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STATE ID NUMBER 00000001156001 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> (y() 01 NEW PERMIT ( ) 05 RENEWED PERMIT ( ) 07 TANK CLOSED ( ) 09 DELETE FROM FILE ONO FEE1 <br /> ( 1 02 CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT O ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAME(CORPORATION.INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> ELVIN MCDOWELL f ) 01 FED ( ) 02 STATE ( ) 03 LOCAL <br /> STREET ADDRESS CITY STATE ZIP <br /> 2066 COLEY ESCALON CA 95720 <br /> II FACILITY <br /> FACILITY N4M,E DEALER/FOREMAN/SUPERVISOR <br /> MCDOWELL i FRANK TOWING A AUTO MCDOWELL ST CLAIR <br /> STREET ADDRESS NEAREST CROSS STREETS-' <br /> 1360 ESCALON AVE ST. CLAIR <br /> CITY COUNTYIIP <br /> ESCALON SAN JOAQUIN 95720 <br /> MAILING ADDRESS CITY STATE ZIP <br /> P.O. BOX 533 ESCA.LON CA 95720 <br /> EF <br /> APE4 CODE TYPE OF BUSINESS <br /> 3932 (X) 01 GASOLINE STATION ( 1 02 OTHER <br /> CONTAINERS RURAL AREAS ONLY TOWNSHIP RANGE SECTION <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 /> ELVIN MCDOWELL 209-858-3932 SAME SAM-E <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( ) 04 OTHER: CONTAINER NUMBER 1 <br /> S. MANUFACTURER (IF APPROPRIATE): YEAR MFG: C. YEAR INSTALLED f 1�� ( ) UNKNOWN <br /> 0. CONTAINER CAPACITY: SOD GALLONS ( I UNKNOWN E. DOES THE CONTAINER STORE: ( ) 01 WASTE (1C) 02 PRODUCT <br /> F. DOES THE CONTAINE TORE MOTOR VEHICLE FUEL OR WASTE OIL ? ( ) 01 YES ( 1 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br /> 01 UNLEADED 02 REGULAR ( ) 03 PREMIUM ( ) 04 DIESEL f ) 05 WASTE OIL ( 1 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( ) GAUGE ( 1 INCHES ( ) CM f ) UNKNOWN <br /> B. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) ( ) 02 NON-VAULTED ( ) 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED 06 02 SINGLE WALLED f 1 03 LINED <br /> D. (x) 01 CARBON STEEL I ) 02 STAINLESS STEEL ( ) 03 FIBERGLASS f ) 04 POLYVINYL CHLORIDE l ) 05 CONCRETE <br /> ( ) 06 ALUMINUM ( ) 07 STEEL CLAD ( 1 08 BRONZE ( ) 09 COMPOSITE ( ) 10 NON-METALLIC <br /> ( ) 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br /> 1P.1 <br />