Laserfiche WebLink
STATE ID NUMBER 00000037709017 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> t ) 01 NEW PERMIT ( ) 05 RENEWED PERMIT ( ) 07 TANK CLOSED 09 DELETE FROM FILE (NO FEE) <br /> t ) 02 CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAME(COPPORATION,INDIVIDUAL OR PUBLIC AGENCY) P LTC AGENCY ONLY <br /> SHARPE ARMY DEPOT 01 FED t ) 02 STATE f 103 LOCAL <br /> STREET ADDRESS CITY STATE ZIP <br /> ROTH ROAD LATHROP CA 95331 <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREMAN/SUPERVISOR <br /> SHARPE ARMY DEPOT <br /> STREET ADDRESS NEAREST CROSS TREET <br /> 19 <br /> ROTH ROAD — <br /> CITY COUNTY ZIP <br /> LATfROP 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 01 GASOLINE STATION (kr 02 OTHER 4'1`d Q. <br /> NUMBER OF CONTAINERS RURAL AREAS ONLY : FTOWNSHIP RANGE SECTION <br /> S 6E 23 <br /> 111 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 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. f ) 01 TANK. (X) 04 OTHER: SUMP CONTAINER NUMBER 199 <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: C. YEAR INSTALLED (X) UNKNOWN <br /> D. CONTAINER CAPACITY: 500 GALLONS t 1 UNKNOWN JE. DOES THE CONTAINER STORE: (X) 01 WASTE t D 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? 01 YES 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br /> t ) 01 UNLEADED t ) 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. ( l 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) t ) 02 NON—VAULTED (X) 03 UNKNOWN <br /> C. t ) 01 DOUBLE WALLED (X) 02 SINtLE WALLED E ) 03 LINED <br /> 01 CARBON STEEL t ) 02 STAINLESS STEEL t ) 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE (X) 05 CONCRETE <br /> ( ) 06 ALUMINUM ( ) 07 STEEL CLAD t D 08 BRONZE f ) 09 COMPOSITE ( ) 10 NON-METALLIC <br /> ( ) 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04—.070185 (10/18/85) PAGE 1 <br />