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i0 STATE ID t=z-,ER <br /> APPLICATION FOR PERS RGROUND STORAGE TA`;K <br /> pQ01 ht;)d PERMIT i ) 03 REt:ES;:D F f 107 TANK CL f ) 04 DELETE F O;1 FILE (! J FEE) <br /> ( ) OZ CONDITIONAL PERMIT l ) OS A'1ENOEO FE T ) CHAI;SE (NO 5UTCHAP.GE) <br /> I Ola,N E R EUVIRoMEN AL HEALTH J <br /> N.Y.ESCO;?D7ATION,INDIVIDU,AL OR PL'3LIC AGENCY) FE,RMIT/SERVICES PU3LIC AGENCY ONLY dl <br /> Pacific Bell i 1 01 FED i ) 02 S PATE f ) 03 LC:CL I <br /> STFEET ADDRESS CITY STATE ZIP <br /> 2600 Camino Ramon, Room 2E050 San Ramon CA 94583 <br /> II FACILITY <br /> FACILITY NAME <br /> CEALERiFpREMANiSUFERV$SOR <br /> Pacific Bell (UE-148/SKTNCA14) D. Quinones <br /> StFEET ADD7E55 NEAPES7 CROSS STREET <br /> Redwood and Sixth Streets <br /> CITY COUNTY ZIP <br /> French Camp San Joaquin 952.05 <br /> MAILING ADDRESS CITY STATE ZIP <br /> 2600 Camino Ramon Room 2EO50 San Ramon , 94593 <br /> PHONE W/AREA CODE TYPE OF BUSINESS <br /> (209) 474-4300 1 ( ) 01 GASOLINE STATION P44. 02 OTHER Communications <br /> NUMBER OF CONTAINERS URAL AREAS ONLY . TOWNSHIP RANGE - SECTION <br /> One <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAME(LAST NAME FIRST) AND "ONE <br /> W/AREA CODE NIGHTS: NAMEILAST NAME FIRST) AND PHONE W/AREA CODE <br /> Pacific Bell Emergency Control Center (415) 823-7777 (24-hours) <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. C;<01 TANK ( 1 04 OTHER: CONTAINER NUMBER D-88-2K <br /> B. MANUFACTURER (IF APPROPRIATE): Joor Manufacturing, Inc. YEAR MFG: 88C. YEAR INSTALLED 1988 ( ) utOt:GWN <br /> D. CONTAINER CAPACITY: 2,000-gallons( I UNKNOWN E. DOES`THHE CONTAINER STOPE: ; ) 01 WASTE P-4, 02 PRODUCT <br /> 0 <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? 01 YES ( 1 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br /> ( ) 01 UNLEADED ( ) 02 REGULAR ( 1 03 PREMIUM >q OG DIESEL ( ) 05 WASTE OIL f } 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: [ ! GAUGE t ) INCHES ( ) CM X UNKNOWN <br /> B. i 1 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) X 02 NON-VAULTED ( ) 03 UWNoWN <br /> C. K01 DOUBLE WALLED ( ) 02 SINGLE WALLED ( 1 03 LINED <br /> D. pet 01 CARBON STEEL ( 1 02 STAINLESS STEEL 1 ) 03 FIBERGLASS f ) 04 POLYVINYL CHLORIDE ( ) 05 CONCRETE <br /> f ) 06 ALUMINUM ( ) 07 STEEL CLAD ( ) 08 BRONZE ( ) 04 COMPOSITE ( ) 10 NON-METALLIC <br /> ( ) 12 04KNOWN ( ) 13 OTHER: <br /> HSC04-070185 (07/03/87) <br /> PAGE 1 <br />