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STATE I0 NUMBER 00000001156002 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> Iyl 01 NEW PERMIT ( ) 05 RENEWED PERMIT ( ) 07 TANK CLOSED ( 1 09 DELETE FROM FILE IND FEE) <br /> ( ) 02 CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAME(CORPOP.ATION,INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> ELVIN MCDOWELL ( ) 01 FED ( 1 02 STATE ( ) 03 LOCAL <br /> STREET ADDRESS CITY STATE ZIP <br /> 2066 COLEY ESCALON CA 95720 <br /> II FACILITY <br /> FACILITY NAME DEALER/FCPEMAN/SUPERVISOR <br /> MCDO14ELL 6 FRANK TOWING i AUTO MCDOWELL ST CLAIR <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 1360 ESCALON AVE ST. CLAIR <br /> CITY COUNTY ZIP <br /> ESCALON SAN JOAQUIN 95720 <br /> MAILING AO0-ESS CITYSTATE ZIP <br /> P.Q. BOX 533 ESCALON CA 95720 <br /> PHONE W/APEA CODE TYPEOF BUSINESS <br /> 209-838-3932 (X1 01 GASOLINE STATION ( ) 02 OTHER <br /> NUMBER OF 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 f 1 04 OTHER: CONTAINER NUMBER 2 <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: C. YEAR INSTALLED /7&t) UNKNOWN <br /> D. CONTAINER CAPAC OO GALLONS 1 ) UNKNOWN E. DOES THE CONTAINER STORE: f 1 01 WASTE c) 02 PRODUCT <br /> F. VES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? ( ) 01 YES ( ) 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br /> 01 UNLEADED ( ) 02 REGULAR l 1 03 PREMIUM ( ) 04 DIESEL f l 05 WASTE OIL ( ] 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( ) GAUGE ( l INCHES l ) CM 1 ) UNKNOWN <br /> B. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) ( ) 02 NON-VAULTED ( 1 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED 02 SINGLE WALLED ( 1 03 LINED <br /> D. Qp 01 CARBON STEEL ( 1 02 STAINLESS STEEL f ) 03 FIBERGLASS f 1 04 POLYVINYL CHLORIDE f 1 05 CONCRETE <br /> l ) 06 ALUMINUM ( l 07 STEEL CLAD ( 1 08 BRONZE 1 1 09 COMPOSITE ( 1 10 NON-METALLIC <br /> ( ) 12 UNKNOWN ( 1 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br />