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�%w STATE ID NUMBER 00000053602003 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> F(X) 1 NEW PERMIT ( D 05 RENEWED PERMIT [ 1 07 TANK CLOSED t ) 09 DELETE FROM FILE (NII F2 CONDITIONAL PERMIT f 1 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NSME(COPPORATION,INDIVIDUAL OR PUBLIC AGENCY) <br /> PUBLIC AGENCY ONLY <br /> OLYMPIAN OIL COMPANY ( ) 01 FED ( ) 02 STATE ( i 03 LOCAL <br /> STREET ADDRESS CITY =94080 <br /> 260 MICHELE COURT SOUTH SAN FRANCISCO [CjA� <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREMAN/SUPERVISOR <br /> JIMCO TRUCK PLAZA HIRAM DUNCAN <br /> STREET ADDRESS NEAREST CROSS STREET <br /> JACK TONE ROAD & HIWAY 99 HIWAY 99 <br /> C=TY COUNTY <br /> ZIR <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 OF BUSINESS <br /> 209-599-2112 (X) 01 GASOLINE STATION ( 1 02 OTHER <br /> NUMBER OF CONTAINERS PUPAL AREAS ONLY ,TOWNSHIP RANGE SECTION <br /> Y <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAME(LASTNAME FIRST) AND PHONE W/AREA CODE NIGHTS: NAMEILAST NAME FIRST) ANDPHONE W/AREA CODE <br /> H. DUNCAN 209-599-2112 H. DUNCAN 209-599-2112 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( ) 04 OTHER: :771 CONTAINER NUMBER 3 <br /> B. MANUFACTURER (IF APPROPRIATE): PERKINS WELDING YEAR MFG: 1965 C. YEAR INSTALLED 1965 [ l UNKNOWN <br /> D. CONTAINER CAPACITY: 12000 GALLONS ( l UNKNOWN JE. DOES THE CONTAINER STORE: ( ) 01 WASTE (X) 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUELWASTE OIL ? (X) 01 YES ( ) 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br /> ( 1 01 UNLEADED ( ) 02 REGULAR (7C) 03 PREMI (Al 04 DIESEL i 1 05 WASTE OIL ( ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: 1/4 ( ) GAUGE (�*) INCHES ( l CM (,k UNKNOWN <br /> B. ( 1 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ( ) 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED IX) 02 SINGLE WALLED ( } 03 LINED <br /> D. (X) 01 CARBON STEEL ( 7 02 STAINLESS STEEL ( ) 03 FIBERGLASS ( 1 04 POLYVINYL CHLORIDE ( i 05 CONCRETE <br /> ( ) 06 ALUMINUM f ! 07 STEEL CLAD ( 1 08 BRONZE ( ) 09 COMPOSITE ( } 10 NON-METALLIC <br /> ( ) 12 UNKNOWN ( 1 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br />