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STATE ID NUMBER 00000004291001 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> T ( ) 05 RENEWED PERMIT ( ) 07 TANK CLOSED ( ) 09 DELETE FROM FILE (NO FEE) <br /> f l 02 C NDITIONAL PERMIT f 1 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br /> 'I1 OWNER <br /> NAME(COPPORATION.INDIVIDUAL OR PU5L3C AGENCY) 95. .3 <br /> � / PUBLIC AGENCY ONLY <br /> +�/✓f�W` ��f f 7 <br /> 01 FED f 1 02 STATE ( 1 03 LOCAL <br /> STREET ADDRESS CITY STATE IIP <br /> 8181W. BUS. LOOP 205 TRACY CA 95376 <br /> I FACILITY <br /> FACILITY NAME DIAL CR/FOR MAN/SUPERVISOR <br /> f•GA'�1 FQ T f�r rs�Prn � P <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 818( W. BUS. LOOP 205 <br /> CITY COUNTY ZIP <br /> TRACY SAN JOAQUIN 95376 <br /> M4ILING ADDRESS CITY STATE ZIP <br /> 8181W. BUS. LOOP 205 TRACY CA 95376 <br /> PHONE W/AREA CODE TYPE OF 6USINCSS <br /> 209-855-4301 f ) O1 GASOLINE STATION (X) 02 OTHER READY MIX CONCRETE <br /> NUMBER OF CONTAINERS RURAL AREAS ONLY TOWNSHIP RANGE SECTION <br /> 3 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODENIGHTS: NAMECLAST NAME FIRST) AND PHONE W/ARCA CODE <br /> BILL GONZALES 209-835-4301 1 SAME 209-838-2794 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( 1 04 OTHER: CONTAINER NUMBER 3 <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: 1946 C. YEAR INSTALLED 1946 ( ) UNKNOWN <br /> 0. CONTAINER CAPACITY: 1000 GALLONS f 1 UNKNOWN E. DOES THE CONTAINER STORE: f ) 01 WASTE (X) 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 /> ( ) 01 UNLEADED ( ) 02 REGULAR ( ) 03 PREMIUM (X) 04 DIESEL f 1 05 WASTE OIL ( ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: 10 (X) GAUGE f ) INCHES ( ) CM ( ) UNKNOWN <br /> B. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ( ) 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED ( ) 02 SINGLE WALLED ( 1 03 LINED <br /> O. (XI 01 CARBON STEEL ( 1 02 STAINLESS STEEL f ] 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE f ) 05 CONCRETE <br /> ( ) 06 ALUMINUM l ) 07 STEEL CLAD ( ) 08 BRONZE ( ] 09 COMPOSITE ( 1 10 NON-METALLIC <br /> f ) 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/851 PAGE I <br />