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STATE ID NUMBER 00000051472001 <br /> ar <br /> /WT�rN pIPT(f�k� /•r <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> O1 NEW PERMIT f 1 05 RENEWED PERMIT 7 TANK CLOSED _P9 DELETE FROM FILE (NO FEE) <br /> 1 02 CONDITIONAL PERMIT f ) 06 AMENDED PERMIT ( 108 MINOR CHANGE (NO SURCHARG <br /> I OWNER <br /> NAME(CORPORATION,INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> CASE POWER 8 EQUIPMENT ( 1 01 FED f ) 02 STATE ( l 03 LOCAL <br /> STREET ADDRESS CITY STATE 2IP <br /> 880 S. BECKMAN ROAD LODI CA 95240 <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREMAN SUPER ISOR <br /> CASE POWER i EQUIPMENT �' <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 880 S. BEKMAN ROAD <br /> CITY COUNTY ZIP <br /> LODI SAN JOAQUIN 95240 <br /> MAILING ADDRESS CITYSTATE ZIP <br /> 880 S. BEKMAN ROAD LODI CA 95240 <br /> PHONE W/AREA CODE TYPE OF BUSINESS <br /> 209-+#T.84.q ( ) 01 GASOLINE STATION (X) 02 OTHER AG TRACTOR SALES <br /> NUMBER OF CONTAINERS RURAL AREAS ONLY TOWNSHIP RANGE SECTION <br /> 2 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAME(LA T NAME FIRST) AND PHONE W/AREA CODE NIGHTS: NAME(L'AST NAME FIRST) AND PHONE W/AREA CODE <br /> Ila�Z� SAME S_ <br /> C THE FOLLOWING ON A SEPARATE FORM FOR- EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( 1 04 OTHER: CONTAINER NUMBER 2 <br /> B. MANUFACTURER (IF APPROPRIATE): WESTERN METER SERVICE YEAR MFG: C. YEAR INSTALLED 1981 ( ) UNKNOWN <br /> D. CONTAINER CAPACITY: 3000 GALLONS f 1 UNKNOWN E. DOES THE CONTAINER STORE: ( 1 01 WASTE (X) 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? (X) 01 YES f l 02 NO I YES CHECK APPROPRIATE BOX(ES): <br /> (%) 01 UNLEADED f 102 REGULAR ( 7 03 PREMIUM ( ) 04 DIESEL ( ) 05 WASTE OIL 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( ) GAUGE ( 1 INCHES ( ) CM (X) UNKNOWN <br /> B. ( l 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ( ) 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED ( ) 02 SINGLE WALLED ( ) 03 LINED <br /> 0. l ) 01 CARBON STEEL ( 7 02 STAINLESS STEEL f ) 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE ( 1 05 CONCRETE <br /> ( ) 06 ALUMINUM ( ) 07 STEEL CLAD ( ) 08 BRONZE ( 1 09 COMPOSITE ( 7 10 NON-METALLIC <br /> (X) 12 UNKNOWN ( 1 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br /> y <br />