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STATE IO NUMBER 00000053870001 <br />ADP)Tr ATTnN FnR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br />01 <br />NEW PERMIT - - <br />( ) 05 RENEWED <br />PERMIT <br />( ) 07 <br />TANK CLOSED <br />( 1 09 DELETE FROM FILE (NO FEE) <br />2 <br />CONDITIONAL PERMIT <br />( 7 06 AMENDED <br />PERMIT <br />( ) 08 <br />MINOR CHANGE <br />(NO SURCHARGE) <br />n Id" P D <br />NA.ME(CORPORATICN.INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br />RIPON MILLING CO. ( ) 01 FED ( ) 02 STATE ( ) 03 LOCAL <br />STREET ADDRESS CITY STATE ZIP <br />320 S. STOCKTON RIPON CA 95366 <br />ITT C A r T I T T V <br />FACILITY NAME <br />(X) 01 TANK ( ) 04 <br />DEALER/FOREMAN/SUPERVISOR <br />( ) GAUGE ( ) INCHES ( <br />RIPON MILLING CO. <br />NUMBER 1 <br />WALTER C DEN BULK <br />MANUFACTURER (IF APPROPRIATE): <br />STREET ADDPESS <br />C. <br />NEAREST CROSS STREET <br />D. <br />320 S. STOCKTON ST. <br />10000 GALLONS l ) UNKNOWN <br />2ND ST <br />) 01 WASTE (X) 02 PRODUCT <br />CITY <br />DOES THE CONTAINER <br />f 1 01 UNLEADED ( <br />COUNTY <br />IF YES CHECK APPROPRIATE BOX(ES): <br />( ) 06 OTHER <br />ZIP <br />RIPON <br />SAN JOAQUIN <br />95366 <br />MAILING ADDRESSCITY <br />STATE <br />ZIP <br />P.O. BOX 698 <br />RIPON <br />CA <br />95366 <br />PHONE W/AREA CODE <br />TYPEOF BUSINESS <br />209-599-4269 <br />( ) 01 GASOLINE STATION (X) 02 OTHER FEED MILL <br />NUMBER. OF CONTAINERS <br />RURAL AREAS ONLY <br />TOWNSHIP <br />RANGE <br />SECTION <br />2 <br />III 24 HOUR EMERGENCY CONTACT PERSON <br />DAYS: NAME(LAST NAME FIRST) AND PHONE W/AP.EA CODE NIGHTS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE <br />."OL4(_r- 209-599-4269 SAME D` AA- 1.1 -AZ= / / 1 <br />9AQ I Cqc)-'g0.35 <br />ICOMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br />TV nFSCRTPTInN <br />A. <br />(X) 01 TANK ( ) 04 <br />OTHER: <br />( ) GAUGE ( ) INCHES ( <br />CONTAINER <br />NUMBER 1 <br />B. <br />MANUFACTURER (IF APPROPRIATE): <br />YEAR MFG: <br />C. <br />YEAR INSTALLED (X) UNKNOWN <br />D. <br />CONTAINER CAPACITY: <br />10000 GALLONS l ) UNKNOWN <br />E. DOES THE CONTAINER STORE: ( <br />) 01 WASTE (X) 02 PRODUCT <br />F. <br />DOES THE CONTAINER <br />f 1 01 UNLEADED ( <br />STORE MOTOR VEHICLE FUEL OR WASTE OIL ? (X) 01 YES ( ) 02 NO <br />) 02 REGULAR ( ) 03 PREMIUM (X) 04 DIESEL ( 1 05 WASTE OIL <br />IF YES CHECK APPROPRIATE BOX(ES): <br />( ) 06 OTHER <br />LI f nWTATNFR CnNSTR((CTTON <br />A. <br />THICKNESS OF PRIMARY <br />CONTAINMENT: <br />( ) GAUGE ( ) INCHES ( <br />) CM (X) UNKNOWN <br />B. <br />f l 01 <br />VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON -VAULTED ( <br />) 03 UNKNOWN <br />C. <br />( ) 01 <br />DOUBLE WALLED <br />(X) 02 SINGLE WALLED ( <br />1 03 LINED <br />D. <br />( ) 01 <br />( ) <br />(X) 12 <br />CARBON STEEL <br />06 ALUMINUM <br />UNKNOWN ( ] <br />f l 02 STAINLESS STEEL ( <br />( ) 07 STEEL CLAD ( ) 08 <br />13 OTHER: <br />1 03 FIBERGLASS f 1 04 <br />BRONZE f ) 09 COMPOSITE <br />POLYVINYL CHLORIDE ( ) 05 CONCRETE <br />( ) 10 NON-METALLIC <br />E- HSC04-070185 (10/18/85) <br />0 0 <br />PAGE 1 <br />