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STATE ID NUMBER 00000007080001 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> 1 NEW PERMIT ( ) 05 RENEWED PERMIT [ 0 CLOSE 1 ( ) 09 DELETE FROM FILE (NO FEE) <br /> ( 1 02 CONDITIONAL PERMIT ( 7 06 AMENDED PERMIT ) 08 MINOR C f SURCHARGE) <br /> I OWNER <br /> NAME(CORPORATION� IVIDUAL OR PU LIC AGENCY) PUBLIC AGENCY ONLY <br /> ( ) 01 FED ( ) 02 STATE f 1 03 LOCAL <br /> tot <br /> STREET ADDRESS CITY STATE ZZP <br /> 20400 E. ACAMPO CLEMENTS CA 95227 <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREMAN/SUP§RVIS R <br /> CENTRAL DISTRIBUTING A/) <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 1100 E CHARTER WAY UNION <br /> CITY COUNTY ZIP <br /> STOCKTON SAN JOAQUIN 95206 <br /> MAILING ADDRESS CITYSTATE ZIP <br /> P. 0. BOX 8217 STOCKTON CA 95206 <br /> 0 <br /> PHONE W/AREA COD! TYPE Of BUSINESS ' <br /> 209-464-6461 ( ) 01 GASOLINE STATION (X) 02 OTHER ROOFING COMPANY <br /> NUMBER OF CONTAINERS RVRAL AREAS ONLY TOWNSHIP RANGE SECTION <br /> 2 <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 /> {ataY I I NEIL BAYSINGER 209-477-0240 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( 1 04 OTHER: CONTAINER NUMBER 1 <br /> B. MANUFACTURER fIF APPROPRIATE): YEAR MFG: C. YEAR INSTALLED (X) UNKNOWN <br /> D. CONTAINER CAPACITY: 1500 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 BOX(ES): <br /> (X) 01 UNLEADED ( ) 02 REGULAR ( ) 03 PREMIUM ( ) 04 DIESEL ( ) 05 WASTE OIL ( ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( ) GAUGE ( 1 INCHES ( 1 CM (X) UNKNOWN <br /> S. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) ( 02 NON-VAULTED VA1 03 UNKNOWN <br /> C. 1 ) 01 DOUBLE WALLED ( ) 02 SINGLE WALLED f 1 03 LINED <br /> D. 41-01 CARBON STEEL f 1 02 STAINLESS STEEL f l 03 FIBERGLASS f 1 04 POLYVINYL CHLORIDE ( 7 05 CONCRETE <br /> f ) 06 ALUMINUM ( ) 07 STEEL CLAD ( ) 08 BRONZE ( ) 09 COMPOSITE ( 1 10 NON-METALLIC <br /> GHJ 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br />