Laserfiche WebLink
AWL <br />0 <br />NATE ID NUMBER 00000062408001 <br />,.» M OR TO Off RATE I UNIDE.RGRDURD,OR:A .R <br />I OWNER <br />NAM2(CCRPORATION,INDIVIDUAL OR PUBLIC AGENCY) <br />(X) 01 TANK t ) 04 OTHER: <br />PUBLIC AGENCY ONLY <br />CHEVRON U.S.A. INC. <br />93,232 <br />( )'01 FED t ) 02 STATE t ) 03 LOCAL <br />STREET ADDRESS <br />CITY <br />STATE <br />ZIP <br />57 MARKET <br />SAN FRANCISCO <br />CA <br />94105 <br />II FACILITY <br />FACILITY NAME <br />(X) 01 TANK t ) 04 OTHER: <br />HEALER/FORETIAN/SUPERVISOR <br />CONTAIN€R NUMBER 1 <br />93,232 <br />MANUFACTURER (IF APPROPRIATE): <br />GONZALMR-ICARDO <br />C. YEAR INSTALLED t ) UNKNOWN <br />STREET ADDRESS <br />CONTAINER CAPACITY: 109.00 GALLONS ( dUNKNOWN <br />NEAREST CROSS STREET <br />F. <br />8560 LOWERSACRAMENTO RD <br />D. <br />P014CE DZLEON <br />CARBON STEEL i ) 02 STAINLESS STEEL t <br />ALUMINUM< t ) 07 STEEL CLAD t ) 08 <br />UNKNOWN { ) 13 OTHER: <br />CITY <br />POLYVINYL CHLORIDE t } 05 CONCRETE <br />t ) 1:0 NON-METALLIC <br />COUNTY <br />ZIP <br />STOCKTON <br />:SAN JOAQUIN <br />95207 <br />MAILING ADDRESS <br />CITY <br />STATE <br />ZIP <br />8660 LOWER SACRAMENTO RD <br />STOCKTON <br />CA <br />95207 <br />PHONE W/AR'EA CODE <br />TYPE Of BUSINESS <br />209-477-0947' <br />(X) 01 GASOLINE STATION. E ) 02 OTHER <br />NUMBER OFICONTAINERS <br />RURAL AREAS ONLY <br />TOWNSHIP <br />RANGE <br />SECTION <br />4 <br />III HOUR EMERGENCY CONTACT PERSON <br />kYS: NAME(LAST NAME FIRST):ANO PHONE W/AREA CODE NIGHTS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE <br />4INTENANCE DISPATCH 415-877-0244 — — <br />COMPLETE THE FOLLOWING ON A SEPA, ATIE FORM FOR EACH CGNTAIN:ER <br />IV DESCRIPTION <br />A. <br />(X) 01 TANK t ) 04 OTHER: <br />( ):GAUGE t ) INCHES ( <br />CONTAIN€R NUMBER 1 <br />B. <br />MANUFACTURER (IF APPROPRIATE): <br />YEAR MFG: <br />C. YEAR INSTALLED t ) UNKNOWN <br />0. <br />CONTAINER CAPACITY: 109.00 GALLONS ( dUNKNOWN <br />E. DOES THE CONTAINER STORE ( d 01 WASTE (X) 02 PRODUCT <br />F. <br />DOES THE CON'T'AINER STORE MOTOR VEHICLE FUEL OR WASTE OI`L ? ( D 01 YES t l 02 NO IF YES CHECK APPROPRIATE BOXt€S): <br />{ d 01 'UNLEADED t ) 02 REGULAR ( l 03 PREMIUM (A 04 DIESEL t ) 05 WASTE OIL t ) 06 OTHER <br />V COFNTAINER CONSTR',UCTION <br />A. <br />THICKNESS OF PRIMARY CONTAINMENT: 0000:370 <br />( ):GAUGE t ) INCHES ( <br />) CM t ) UNKNOWN <br />B. <br />t ) 01 <br />VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON—Y ,LTEb ( <br />) 03 UNKNOWN <br />C. <br />t ) 01 <br />DOUBLE 'WALLED (X) 02 SINGLE WALLED U <br />) 03 LINED <br />D. <br />( ) 01 <br />( ):06 <br />( ) 12 <br />CARBON STEEL i ) 02 STAINLESS STEEL t <br />ALUMINUM< t ) 07 STEEL CLAD t ) 08 <br />UNKNOWN { ) 13 OTHER: <br />) 03 FIBERGLASS ( ) 04 <br />BRONZE ( } 09 COMPOSITE <br />POLYVINYL CHLORIDE t } 05 CONCRETE <br />t ) 1:0 NON-METALLIC <br />PAGE 1 <br />