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STATE ID NUMBER 00000011195003 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> PERMIT ( ) 05 RENEWED PERMIT ( 1 07 TANK CLOSED ( ) 09 DELETE FROM FILE INO FEE) <br /> 1 1 O'I'CCRCSTfOMAL PERMIT ( ) 06 AMENDED PERMIT ( 1 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAME(COPPOPATION.INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> E-Z SERVE. INC. f 1 01 FED ( ) 02 STATE ( ) 03 LOCAL <br /> STREET ADDRESS CITY STATE ZIP <br /> 901 SOUTH 1ST. ABI LENE TX 79602 <br /> II FACILITY <br /> FACII ITY NAME DEALER/FOREMAN/SUPERVISOR <br /> l'3 MA <br /> STREET -DOPESS NEAREST CROSS STREET <br /> 1410 S. CALIFORNIA STREET <br /> CITY COUNTY ZIP <br /> STOCKTON SAN JOAQUIN 95306 <br /> BO ADOPESS 355a CITY SATE <br /> P.O. ZIP 4 I� <br /> PO. BOX-3ST9" <br /> PYON! W/APE♦ CCC! TYPE OF SUS:NISS <br /> 2-64 (X) 01 GASOLINE STATION 1 ) 02 OTHER <br /> NUMSIP OF CONTAINERS PUPAL AREAS ONLY TOWNSHIP RANGE SECTION <br /> 3 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAM!(LAST NAME FIRST) AND PHONE W,AREA CODE NIGHTS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE <br /> WEAVER�J� 6fTzs"_lzu� <br /> COMPLETE -THE ING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( ) 04 OTHER: CONTAINER NUMBER 66 <br /> B. MANUFACTURER (IF APPROPRIATE): JOOR YEAR MFG: C. YEAR INSTALLED 79 f 1 UNKNOWN <br /> 0. CONTAINER CAPACITY: 10310 GALLONS ( ) UNKNOWN E. DOES THE CONTAINER STORE: l ) 01 WASTE IX) 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? (X) 01 YES ( ) 02 NO IF YES CHECK APPROPRIATE BOXIEST: <br /> 1 1 <br /> 01 UNLEADED ( ! 02 REGULAR 1X1 03 PREMIUM 1 1 04 DIESEL 1 1 05 WASTE OIL ( 1 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( I GAUGE ( I INCHES ( ) CM (X) UNKNOWN <br /> B. 1 1 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ( ) 03 UNKNOWN <br /> C. ( 1 01 DOUBLE WALLED (X1 02 SINGLE WALLED ( ) 03 LINED <br /> D. (X) 01 CARBON STEEL ( 1 02 STAINLESS STEEL ( 1 03 FIBERGLASS f 1 04 POLYVINYL CHLORIDE 1 1 05 CONCRETE <br /> ( ) 06 ALUMINUM ( 107 STEEL CLAD l ) 08 BRONZE l 1 09 COMPOSITE ( ) 10 NON-METALLIC <br /> ( 112 UNKNOWN ( 1 13 OTHER: <br /> KSC04-070185 (10/16/85) PAGE 1 <br /> ►_ , L <br />