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• • STATE I0 NUMBER 00000052725001 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> f 1 01 NEW PERMIT [ ) 05 RENEWED PERMIT 07 TANK CLOSED <br /> f ) 02 CONDITIONAL PERMIT f 1 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE)) 09 DELETE FROM FILE (NO FEET <br /> I OWNER <br /> EINVESTMENTS <br /> ON.INDIVIOUAL OR PUBLIC AGENCY) <br /> PUBLIC AGENCY ONLY � <br /> ( ) 01 FED ( ) 02 STATE ( ) 03'LOCAL <br /> VE. CITY STATE ZIP <br /> MERCED CA 95340 <br /> II FACILITY <br /> [35 <br /> LITY NAME <br /> JOAQUIN ELECTRIC> INC. DEALER/FOREMAN/SUPERVISOR <br /> RAY BIANCHI ' <br /> ET ADDRESS <br /> N. UNION ST. NEAREST CROSS STREET <br /> OAK STREET <br /> KTON COUNTY ZIP <br /> SAN JOAQUIN 95205 <br /> MAILING ADDRESS <br /> 535 N. UNION ST. CITY STATE ZIP <br /> STOCKTON CA 95205 <br /> PHONE WA-EA CODE <br /> TYPE OF BUSINESS <br /> 209-465-5928 ( ) 01 GASOLINE STATION (X) 02 OTHER ELECTRICAL CONTRACTO <br /> NU"SEP OF CONTAINERS RURAL AREAS ONLY : TOWNSHIP <br /> 1 RANGE SECTION <br /> III 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 /> RAY BIANCHI 209-465-5928 RAY BIANCHI <br /> 209-333-2742 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( ) 04 OTHER: <br /> CONTAINER NUMBER 1 <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: C. YEAR INSTALLED (X) UNKNOWN <br /> D. CONTAINER CAPACITY: 550 GALLONS ( ) UNKNOWN E. DOES THE CONTAINER STORE: ( ) 01 WASTE (X) 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? (X) 01 YES ( ) 02 NO IF YES CHECK APPROPRIATE SOX(ES): <br /> ( ) 01 UNLEADED (X) 02 REGULAR ( ) 03 PREMIUM ( ) 04 DIESEL ( 1 05 WASTE OIL ( 1 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: [ ) GAUGE ( ) INCHES ( ) CM (X) UNKNOWN <br /> B. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) ( 1 02 NON-VAULTED (X) 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED ( ) 02 SINGLE WALLED ( 1 03 LINED <br /> D. ( ) 01 CARBON STEEL ( ) 02 STAINLESS STEEL f ] 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE ( J 05 CONCRETE <br /> ( ) 06 ALUMINUM ( ) 07 STEEL CLAD ( ) 08 BRONZE ( ) 09 COMPOSITE f ) 10 NON-METALLIC <br /> (X) 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) <br /> PAGE 1 <br />