Laserfiche WebLink
`C*\�� STATE ID NUMBER 00000031635001 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> 001 NEW PERlIT f ) 05 RENEWED PERMIT JjP07 TANK 2 CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT f 7 " MINORCCHANGE (NO SURCHARGE)LOSED ) 09 DELETE FROM FILE (NO FEEL <br /> I OWNER <br /> NAITE(CORFORATION,INDIVIOUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> CITY OF STOCKTON ( 1 01 FED ( 1 02 STATE 03 LOCAL <br /> STRE@T ADDRESS CITY STATE ZIP <br /> 425 N. EL DORADO STREET STOCKTON CA 95202 <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREMAN/SUPERVISOR <br /> PIXI WOODS,LOUI5 PARK MCCLELLAN TERRY <br /> STREET AODPESS NEAREST CROSS STREET <br /> PIXIE WOODS DRIVE & SHIMIZU MONTE DIABLO <br /> CITY COUNTY ZIP <br /> STOCKTON SAN JOAQUIN 95203 <br /> MAILING ADDRESS CITY STATE ZIP <br /> 425 N. EL DORADO ST. ROOM 301 STOCKTON CA 95202 <br /> PHONE lC/AREA CODE TYPE OF BUSINESS <br /> 209-466-9890 ( 1 01 GASOLINE STATION (X1 02 OTHER PARK <br /> NUMBER OF CONTAINERS RURAL AREAS ONLY TOWNSHIP RANGE <br /> SECTION <br /> 1 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAME(LAST NAGE FIRST) AND PHONE W/AREA CODE NIGHTS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE <br /> TERRY, MCCLELLAN 209-944-8341 TERRY, MCCLELLAN <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( ) 04 OTHER: ICONTAINER NUMBER 1 <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: C. YEAR INSTALLED (X) UNKNOWN <br /> D. CONTAINER CAPACITY: 350 GALLONS ( ) UNKNOWN E. DOES THE CONTAINER STORE: ( ) 01 WASTE (X7 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? (X) 01 YES ( ) 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br /> ( ) Ol UNLEADED (X) 02 REGULAR ( ) 03 PREMIUM l ) 04 DIESEL l ] 05 WASTE OIL l ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( l GAUGE f ) INCHES ( ) CM (X) UNKNOWN <br /> B. f ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ( ) 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED (6<.02 SINGLE WALLED f 1 03 LINED <br /> D. (X) 01 CARBON STEEL ( ) 02 STAINLESS STEEL f ) 03 FIBERGLASS ( 1 04 POLYVINYL CHLORIDE ( 1 05 CONCRETE <br /> f ) 06 ALUMINUM f 1 07 STEEL CLAD f ) 08 BRONZE ( ) 09 COMPOSITE ( 1 10 NON-METALLIC <br /> ( 1 12 UNKNOWN ( ) 13 OTHER: :1 <br /> HSC04-070185 (10/18/85) PAGE 1 <br />