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.� <br /> STATE ID NUMBER 00000065139003 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> 1 <br /> 01 NEW PERMIT t ) 05 RENEWED PERMIT ( ) 07 TANK CLOSED ( ) 09 DELETE FROM FILE (NO FEE) <br /> 1 ) 02 CONDITIONAL PERMIT t ) 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAME(CORPORATION.INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> CALIFORNIA TANK LINES t ) 01 FED ( ) 02 STATE 1 ) 03 LOCAL <br /> STREET ADDRESS CITY STATE ZIP <br /> 3105 S. EL DORADO STOCKTON CA 95206 <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREMAN/SUPERVISOR <br /> CALIFORNIA TANK LINES ROBERT A. ELLIS, JR. <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 3105 S. EL DORADO IVY <br /> CITY COUNTY ZIP <br /> STOCKTON SAN JOAQUIN 95206 <br /> MAILING ADDRESS CITY STATE ZIP <br /> P.O. BOX 6245 STOCKTON CA 95206 <br /> PHONE W/AREA CODE TYPE OF BUSINESS <br /> 209-466-3554 ( ) 01 GASOLINE STATION lX) 02 OTHER TRUCKING <br /> NUMBER OF CONTAINERS RURAL AREAS ONLY TOWNSHIP RANGE SECTION <br /> 4 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAME(LAST NAME FIRST) AND PHONE W/AREA COD! NIGHTS1 NAME(LAST NAME PIRST) AND PHONE W/ARCA CODE <br /> ROBERT A. ELLIS, JR. 209-466-3554 ROBERT ELLIS, III 209-951-1149 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( ) 04 OTHER: CONTAINER NUMBER 3 <br /> B. MANUFACTURER (IF APPROPRIATE): PERKINS YEAR MFG'- 1979 C. YEAR INSTALLED 1979 ( 1 UNKNOWN <br /> $00 <br /> 0. CONTAINER CAPACITY: 5060 GALLONS f ) UNKNOWN I 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 t ) 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br /> ( 1 <br /> 01 UNLEADED ( / 02 REGULAR ( ) 03 PREMIUM 1 ) 04 DIESEL lX) 05 WASTE OIL [ 106 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( ) GAUGE ( ) INCHES ( ) CM (X) UNKNOWN <br /> B. ( l 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ( ) 03 UNKNOWN <br /> C. l ) 01 DOUBLE WALLED (XI 02 SINGLE WALLED ( 103 LINED <br /> D. (X) Ol CARBON STEEL 1 102 STAINLESS STEEL t ) 03 FIBERGLASS 1 1 04 POLYVINYL CHLORIDE f 7 05 CONCRETE <br /> ( ) 06 ALUMINUM ( ) 07 STEEL CLAD t ) 08 BRONZE ( ) 09 COMPOSITE [ ) 10 NON-METALLIC <br /> ( 112 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (05/05/86) PAGE 1 <br />