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STATE ID NUMBER 00000001864002 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> 01 NEW PERMIT ( ) 05 RENEWED PERMIT ftC) 07 TANK CLOSEDfYl 09 DELETE FROM FILE (NO FEE) <br /> 02 CONDITIONAL PERMIT ( 1 06 AMENDED PERMIT (_) 08 MINOR CHANGE (NO SURCHARG ) <br /> I OWNER <br /> NAME(COPPOPATION.INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> PAUL UMDENSTOCK ( ) 01 FED ( ) 02 STATE �ki 03 LOCAL <br /> STREET ADDRESS CITY STATE ZIP <br /> 711 E. MINER STOCKTON CA 95201 <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREMAN/SUPERVISOR <br /> BIG VALLEY FORD PAUL UMDE14STOCK <br /> 'STREET ADDRESS NEAREST CROSS STREET <br /> 7 AZO <br /> CITY COUNTY £IP <br /> STOCKTON SAN JOAQUIN 95201 <br /> MAILING ADDRESS CITY STATE £IP <br /> P.O. BOX 1729 STOCKTON CA 95201 <br /> PHONE W/AREA CODE TYPE OF BUSINESS <br /> 209-466-5211 ( ) 01 GASOLINE STATION (X) 02 OTHER NEW CAR DEALER <br /> NUMBER OF CONTAINERS RURAL AREAS ONLY TOWNSHIP RANGE SECTION <br /> 4 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE NIGMTS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE <br /> UMDENSTOCK, PAUL 209-466-5211 - - <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( ) 04 OTHER: CONTAINER NUMBER 2 <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: C. YEAR INSTALLED 1965 [ 7 UNKNOWN <br /> D. CONTAINER CAPACITY: 2000 GALLONS f ] UNKNOWN E. DOES THE CONTAINER STORE: ( 1 01 WASTE (X) 02 PRODUCT <br /> F. DOES THE CONTAINE STORE MOTOR VEHICLE FUEL OR WASTE OIL ? l 1 01 YES (X) 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br /> 1 1 01 UNLEADED 02 REGULAR ( ] 03 PREMIUM ( ) 04 DIESEL ( ) 05 WASTE OIL f ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( ) GAUGE ( ) INCHES f 1 CM (X) UNKNOWN <br /> B. f ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) ( ) 02 NON-VAULTED (X) 03 UNKNOWN <br /> C. ( 7 01 DOUBLE WALLED ( l 02 SINGLE WALLED f 1 03 LINED <br /> 0. (X) 01 CARBON STEEL f ] 02 STAINLESS STEEL ( ) 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE ( ) 05 CONCRETE <br /> ( ) 06 ALUMINUM f ) 07 STEEL CLAD ( 108 BRONZE ( 1 09 COMPOSITE ( 1 10 NON-METALLIC <br /> ( 1 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070165 (10/18/85) PAGE 1 <br /> ,' \/ <br />