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STATE ID NUMBER 00000A3600Eet4-- <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> _yjaT f ) 05 RENEWED PERMIT ( ) 07 TANK CLOSED ( ) 09 DELETE FROM FILE (NO FEE) <br /> ( 1 02 CONDITIONA PERMIT ( ) 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAME(CORPORATION,INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> SAN JOAQUIN COUNTY -DEPARTMENT ( ) 01 FED ( ) 02 STATE jja,0L3LLOCAL <br /> STREET ADDRESS CITY STATE ZIP <br /> 5000 S. AIRPORT WAY 777tSTOCKTON CA 95206 <br /> II FACILITY 7 <br /> FACILITY NAME N}odor IO�1.5/ZhL, DEALER/FOREMAN/SUPERVISOR <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 5000 S. AIRPORT WAY ARCH ROAD <br /> CITY COUNTY ZIP <br /> STOCKTON SAN JOAQUIN 95206 <br /> MAILING ADOPESS CITY STATE ZIP <br /> 1996-9. AERPBRT-lt Y P.O, 8dJ( �-AI7 STOCKTON CA 95{96-¢/Sr,O/ <br /> PHONE W/APEA CODE G TYPEOF BUSINESS <br /> �4L <br /> 209 ,161f.-fC.9*6- f ) Ol GASOLINE STATION (X) 02 OTHER AVIATION FUEL STORAG <br /> NUMBER CF CONTAINERS RURAL AREAS ONLY TOWNSHIP RANGE SECTION <br /> �Y <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 /> AIRPORT OPERATIONS OFFICE 209-982-0313 AIRPORT OPERATIONS OFFICE 209-982-0313 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK f ) 04 OTHER: CONTAINER NUMBER 14 <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG"• C. YEAR INSTALLED (X) UNKNOWN <br /> D. CONTAINER CAPACITY: 12000 GALLONS f ) UNKNOWN E. DOES THE CONTAINER STORE: l ) 01 WASTE (X) 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? (X) 01 YES ( 1 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br /> (X) 01 UNLEADED f ) 02 REGULAR ( ) 03 PREMIUM ( ) 04 DIESEL l ) 05 WASTE OIL f ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: f ) GAUGE ! ) INCHES ( ] CM (X) UNKNOWN <br /> 8. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) f ) 02 NON-VAULTED (X) 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED f ] 02 SINGLE WALLED ( l 03 LINED <br /> D. ( 1 01 CARBON STEEL ( ) 02 STAINLESS STEEL ( ) 03 FIBERGLASS ( 1 04 POLYVINYL CHLORIDE ( 1 05 CONCRETE <br /> ( ) 06 ALUMINUM ( l 07 STEEL CLAD f ) 08 BRONZE ( ) 09 COMPOSITE ( ] 10 NON-METALLIC <br /> (X) 12 UNKNOWN f 1 13 OTHER: <br /> HSC04-070185 (10/18/85) � _ PAGE 1 <br /> C47- 7- 2 07 <br /> lw VW <br />