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11%" STATE 10 NUMBER 00000034406 <br /> TANK <br /> ( ) 09 DELETE FROM FILE (NO FEE) <br /> APPLICATION FOR PERMIT TO OPERATE c �D�EGNp s(mG(AR�DRAG <br /> ( ) O1 NEW PERMIT IONAL PERMIT <br /> ( ) 05 REN AMENDED PERMIT ( 1 O8 MINOR CHANG <br /> ( 1 02 GOND <br /> j <br /> OWNER PUBLIC AGENCY ONLY STATE ( 3 03 LOCAL <br /> ( ) O1 FED ) 02 <br /> ZIP <br /> NFME(COP POR ATION IOR PUBLIC AGENCY) 95236 <br /> FRESNO <br /> LAN CITY CA <br /> STATE <br /> SAN FRANCISCO 8 FRESNO LAND CO LINDEN <br /> STREET ADDRESS <br /> 815 NORTH FINE ROAD <br /> II FACILITY DEALER/FOREMAN/SUPERVISOR <br /> FACILITY NAME DALE W. CARLSON <br /> SAN FRANCISCO i FRESNO LAND CO NEAREST CROSS STREET <br /> STREET ADDRESS FINE ROAD <br /> 23003 E. FLOOD ROAD ZIP <br /> COUNTY 95236 <br /> CITY SAN JOAQUIN <br /> LINDEN STATE ZIP <br /> CITY CA 95236 <br /> MAILING ADDRESS LINDEN <br /> 815 NORTH FINE ROAD <br /> PHOTYPE OF BUSINESS <br /> 209 W/AREA CODE ( ) O1 GASOLINE STATION (X) 02 OTHER FUEL SUPPLY-FARMING <br /> 209-887-3834 <br /> RANGE SECTION <br /> NUMBER OF CONTAINERS RURAL AREAS ONLY TOWNSHIP 9E 19 <br /> 3 2N <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 /> CAR LEON, DALE 209-887-3834 CARLSON, DALE 209-886-5562 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( ) 04 OTHER: CONTAINER NUMBER 103 <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: C. YEAR INSTALLED 1982 ( 1 UNKNOWN <br /> D. CONTAINER CAPACITY: 1500 GALLONS f 1 UNKNOWN E. DOES THE CONTAINER STORE: (X) 01 WASTE f l 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? ( 1 01 YES (X) 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br /> ( ) 01 UNLEADED ( ) 02 REGULAR ( ) 03 PREMIUM ( ) 04 DIESEL ( ) 05 WASTE OIL ( ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: 1/4 ( ) GAUGE (X) INCHES ( ) CM ( ) UNKNOWN <br /> B. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ( ) 03 UNKNOWN <br /> C. ( 1 01 DOUBLE WALLED (X) 02 SINGLE WALLED ( ) 03 LINED <br /> 01 CARBON STEEL ( ) 02 STAINLESS STEEL ( l 03 FIBERGLASS f 1 04 POLYVINYL CHLORIDE [ ) 05 CONCRETE <br /> ( ) 06 ALUMINUM f 1 07 STEEL CLAD ( ) 08 BRONZE f l 09 COMPOSITE ( 1 10 NON-METALLIC <br /> (X) 12 UNKNOWN ( 1 13 OTHER: <br /> HSC04-070185 (10/18/85) <br /> PAGE 1 <br />