. BOX 5157 <br /> PHO\! W/AREA CODE TYPE OF BUSINESS <br /> 209-948-0537 f ) 01 GASOLINE STATION (X) 02 OTHER WATER TREATMENT PLAN <br /> E <br /> PUPAL AREAS ONLY : TOWNSHIP RANGE SECTION <br /> NUMBE�C�F ONTAIN�PS <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> ESTE:FFANI� <br /> NA.ME(IAST NAME FIRST) AND PHONE W/AP€A CODE NIGHTS: NAME(LAST NAME FIRST) AND-PHONE �COOE <br /> ED 209-948-0537 SAME - <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> Ill DESCRIPTION - <br /> A. (X) 01 TANK ( 1 04 OTHER: CONTAINER NUMBER T17 <br /> B. MANUFACTURER (IF APPROPRIATE): OWENS/CORNING FIBERGLASS YEAR MFG: 1975 C. YEAR INSTALLED 1977 E 1 UNKNOWN <br /> D. CONTAINER CAPACITY: 4040 GALLONS ( ) UNKNOWN E. DOES THE CONTAINER STORE: ( ) O1 WASTE (X) 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? (X) 01 YES ( l 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br /> t ) <br /> 01 UNLEADED (X) 02 REGULAR E ) 03 PREMIUM { 1 04 DIESEL ( 1 05 WASTE OIL ( l 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( ) GAUGE ( 1 INCHES ( 1 CM (X) UNKNOWN <br /> B. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ( ] 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED { ] 02 SINGLE WALLED ( ) 03 LINED <br /> D. ( l 01 CARBON STEEL ( 1 02 STAINLESS STEEL (X) 03 FIBERGLASS t 1 04 POLYVINYL CHLORIDE f l 05 CONCRETE <br /> ( ) 06 ALUMINUM f ) 07 STEEL CLAD t ) 08 BRONZE ( 1 09 COMPOSITE ( ) 1C NCN-METALLIC <br /> f ) 12 UNKNOWN ( 1 13 OTHER: -- <br /> PAGE 1 <br /> HSC04-070185 (10/18/85) <br />