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STATE ID NUMBER 00000011055001 <br /> APPLICATION FOR PERMIT TO OP ATE E OUND STORAGE TANK <br /> ( ) <br /> 01 NEW PERMIT f 1 05 RENEWED PERMIT f 7 TANK CLOS D ( ) 09 DELETE FROM FILE (NO FEE) <br /> ( 1 02 CONDITIONAL PERMIT f l 06 AMENDED PERMIT l 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAME(CORPORATI7;.4N IVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> G2A4PPP"- Mt Sp/N6 O ( ) 01 FED ( ) 02 STATE f 1 03 LOCAL <br /> STREET ADDRESS CITY STATE ZIP <br /> /Q// At- OftAbliM Aim, STOCKTON CA 95205 <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREMAN/SUPERVISOR <br /> GRAYLIFT. INC K.C. MCMILLEN <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 3131 E. FREMONT BROADWAY <br /> CITY COUNTY ZIP <br /> STOCKTON SAN JOAQUIN 95205 <br /> MAILING ADDRESS CITYSTATE ZIP <br /> P.O. BOX 5186 STOCKTON CA 95205 <br /> PMO NE W/AREA CODE TYPE OF BUSINESS <br /> 209-948-9641 l ) O1 GASOLINE STATION (X) 02 OTHER FORKLIFT SALES E SER <br /> NUMBER OFCONTAINERS RURAL AREAS ONLY-:- <br /> NLY TOWNSHIP RANGE - SECTION <br /> Rf <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 /> MCMILLEN, K.C. 209-948-9641 MCMILLEN K.C. 209-948-9641 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. IX) 01 TANK ( 1 04 OTHER: CONTAINER NUMBER 548 1 <br /> B. MANUFACTURER (IF APPROPRIATE): UNKNOWN YEAR MFG: C. YEAR INSTALLED (X) UNKNOWN <br /> 0. CONTAINER CAPACITY: 10000 GALLONS ( ) UNKNOWN E. DOES THE CONTAINER STORE: 1 ) 01 WASTE (X) 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? (X) 01 YES ( ) 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br /> (X) 01 UNLEADED ( A 02 REGULAR ( ) 03 PREMIUM ( ) 04 DIESEL ( ) 05 WASTE OIL ( ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( ) GAUGE ( ) INCHES ( ) CM (X) UNKNOWN <br /> B. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ( ) 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED f 1 02 SINGLE WALLED f ) 03 LINEA <br /> 0. ( ) 01 CARBON STEEL ( ) 02 STAINLESS STEEL f 1 03 FIBERGLASS ( l 04 POLYVINYL CHLORIDE ( 1 05 CONCRETE <br /> ( ) 06 ALUMINUM f ) 07 STEEL CLAD ( 1 08 BRONZE ( 1 09 COMPOSITE ( 1 10 NON-METALLIC <br /> (X) 12 UNKNOWN ( ) 13 OTHER: <br /> MSC04-070185 (10/18/85) PAGE 1 <br />