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vow STATE ID NUMBER 00000053602001 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> (A 01 NEW PERMIT i ) 05 RENEWED PERMIT ( ) 07 TANK CLOSED ( ) 09 DELETE FROM FILE (ND FEE) <br /> ( ) 02 CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT [ ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NA,ME(CCPPOP.ATICN.INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> OLYMPIAN OIL COMPANY ( ) 01 FED ( 1 02 STATE ( ) 03 LOCAL <br /> STREET ACDPESS CITY STATE ZIP <br /> 260 MICHELE COURT SOUTH SAN FRANCISCO CA 94080 <br /> Ii FACILITY <br /> FACILITY NAME DEALER/FOREMAN/SUPERVISOR <br /> JIMCO TRUCK PLAZA HIRAM DUNCAN ✓� <br /> ?17�� NEAREST CROSS STREET <br /> STREET AODPESS <br /> JACK TONE ROAD & HIWAY 99 , � ��`' J��'/'t' HIWAY 99 <br /> CaTY COUNTY ZIP <br /> RIPON SAN JOAQUIN 95366 <br /> MAILING ADDRESS CITY STATE ZIP <br /> P.O. BOX #845 RIPON CA 95366 <br /> PHONE W/AREA CODE TYPE(X) OF SUSINESS <br /> 209-599-2112 O1 GASOLINE STATION ( ) 02 OTHER <br /> __[NUMBER OF CONTAINERS RURAL AREAS ONLY : TOWNSHIP RANGE SECTION <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAME(LAST NAM= FIRST) AND PHONE W/AREA CODE NIGHTS: NA.ME(LAST NAME FIRST) .AND PHONE W.'APEA CODE <br /> H. DUNCAN 209-599-2112 H. DUtJCAN 209-599-2112 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (Y.l 01 TANK [ ) 04 OTHER: CONTAINER NUMBER 1 <br /> B. MANUFACTURER (IF APPROPRIATE): PERKINS WELDING YEAR MFG: 1965 C. YEAR INSTALLED 1965 ( ) UNKNOWN <br /> 0. CONTAINER CAPACITY: 7500 GALLONS d ) UNKNOWN E. DOES THE CONTAINER STORE: ( ) 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 [ ) 02 REGULAR ( 1 03 PREMIUM ( ) 04 DIESEL ( l 05 WASTE OIL ( ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( ) GAUGE ( ) INCHES ( ) CM (X) UNKNOWN <br /> S. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ( 1 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED (X) 02 SINGLE WALLED i 1 03 LINED <br /> D. (X) 01 CARBON STEEL C ) 02 STAINLESS STEEL f ) 03 FIBERGLASS f ) 04 POLYVINYL CHLORIDE ( ) 05 CONCRETE <br /> ( ) 06 ALUMINUM ( ) 07 STEEL CLAD ( ) 08 BRONZE ( ) 09 COMPOSITE f ) 10 NON-METALLIC <br /> ( ) 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br /> w vow <br />