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` e '440 STATE ID NUMBER 00000063124004 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> O1 NEW P IO ( ) 05 RENEWED PERMIT ( ) 07 TANK CLOSED ( ) 09 DELETE FROM FILE (NO FEE) <br /> 1 02 CONDITNAL PERMIT 4 ) 06 AMENDED- PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAME(COPPORATION.INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> CHEVRON U.S.A. INC. meq,. y/( ) 01 FED ( ) 02 STATE f 1 03 LOCAL <br /> STREET P.lFESS�„� ) Zao CITY S�1/GLV��wyl CRATE ZIP <br /> II FACILITY I� <br /> FACILITY NAME DEALER/FOREMAN/SUPERVISOR <br /> 98632 MESERVY. JAMES <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 575 W. GRANTLINE ROAD TRACY BLVD <br /> CITY COUNTY ZIP <br /> TRACT SAN JOAQUIN 95376 <br /> MAILING ADDRESS CITY STATE ZIP <br /> 575 W. GRANTLINE ROAD TRACY CA 95376 <br /> PHONE W/ARCA CODE TYPEOF BUSINESS <br /> 209-856-1233 (X) 01 GASOLINE STATION ( 1 02 OTHER <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 NIGHTS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE <br /> MAINTENANCE DISPATCH 415-877-0244 - - <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( ) 04 OTHER: CONTAINER NUMBER 4 <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: C. YEAR INSTALLED ( 1 UNKNOWN <br /> D. CONTAINER CAPACITY: 10000 GALLONS ( ) UNKNOWN E. DOES THE CONTAINER STORE: ( ) 01 WASTE (X) 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? ( ) 91 YES ( ) 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br /> ( ) 01 UNLEADED ( ) 02 REGULAR 03 PR ( ) 04 DIESEL l 105 WASTE OIL ( ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. TNECKNESS OF PRIMARY CONTAINMENT: 0000370 f ) GAUGE ( 1 INCHES ( ) CM l ) UNKNOWN <br /> B. ( 1 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ( ) 03 UNKNOWN <br /> C. l l 01 DOUBLE WALLED (X) 02 SINGLE WALLED ( ) 03 LINED <br /> D. ( 1 01 CARBON STEEL ( 1 02 STAINLESS STEEL (,O 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE ( ) 05 CONCRETE <br /> ( ) 06 ALUMINUM ( ! 07 STEEL CLAD f ) 080 OMPOSITE [ 1 10 NON-METALLIC <br /> ( ) 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070188 410/18/85) PAGE 1 <br />