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�ST�� <br /> STATE ID NUMBER 00000008259001 <br /> ''��"" APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> [T�01 NEW PERMIT ( ] 05 RENEWED PERMIT 1� � ,(, (Z¢ 09 DELETE FROM FILE (NO FEE) <br /> Tr�)r 02 CONDITIONAL PERMIT ( 1 06 AMENDED PERMIT ( ) 08 MINOR C A (NO SURCHARGE) <br /> I OWNER <br /> NAME(CORPORATICN,INDIVIDUAL OR PUBLIC AGENCY] PUBLIC AGENCY ONLY <br /> GOODYEAR TIRE 8 RUBBER CO. ( ) 01 FED ( ) 02 STATE l ) 03 LOCAL <br /> STREET ADDRESS A CITY STATE ZIP <br /> 130 N. EL DORADO STOCKTON CA 95202 <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREMAN/SUP RVISOR <br /> GOODYEAR TIRE 8 RUBBER CO tODRiR <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 130 N. EL DORADO <br /> CITY COUNTY ZIP <br /> STOCKTON SAN JOAQUIN 95202 <br /> MAILING ADDRESS CITY STATE ZIP <br /> 130 N. EL DORADO SAME CA 95202 <br /> PHONE W/AREA COOS TYPE OF BUSINESS <br /> 209-464-9481 ( ) 01 GASOLINE STATION (X) 02 OTHER TIRES - AUTO SERVICE <br /> NUMBER OF CONTAINERS RURAL AREAS ONLY TOWNSHIP RANGE SECTION <br /> I <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 /> RGB*t9bety-4:1� 209-464-9481 SAME - <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( ) 04 OTHER: CONTAINER NUMBER R1 <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: 1972 C. YEAR INSTALLED (X) UNKNOWN <br /> D. CONTAINER CAPACITY: 500 GALLONS f 1 UNKNOWN E. DOES THE CONTAINER STORE: (X) 01 WASTE ( ) 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 /> 1 ) 01 UNLEADED f ) 02 REGULAR ( ) 03 PREMIUM ( ) 04 DIESEL (X) 05 WASTE OIL ( 1 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> ri <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( ) GAUGE l ) INCHES ( l CH (X) UNKNOWN <br /> B. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) ) 02 NON-VAULTED FW? 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED ( 1 02 SINGLE WALLED ( ) 03 LINED <br /> D. ( ) 01 CARBON STEEL f ) 02 STAINLESS STEEL [ ] 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE ( ) 05 CONCRETE <br /> ( ) 06 ALUMINUM (X) 07 STEEL CLAD ( ] 08 BRONZE ( 1 09 COMPOSITE ( ) 30 NON-METALLIC <br /> ( ) 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br /> �� <br /> vow <br />