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TANKS <br /> UNDERGROUND ST TANK - FACILITY <br /> (one page per site) Page-of <br /> TYPE t7F ACTION ❑ 1.NEW SIT£MRMIT ❑3.RENEWAL PERMIT 11 5.CHANGE INFORMATION ❑ 7 PERMANENTLY CLOSED SITE <br /> Q 4.AMENDED PERMIT specify change local use only ❑ 8.TANK REMOVED <br /> (Check one item oNy) 400 <br /> Q 6.TEMPORARY SITE CLOSURE <br /> ar: .'> � � a' .:. : e;��' .�,"x Iii'• �• °.,, �0�• i��`,t , <br /> BUSINESS NAME(Same as FACUaTY NAME a 00A-Doh,g Business As) 3 <br /> Tesoro#67079 _ 4.LOCAL GENCY/DISTRICT' <br /> NEAREST CROSS STREET aot, FACILITY OWNER TYPE <br /> ® 1.CORPORATION ❑5.COUNTY AGENCY" <br /> BUSINESS 9 1.GAS STATION 3 FARM ❑5. COMMERCIAL ❑ 2.INDIVIDUAL ❑6.STATE AGENCY" <br /> TYPE ❑2.D1STR(BUTOR ❑4.PROCESSOR Cl6 OTHER 403 ❑ 3.PARTNERSHIP ❑7 FEDERAL AGENCY' ao2 <br /> 'if owner o!UST is a public agency name of supervisor of division,section or otfice <br /> TOTAL NUMBER TANKS Is facility on Indian Reservation or which operates the UST(This is the contact person for the tank records.) <br /> REMAINING AT SIT <br /> E trustlands? <br /> 406 <br /> 2 404 ❑ Yes ® No 40s } <br /> Tl <br /> ;� ..a.., s s < . .`.t iat,, i�;,.,., •F,i. .. ° Lt.. .,.,., M-,i a 4t)7 400 <br /> PROPERTY OWNER NAME PHONE <br /> Tesoro Refiningand MarketingCo. 253-896-8700 <br /> ~- 409 <br /> MAILING OR STREET ADDRESS <br /> 3450S. 344 Ih Way Suite 100 4t1 ZIP CODE <br /> CITY STATE 412- <br /> 00 <br /> Auburn WA 98001-5931 <br /> PROPERTY OWNER TYPE 1"CORPORATION 2 (INDIVIDUAL 4.LOCAL AGENCY/DISTRICT Lj 6.STATE AGENCY <br /> 0 3.PARTNERSHIP ❑5,COUNTY AGENCY [17,FEDERAL 413 <br /> , ,WIN <br /> TANK OWNER NAME 414 PHONE 415 <br /> Tesoro Refining and Marketing Co. 253-896-8700 <br /> ats <br /> MAILING OR STREET ADDRESS <br /> 3450 S. 344 Ih Way Suite 100 <br /> CITY at7 STATE 41e =CODE 4ts <br /> Auburn WA <br /> TANK OWNER TYPE 1.CORPORATION 2"INDIVIDUAL 4.LOCAL AGENCY 1 DISTRICT 6.STATE AGENCY 42o <br /> ❑3"PARTNERSHIP ®5.COUNTY AGENCY ❑7.FEDERAL AGENCY <br /> TY TK MQ 44- 2 4 6 16 10 1 all 9.1 322-9669 =uestionsise42'! <br /> INDICATE ®1.SELF-INSURED ❑4.SURETY BOND ❑7.STATE FUND ❑10.LOCAL GOVT MECFIANriSM <br /> METHOD(s) ❑2.GUARANTEE Q 5.LETTER OF CREDIT ❑8.STATE FUND&CFO LETTER ❑ 99.OTHER: <br /> ❑3.INSURANCE ❑6.EXEMPTION ❑9.STATE FUND&CD 422 <br /> one bort QkFirim-*1101I be far Waid WWMsIngill to SWto ft ter* roollilkellk �. ® 1.FACILITY ❑2. PROPERTY OWNER 3.TANK 423 <br /> LOW nodikadwaI <br /> 1 gtgMll is Km III amrso to ft bW of r"kamlell <br /> lGNA ! DATE 424 ` <br /> 253-896-8801 <br /> NAM OF APPLICANT ) 4 TITLE 427 <br /> HooverRobert E. Retail Environmental Administrator <br /> STATE UST F ER low un mW 4zo 1898 UPGRADE CERTIFICATE NUMBER pRa filed use iUPI 429 <br /> (' ) Forl SWRC13 Pant A <br />