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STATE ID NUMBER 00000043129006 <br /> APPLICATION FOR PERMIT TO OPERATE �Ep <br /> UNDERGROUND ST�OIRAGE TANK <br /> j_AAL <br /> (/KO <br /> ) 02 CONDITIONAL PERMIT ( 1 06 AMENDED PERMIT f/ ) 07 MINO`4�- LR CHANGE (NO SlF2CHARG! 09 DELETE FROM FILE (NO FEE) <br /> I OWNER <br /> NAME(CORPORATZON.INOIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> TED A GENA KNOWLES ( ) 01 FED ( ) 02 STATE ( ) 03 LOCAL <br /> STREET ADDRESS CITY STATE ZIP <br /> 1140 W. HAMMER LANE STOCKTON CA 95207 <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREMAN/SUPERVISOR <br /> KNOWLES TED KNOWLES <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 1140 W. HAMMER LANE THORNTON ROAD <br /> CITY COUNTY ZIP <br /> STOCKTON SAN JOAQUIN 95207 <br /> MAILING ADDRESS CITY STATE ZIP <br /> 1140 W. HAMMER LANE STOCKTON CA 95207 <br /> PHONE W/AREA COO! TYPE OF BUSINESS <br /> 209-951-9950 (X) 01 GASOLINE STATION ( 1 02 OTHER <br /> NUMBER OF CONTAINERS RURAL AREAS ONLY : TOWNSHIP RANGE SECTION <br /> 6 <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/ARlA COC[ <br /> KNONLES 209-951-9950 KNOWLES 209-477-3259 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK f 1 04 OTHER: CONTAINER NUMBER 6 <br /> B. MANUFACTURER (IF APPROPRIATEI: MODESTO WELDING YEAR MFG: 1980 C. YEAR INSTALLED 1980 ( 1 UNKNOWN <br /> D. CONTAINER CAPACITY: 12000 GALLONS f 1 UNKNOWN E. DOES THE CONTAINER STORE: ( ) 01 WASTE (X) 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? (XI 01 YES f 1 02 NO IF YES CHECK APPROPRIATE SOX(ES): <br /> ( ) 01 UNLEADED (X) 02 REGULAR f 1 03 PREMIUM l ) 04 DIESEL ( 1 05 WASTE OIL ( l 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: 3/8 ( ) GAUGE (X) INCHES ( ) CM ( ) UNKNOWN <br /> B. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ( ) 03 UNKNOWN <br /> C. t ) 01 DOUBLE WALLED (X) 02 SINGLE WALLED ( ) 03 LINED <br /> D. (X) 01 CARBON STEEL f ) 02 STAINLESS STEEL f 1 03 FIBERGLASS ( 1 04 POLYVINYL CHLORIDE f ) 05 CONCRETE <br /> f ) 06 ALUMINUM ( ) 07 STEEL CLAD ( 1 08 BRONZE ( l 09 COMPOSITE ( ) 10 NON-METALLIC <br /> t ) 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br /> U � <br />