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• • STATE ID NUMBER 00000053870002 <br />APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br />01 NEW PER f 1 05 RENEWED PERMIT ( ) 07 TANK CLOSED ( ) 09 DELETE FROM FILE (NO FEE1 <br />02 CONDITIONAL PERMIT ( 7 06 AMENDED PERMIT ( 7 08 MINOR CHANGE (NO SURCHARGE) <br />OWNER <br />NAM.E(CCRPCPATION,XNDIVIOUAL 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 />TT FArTITTY <br />FACILITY NAME <br />(X) 01 TANK ( ) 04 <br />DEALER/FOREMAN/SUPERVISOR <br />) CM (X) UNKNOWN <br />RIPON MILLING CO. <br />NUMBER 2 <br />WALTER C DEN DULK <br />MANUFACTURER (IF APPROPRIATE): <br />STPEET ACDPESS <br />C. <br />NEAREST CROSS STREET <br />0. <br />320 S. STOCKTON ST. <br />6000 GALLONS ( 1 UNKNOWN <br />2ND ST <br />CONTAINER STORE: ( <br />CITY <br />F. <br />COUNTY <br />STORE MOTOR VEHICLE FUEL OR WASTE OIL ? (X) <br />) 02 REGULAR ( ) 03 PREMIUM (X) 04 DIESEL <br />ZIP <br />RIPON <br />SAN JOAQUIN <br />95366 <br />MAILING ADDRESS <br />CITY <br />STATE <br />ZIP <br />P.O. BOX 698 <br />RIPON <br />CA <br />95366 <br />PHONE W/AREA CODE <br />TYPE OF BUSINESS <br />209-599-4269 <br />( ) 01 GASOLINE STATION (X) 02 OTHER FEED MILL <br />NUM9ER OF CO NTAINE P.S <br />RURAL AREAS ONLY <br />TOWNSHIP <br />RANGE <br />SECTION <br />2 <br />III 24 HOUR EMERGENCY CONTACT PERSON <br />04YS: NAME(LAST NAME FIRST) .AND PHONE W/AREA CODE NIGHTS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE <br />9titK�-W. 209-599-4269 SAME <br />COMPLETE THE FOLLOWING ON A SEPARAIh FURM rUK EAGM GUNIA1NLK <br />IV DESCRIPTION <br />A. <br />(X) 01 TANK ( ) 04 <br />OTHER: <br />) CM (X) UNKNOWN <br />CONTAINER <br />NUMBER 2 <br />B. <br />MANUFACTURER (IF APPROPRIATE): <br />YEAR MFG* <br />C. <br />YEAR INSTALLED (X) UNKNOWN <br />0. <br />CONTAINER CAPACITY: <br />6000 GALLONS ( 1 UNKNOWN <br />E. GOES THE <br />CONTAINER STORE: ( <br />) 01 WASTE (X) 02 PRODUCT <br />F. <br />DOES THE CONTAINER <br />( ) 01 UNLEADED ( <br />STORE MOTOR VEHICLE FUEL OR WASTE OIL ? (X) <br />) 02 REGULAR ( ) 03 PREMIUM (X) 04 DIESEL <br />01 YES ( ) 02 NO <br />( ) 05 WASTE OIL <br />IF YES CHECK APPROPRIATE BOX(ES): <br />( ) 06 OTHER <br />V CONTAINER CONSTRUCTION <br />F. <br />A. <br />THICKNESS OF PRIMARY CONTAINMENT: <br />( ) GAUGE t ) INCHES ( <br />) CM (X) UNKNOWN <br />B. <br />( ) <br />01 <br />VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON -VAULTED ( <br />1 03 UNKNOWN <br />C. <br />( ) <br />01 <br />DOUBLE WALLED (X) 02 SINGLE WALLED ( <br />1 03 LINED <br />D.,( ) <br />(X) <br />01 <br />( ) <br />12 <br />CARBON STEEL ( 1 02 STAINLESS STEEL ( <br />06 ALUMINUM ( l 07 STEEL CLAD ( ) 08 <br />UNKNOWN ( ) 13 OTHER: <br />1 03 FIBERGLASS f ] 04 <br />BRONZE ( 1 09 COMPOSITE <br />POLYVINYL CHLORIDE f 1 05 CONCRETE <br />( 1 10 NON-METALLIC <br />5 HSC04-070185 (10/18/85) <br />0 <br />PAGE 1 <br />