Laserfiche WebLink
I <br /> STATE ID NUMBER 00000037709007 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK - <br /> t ) 01 NEW PERMIT ( ) 05 RENEWED PERMIT UP) 07 TANK CLOSED ( ) 09 DELETE FROM FILE (NO FEE) <br /> ( l 02 CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGED <br /> I OWNER <br /> N.4ME(CORPORATIbN,INOIVYDUAI OR RU$LIC AGENCY) PUBLIC AGENCY ONLY <br /> SHARPE ARMY DEPOT 00 01 FED ( D 02 STATE ( 103 LOCAL <br /> STREET ADDRESS CITY STATE ZIP <br /> ROTH ROAD LATHROP ICA 95331 <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREMAN/SUPERVISOR <br /> SHARPE ARMY DEPOT <br /> STREET ADDRESS NEAREST CROSS STREET <br /> ROTH ROAD Arl(-vor-�— <br /> CITY COUNTY ZIP <br /> LATHROP SAN JOAQUIN 95331 <br /> MAILING ADDRESS CITY STATE ZIP <br /> ROTH ROAD LATHROP CA 95331 <br /> PHONE W/AREA CODE TYPE OF BUSINESS <br /> 209-982-2641 tXT 01 GASOLINE STATION (:>) 02 OTHER It k <br /> NUMBER OF CONTAINERS RURAL AREAS ONLY FTCONSHIP RANGE SECTION <br /> 6E 23 <br /> III .24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAME(LAST NAME FIRST) AND PHONE W/AP.EA CODE NIGHTS: N.AME(L.AST NAME FIRST) AND PHONE W/AREA CODE <br /> 209-982-2641 ACTING FIRE CHIEF 209-982-2105 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( D 04 OTHER: CONTAINER NUMBER 649-1 <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: C. YEAR INSTALLED 1953 f ) UNKNOWN <br /> D. CONTAINER CAPACITY _;2 GALLONS Ogr UNKNOWN E. DOES THE CONTAINER STORE: (X) 01 WASTE t ) 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? (X) 01 YES bo 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br /> ( ) <br /> 01UNLEADED ( D 02 REGULAR ( ) 03 PREMIUM ( ) 04 DIESEL ) 05 WASTE OIL t ,) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( ) GAUGE ( ) INCHES ( ) CM (X) UNKNOWN <br /> B. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ( ) 03 UNKNOWN <br /> C. ( ) OX DOUBLE WALLED (X) 02 SINGLE WALLED { D 03 LINED <br /> D. (X) 01 CARBON STEEL ( D 02 STAINLESS STEEL t D 03 FIBERGLASS t D 04 POLYVINYL CHLORIDE ( ) 05 CONCRETE <br /> ( ) 06 ALUMINUM t ) 07 STEEL CLAD { ) 08 BRONZE ( ) 09 COMPOSITE ( ) 10 NON-METALLIC <br /> 12 UNKNOWN t ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br />