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STATE ID NUMBER 00000002323004 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> ( 01 NEW PERMIT <br /> ( ] 05 RENEWED PERMIT .,{� 07 TANK CLOSED _ ( ) 09 DELETE FROM FILE (NO FEE) <br /> 02 CONDITIONAL PERMIT l ] 06 AMENDED PERMIT f MINOR CNANG ( SURCHARGE) <br /> I OWNER <br /> PUBLIC AGENCY ONLY <br /> NAME(CORPORATION,INOIVIDUAL OR PUBLIC AGENCY) ( ] 01 FED ( 102 STATE ( ) 03 LOCAL <br /> A. TEICHERT AND SON, INC- <br /> CITY STATE ZIP <br /> STREET ADDRESS SACRAMENTO CA 95851 <br /> 3500 AMERICAN RIVER DR. <br /> II FACILITY <br /> DEALER/FOREMAN/SUPERVISOR <br /> FACILITY NAM- VIRGIL WHITE <br /> STOCKTON YARD <br /> NEAREST CROSS STREET <br /> STREET ADDRESS D ST. <br /> 103 NORTH E ST. <br /> COUNTY IIP <br /> CITY STOCKTON SAN JOAQUIN 95201 <br /> CITY STATE ZIP <br /> MAILING ADDRESS STOCKTON CA 95201 <br /> P.O. BOX 1118 <br /> PHONEW/AREA CO C ^ TYPE OF BUSINESS <br /> 209-948'2424- ( ) 01 GASOLINE STATION (X) 02 OTHER MOTOR VEHICLE MAINTE <br /> NUMBER OF CONTAINERS <br /> RURAL AREAS ONLY : TOWNSHIP RANGE SECTION <br /> 6 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAME(LAST NAME FIRST) AND PHONE W/AP.EA CODE NIGHTS: NAME(LAST NAME FIRST) <br /> AND <br /> 23 5693PHONE W/AREA CODE <br /> WHITE, VIRGIL 209-948-E3q3 - WHITE, VIRGIL <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( ) 04 OTHER: CONTAINER NUMBER `Ct4^-SBtrFH <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: C. YEAR INSTALLED (X) UNKNOWN <br /> D. CONTAINER CAPACITY: 5000 GALLONS ( ] UNKNOWN E. DOES THE CONTAINER STORE: ( 1 01 WASTE (X) 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? (X) 01 YES f ) 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br /> (X) 0 <br /> 1 UNLEADED ( ) 02 REGULAR ( ) 03 PREMIUM ( ) 04 DIESEL ( 1 05 WASTE OIL ( ] 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( ) GAUGE ( 1 INCHES ( ) CM (X) UNKNOWN <br /> B. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ( ) 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED (X) 02 SINGLE WALLED ( ) 03 LINED <br /> 0. (X) 01 CARBON STEEL f ) 02 STAINLESS STEEL ( ] 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE ( ) 05 CONCRETE <br /> ( ) 06 ALUMINUM ( ) 07 STEEL CLAD ( 1 08 BRONZE f ) 09 COMPOSITE ( ] 10 NON-METALLIC <br /> ( ) 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br /> `.. lv/ <br />