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0 0 STATE ID NUNEEP. 00000001393001 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> (X) el NEW PFRMj;_ ( ) 05 RENEWED PERMIT ( ) 07 TANK CLOSED ( ) 09 DELETE FROM FILE (NO FEE) <br /> ( ) 02 CONDITIONAL PERMIT t 1 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAME(CCPPOP.ATXON,INOIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> SCOTTY'S BAIT & TACKLE, INC. f 1 01 FED ( 1 02 STATE f ) 03 LOCAL <br /> STREET ADOPESS CITY STATE F95376 <br /> 2420 W. GRANTLINE TRACY CA <br /> II FACILITY <br /> rCILI_� NAME CEALER/FOREMAN/SUPERVISOP. <br /> SCOTTY'S BAIT & TACKLE, INC. DEBBIE SCOTT <br /> ST?EET ADDRESS NEAREST CROSS STREET <br /> 2420 W. GRANTLINE CORRAL HOLLOW <br /> CITY COUNTY ZIP <br /> TRACY SAN JOAQUIN 95376 <br /> MAILING ADOEESS CITY" STATE ZIP <br /> 2420 W. GRANTLINE SAME CA 95376 <br /> PHONE W/AREA CODE TYPE OF BUSINESS <br /> 209-835-0729 (X) 01 GASOLINE STATION ( 1 02 OTHER <br /> NUMBER OF CONTAINERS RURAL AREAS ONLY TOWNSHIP RANGE SECTION <br /> 3 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAME(LA.ST NAME FIRST) AND PHONE W/AREA CODE NIGHTS: NAJILE y( <br /> nroo NAME FIRST) AND PHONE W/AREA CODE <br /> _ s 209-835-3671` l _ <br /> - loci $ 7 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( 1 04 OTHEP: CONTAINER NUMBER 1 <br /> B. MANUFACTURER (IF APPROPRIATE): PERKINS YEAR MFG= C. YEAR INSTALLED 1983 ( 1 UNKNUR'J <br /> D. CONTAINER CAPACITY: 7500 GALLONS ( ) UNKNOWN E. DOES THE CONTAINER STORE: f ) 01 WASTE (X) 02 PRODUCT <br /> F. OCES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? (X) 01 YES ( ) 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br /> (X) 01 UNLEADED ( ) 02 REGULAR ( ) 03 PREMIUM ( ) 04 DIESEL ( ) 05 WASTE OIL i 1 06 OTHER <br /> W CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: 1/4 f ) GAUGE (X) INCHES ( ) CM ( ) UNKNOWN <br /> B. ( 1 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ( ) 03 UNKNOWN <br /> C. ( 1 01 DOUBLE WALLED (X) 02 SINGLE WALLED [ 1 03 LINED <br /> D. (X) 01 CARBON STEEL C ) 02 STAINLESS STEEL t ) 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE ( 1 05 CONCRETE <br /> ( ) 06 ALUMINUM ( 1 07 STEEL CLAD ( ) 08 BRONZE ( 1 09 COMPOSITE ( 1 10 NON-METALLIC <br /> ( ) 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE I <br />