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STATE ID NUMBER 00000064660002 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> (?9L) 01 NEW PERMIT ( ) 05 RENEWED PERMIT oO °iS Ll* r)ngpn 7- '6 � ( l 09 DELETE FROM FILE (NO FEE) <br /> t-1` 02 CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT l ) 08 MINOR CHANGE (NOS CHARGE) <br /> I OWNER <br /> NAME(CORPORATION,INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> CAL TRANS ( ) 01 FED f ) 02 STATE ( ) 03 LOCAL <br /> STREET ADDRESS CITY STATE IIP <br /> 1976 E. CHARTER WAY STDCKTON CA 9520 <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREMAN/SUPERVISOR <br /> STOCKTON-SHOP 10 JIM PEARSON <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 1603 'S' B ST. CHRTLKWY. <br /> CITY COUNTY IIP <br /> STOCKTON SAN JOAQUIN 9520oy <br /> MAILING ADDRESS CITY STATE IIP <br /> 1603 'S' B ST. STOCKTON CA 9520Jf <br /> PHONE W/AREA CODE TYPEOF BUSINESS <br /> 209-948-7811 ( ) 01 GASOLINE STATION (X) 02 OTHER TRANSPORTATION <br /> NUMBER. OF CONTAINERS RURAL AREAS ONLY : TOWNSHIP RANGE SECTION <br /> 5 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> D4YS: NAMEt LAST NAME FIRST) AND PHONE W/AREA CODE NIGHTS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. fX) 01 TANK ( ) 04 OTHER: CONTAINER NUMBER 307A <br /> S. MANUFACTURER (IF APPROPRIATE): YEAR MFG: C. YEAR INSTALLED FRT UNKNOWN <br /> D. CONTAINER CAPACITY: epa GALLONS FX9 UNKNOWN E. DOES THE CONTAINER STORE: ( ) 01 WASTE (X) 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? ( ) 01 YES (X) 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br /> ( ) 01 UNLEADED ( ) 02 REGULAR ( ) 03 PREMIUM IL 04 DIESEL ( 7 05 WASTE OIL ( ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( 1 GAUGE f ) INCHES f ) CM (X) UNKNOWN <br /> B. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) JQ�) 02 NON-VAULTED (7CT'03 UNKNOWN <br /> C. f ) 01 DOUBLE WALLED ( ) 02 SINGLE WALLED ( ) 03 LINED <br /> D. 01 CARBON STEEL ( ) 02 STAINLESS STEEL f l 03 FIBERGLASS f ) 04 POLYVINYL CHLORIDE ( 1 05 CONCRETE <br /> ( ) 06 ALUMINUM ( ) 07 STEEL CLAD f ) 08 BRONZE f ) 09 COMPOSITE l ) 10 NON-METALLIC <br /> rXT 12 UNKNOWN t ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br /> law, <br />