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STATE ID NUMBER 00000058665001 <br />APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br />ui <br />01 NEW PERMIT ( ) 05 RENEWED PERMIT ( ) 07 TANK CLOSED ( ) 09 DELETE FROM FILE (NO FEE) <br />1 ) 02 CONDITIONAL PERMIT ( ).06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br />I OWNER <br />IAME(CORPORATION.INDIVIDUAL OR PUBLIC AGENCY) <br />;TOCKTON UNIFIED SCHOOL DISTRI PUBLIC AGENCY ONLY <br />( ) 01 FED ( ) 02 STATE (* 03 LOCAL <br />TREET ADDRESS <br />01 NORTH MADISON ST. CITY STATE ZIP <br />STOCKTON CA 95202 <br />11 FACILITY <br />A <br />III 24 HOUR EMERGENCY CONTACT PERSON <br />'AY$: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE NIOXTS: NAMC(LAST NAME FIRST) AND PHONE W/ARCA CODE <br />UJiCN.L.-i. 209-944-4412 SAME <br />JCrV7!/A �'L/LIUp� <br />IC (MC MULLUWINU UN A SEF'ARAIE FORM FOR EACH CONTAINER <br />IV DESCRIPTION <br />A. <br />(X) 01 TANK ( ) 04 OTHER: <br />irt" <br />N <br />FACILITY NAME !v`L, '� <br />5� <br />B. <br />MANUFACTURER (IF APPROPRIATE): <br />EYEAR <br />E <br />EDISON HIGH SCHOOL <br />YEAR INSTALLED 1977 ( ) UNKNOWN <br />DEALER /f OREMAN/SUPER ISOR <br />CONTAINER CAPACITY: 10000 GALLONS ( 1 UNKNOWN <br />E. DOES THE CONTAINER STORE: ( <br />) 01 WASTE (X) 02 PRODUCT <br />asp RWK*L, ar s <br />( Mw7a`�e).ance <br />STREET ADDRESS <br />01 <br />( ) <br />12 <br />CARBON STEEL f ) 02 STAINLESS STEEL ( <br />06 ALUMINUM [ ) 07 STEEL CLAD ( ) 08 <br />UNKNOWN ( ) 13 OTHER: <br />) 03 FIBERGLASS ( 1 04 <br />BRONZE ( 1 09 COMPOSITE <br />1425 S. CENTER <br />CENTER <br />NEAREST CROSS STREET <br />CHARTER WAY <br />CITY <br />STOCKTON <br />COUNTY <br />ZIP <br />SAN JOAQUIN <br />95206 <br />MAILING ADDRESS <br />1932 H. EL FINAL <br />CITY <br />STATE <br />ZIP <br />STOCKTON <br />CA <br />95205 <br />PHONE W/AREA CODE <br />TYPE OF BUSINESS <br />209-944-4412 <br />( ) 01 GASOLINE STATION (�p 02 OTHER <br />NUMBER OF CONTAINERS <br />RURAL AREAS ONLY : <br />TOWNSHIP <br />RANGE <br />SECTION <br />2 <br />III 24 HOUR EMERGENCY CONTACT PERSON <br />'AY$: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE NIOXTS: NAMC(LAST NAME FIRST) AND PHONE W/ARCA CODE <br />UJiCN.L.-i. 209-944-4412 SAME <br />JCrV7!/A �'L/LIUp� <br />IC (MC MULLUWINU UN A SEF'ARAIE FORM FOR EACH CONTAINER <br />IV DESCRIPTION <br />A. <br />(X) 01 TANK ( ) 04 OTHER: <br />( 7 GAUGE ( ) INCHES I <br />CONTAINER <br />NUMBER 1 <br />B. <br />MANUFACTURER (IF APPROPRIATE): <br />EYEAR <br />E <br />C. <br />YEAR INSTALLED 1977 ( ) UNKNOWN <br />0. <br />CONTAINER CAPACITY: 10000 GALLONS ( 1 UNKNOWN <br />E. DOES THE CONTAINER STORE: ( <br />) 01 WASTE (X) 02 PRODUCT <br />F. <br />DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? (X) 01 YES f ) 02 NO <br />f ) 01 UNLEADED f ) 02 REGULAR ( ) 03 PREMIUM (X) 04 DIESEL ( ) 05 WASTE OIL f <br />IF YES CHECK APPROPRIATE BOX(ES): <br />) 06 OTHER <br />V CONTAINER CONSTRUCTION <br />A. <br />THICKNESS OF PRIMARY CONTAINMENT: <br />( 7 GAUGE ( ) INCHES I <br />) CM (X) UNKNOWN <br />B. <br />( ) <br />01 <br />VAULTED (LOCATED IN AN UNDERGROUND VAULT) (XI 02 NOH -VAULTED ( <br />) 03 UNKNOWN <br />C. <br />( ) <br />01 <br />DOUBLE WALLED (X) 02 SINGLE WALLED ( <br />) 03 LINED <br />D. <br />(X) <br />( ) <br />01 <br />( ) <br />12 <br />CARBON STEEL f ) 02 STAINLESS STEEL ( <br />06 ALUMINUM [ ) 07 STEEL CLAD ( ) 08 <br />UNKNOWN ( ) 13 OTHER: <br />) 03 FIBERGLASS ( 1 04 <br />BRONZE ( 1 09 COMPOSITE <br />POLYVINYL CHLORIDE ( 1 05 CONCRETE <br />[ ) 10 NON-METALLIC <br />HSC04-070185 (10/18/85) <br />PAGE 1 <br />