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`� ""04' STATE ID NUMBER 00000001156003 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> (lG 01 NEW PERMIT ( ) 05 RENEWED PERMIT ( ) 07 TANK CLOSED ( ) 09 DELETE FROM FILE (NO FEE) <br /> ( ) 02 CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT ( 1 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAME(CCPPOPATION,INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> ELVIN MCDOWELL ( ) 01 FED l ) 02 STATE ( 7 03 LOCAL <br /> STREET ADDRESS CITY STATE ZIP <br /> 2066 COLEY ESCALON CA 95720 <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREMAN/SUPERVISOR <br /> MCDOWELL i FRANK TOWING R AUTO MCDOWELL ST CLAIR <br /> kTREET ADDRESS NEAREST CROSS STREET <br /> 1360 ESCALON AVE ST. CLAIR <br /> CITY COUNTY ZIP <br /> ESCALON SAN JOAQUIN 95720 <br /> MAIL:NG ADDRESS CITY STATE ZIP <br /> P.O. BOX 533 ESCALON CA 95720 <br /> PHONE W/AREA CODE TYPEOF BUSINESS <br /> 209-838-3932 (X) 0 <br /> 1 GASOLINE STATION ( 1 02 OTHER <br /> NUMBER OF CONTAINERS RURAL AREAS ONLY TOWNSHIP RANGE SECTION <br /> i <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 ( 1 04 OTHER: CONTAINER NUMBER 3 q <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: C. YEAR INSTALLED [d� f ) UNKNOWN <br /> D. CONTAINER CAPACITY: DOO GALLONS ( ) UNKNOWN E. DOES THE CONTAINER STORE: f 1 01 WASTE K) 02 PRODUCT <br /> F. ZVS THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? f 1 01 YES ( ) 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br /> 1X7 O1 UNLEADED ( 1 02 REGULAR ( 1 03 PREMIUM ( ) 04 DIESEL f ) 05 WASTE OIL ( ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( ) GAUGE ( ) INCHES ( ) CM ( ) UNKNOWN <br /> B. ( 1 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) f ) 02 NON-VAULTED ( ) 03 UNKNOWN <br /> C. O1 DOUBLE WALLED M) 02 SINGLE WALLED ( 1 03 LINED <br /> D. (g1 01 CARBON STEEL ( 7 02 STAINLESS STEEL ( ) 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE f 1 05 CONCRETE <br /> ( ) 06 ALUMINUM f 1 07 STEEL CLAD ( l 08 BRONZE l 1 09 COMPOSITE ( ) 10 NON-METALLIC <br /> ( 1 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br />