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STATE ID NUMBER 00000043129001 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> 01 NEW PERMIT ( l 05 RENEWED PERMIT W3k"" (Stl 09 DELETE FROM FILE (NO FEE) <br /> 02 CONDITIONAL PERMIT f ) 06 AMENDED PERMIT ) 08 MINOR CHANGE (NO SURCHARG <br /> I OWNER <br /> NAME(CORPOPATION.INDIVIOUAL OR PUBLIC AGENCY) PUBLICAGENCY ONLY <br /> TED i DENA KNOWLES t l O1 FED ( 1 02 STATE ( 1 03 LOCAL <br /> STPEET ADDRESS CITY STATE 2IP <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 <br /> LIP <br /> STOCKTON SAN JOAQUIN 95207 <br /> MAILING ADOPESS CITY STATE LIP <br /> 1140 W. HAMMER LANE STOCKTON CA 95207 <br /> PHONE W/ARCA CODE TYPE OF BUSINESS <br /> 209-951-9950 (X) O1 GASOLINE STATION ( ) 02 OTHER <br /> NUMBER OF CONTAINERS RURAL AREAS ONLY : TOWNSHIP RANGE SECTION <br /> 6 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAME(IAST NAME FIRST) AND PHONE W/AREA CODE NIGHTS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE <br /> KNOWLES 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 ( ) 04 OTHER: CONTAINER NUMBER 2 <br /> B. MANUFACTURER (IF APPROPRIATE): MODESTO WELDING YEAR MFG: 1961 C. YEAR INSTALLED 1961 f ) UNKNOWN <br /> D. CONTAINER CAPACITY: 6000 GALLONS ( ) UNKNOWN I E. DOES THE CONTAINER STORE: ( ) 01 WASTE (X) 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? 1X1 01 YES ( ) 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br /> 1 ) 01 UNLEADED (X) 02 REGULAR f ] 03 PREMIUM ( ) 04 DIESEL ( 1 05 WASTE OIL [ 1 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: 3/8 ( ) GAUGE (X) INCH€S ( ) CM f ) UNKNOWN <br /> B. ( I 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 /> D. (X) 01 CARBON STEEL ( ) 02 STAINLESS STEEL ( 1 03 FIBERGLASS ( 1 04 POLYVINYL CHLORIDE ( ) 05 CONCRETE <br /> ( ) 06 ALUMINUM ( 1 07 STEEL CLAD ( l 08 BRONZE ( l 09 COMPOSITE [ 1 10 NON-METALLIC <br /> ( ) 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br />