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STATE ID NUMBER 00000017798007 <br /> APPLICATION FOR P 111.t�J/vv UNDERGROUND STORAGE TANK <br /> 06 01 NEW PERMIT 1 l OS RENEWED PERMIT 1�1 07 TAFAC CLOSED C. ] 09 DEIFTE FROM PILE (NO FEE) <br /> 02 CONDITIONAL PERMIT f 1 06 AMENDED PERMIT [(-'7 MIN-QS NOR CHANGE (NO SURCHARGE;- <br /> I OWNER <br /> NAME(COP.PORATION.INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> HOLT BROS. ( ) 01 FED ( ) 02 STATE ( l 03 LOCAL <br /> STREET ADDRESS CITY STATE ZIP <br /> 1521 WEST BMESTM WAY STOCKTON CA 95206 <br /> II FAC ITY <br /> FACILITY NAME DEALER/FOREMAN/S PERV SOP <br /> HOLT BROS. T. <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 1521 WEST GNESFER-WAY INTERSTATE HWY 5 <br /> CITY <br /> COUNTY ZIP <br /> STOCKTON SAN JOAQUIN 95206 <br /> MAILING ADDRESS CITYSTATE ZIP <br /> P.O. BOX 8130 STOCKTON CA 95208 <br /> PHONE W/AREA CODE TYPE OF BUSINESS <br /> 209-466-6000 ( ) 01 GASOLINE STATION (X) 02 OTHER FARM E7QU( T <br /> NUMBER OF CONTAINERS RURAL AREAS ONLY : TOWNSHIP 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 /> 9AMi9-'r�18�i 209-466-6000 Z �. s- <br /> OMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( ) 04 OTHER: CONTAINER NUMBER 7 <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: C. YEAR INSTALLED (X) UNKNOWN <br /> D. CONTAINER CAPACITY: /000 GALLONS (*4 UNKNOWN E. DOES THE CONTAINER STORE: ( ) 01 WASTE (X) 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? ( ) 01 YES (X) 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br /> ( ) 01 UNLEADED f ) 02 REGULAR ( ) 03 PREMIUM ( ) 04 DIESEL ( 1 05 WASTE OIL LLO 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> 0 <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( ) GAUGE f ) INCHES ( ) CM (X) UNKNOWN <br /> B. f ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) fkfl 02 NON-VAULTED Wl 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED ( 1 02 SINGLE WALLED ( ] 03 LINED <br /> D. (lb 01 CARBON STEEL ( ) 02 STAINLESS STEEL f l 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE ( ) 05 CONCRETE <br /> T( ) 06 ALUMINUM ( ) 07 STEEL CLAD ( 7 08 BRONZE ( 1 09 COMPOSITE ( 7 10 NON-METALLIC <br /> (X) 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br />