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STATE ID NUMBER 00000005720001 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> ) 09 DELETE FROM FILE (NO FEET 1 <br /> ( ) O1 NEW PERMIT ( ) 05 RENEWED PERMIT i ) 07 TANK CLOSED —J — Jf <br /> ( ) 02 CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> PUBLIC AGENCY ONLY <br /> 9IIFACILITY <br /> TICN: DIVIDUAL OP.EU�LAGENCY)` r ( } O1 FED ( ) 02 STATE I ) 03 LOCAL <br /> RI INC. K^ e,% C"Q_ CITY STATE ZIP <br /> S ON LOS An � CA 952ION STREETZ 23 <br /> 0EALEP/FOREMAN/SUPERVISOR <br /> FACILITY NAME R MADERO FLEET SUPT <br /> FOREMOST STOCKTON BRANCH <br /> NEAREST CROSS STREET <br /> STREET ADDRESS <br /> 640 NORTH UNION STREET <br /> COUNTY ZIP <br /> CITY SAN JOAQUIN 95205 <br /> STOCKTON <br /> STATE ZIP <br /> CITY <br /> MAILING ADDRESS CITY <br /> YON CA 95205 <br /> 640 NORTH UNION STREET <br /> PHONE W/AR.EA CODE TYPE OF BUSINESS <br /> 415-565-4588 ( ) 01 GASOLINE STATION (X) 02 OTHER DAIRY <br /> NUMBER OF CONTAINERS <br /> 7p URAL AREAS ONLY : TOWNSHIP RANGE SECTION <br /> 1 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAMEILAST NAME FIRST) AND PHONE W%AREA CODE NIGHTS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE <br /> R MADERO <br /> 415-565-4588 R MAOERO 415-937-5197 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORA FOR EACH CONTAINER <br /> IV DESCRIPTION - - <br /> A. <br /> (X) 01 TANK i ) 04 OTHER= TcONTAINEP TJUMBER Z <br /> B. MANUFACTURER (IF APPROPRIATE).__ <br /> YEAR MFG: C. YEAR INSTALLED (X) UNKNOWN <br /> 0. CONTAINER CAPACITY: 5000 GALLONS ( ) UNKNOWN E. HOES THE CONTAINER STORE: ( ) 01 WASTE (X) 02 PRODUCT <br /> F. DOES <br /> SOIUNLEADEDX) 02REGULAR ( ) O3PREMIUM <br /> VEHICLE <br /> FUEL <br /> WASTE 04LDIESEL 0( )E05 WASTE IOL (I) 06SOTHERK APPROPRIATE BOX(ES)- <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: f ) GAUGE ( l INCHES i ) CM (X) UNKNOWN <br /> B. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) d ) 02 NON-VAULTED (X) 03 UNKNOWN <br /> C. ( ) O1 DOUBLE WALLED ( ) 02 SINGLE WALLED ( ) 03 LINED <br /> D. C ) 01 CARSOP{ STEEL C ) 02 STAINLESS STEEL C ) 03 FIBERGLASS ( ] 04 POLYVINYL CHLORIDE ( ) 05 CONCRETE <br /> ) 06 ALUMINUM ( ) 07 STEEL CLAD ( 1 08 BRONZE l ) 09 COMPOSITE ( ) 10 NON-METALLIC <br /> (X) 12 UNKNOWN [ ) 13 OTHER' <br /> PAGE 1 <br /> KSC04-070185 (10/18/85) <br />