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STATE I0 NUMBER 00000058666001 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> (M1 01 NEW PERMIT 05 RENEWED PERMIT ( ) 07 TANK 02 CONDITIONAL PERMIT ( 1 06 AMENDED PERMIT ( ) 08 MINOR CLOSED ( ) 09 DELETE FROM FILE (NO FEE) <br /> CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAME(COPPOPATION.INOIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> STOCKTON UNIFIED SCHOOL DISTRZ I( ) 01 1.FED ( ) 02 STATE V-0-03 LOCAL <br /> STREET ADDRESS CITY STATE ZIP <br /> 701 NORTH MADISON ST. STOCKTON CA 95202 <br /> II FACILITY <br /> FACILITY NAME SU_JD - DEALER/FOREMAN/SUPERVISO �1f •I <br /> f, <br /> STAGG HIGH SCHOOL w <br /> . DIRECTOR ) A,4Eh4nC <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 1621 BROOKSIDE PERSHING <br /> CITY COUNTY IF <br /> STOCKTON SAN JOAQUIN 95207 <br /> MAILING ADDRESS CITY STATE ZIP <br /> 1932 EL PINAL STOCKTON CA 95205 <br /> PHONE W/AREA CODE TYPE OF BUSINESS <br /> 209-944-4078 ( ) 01 GASOLINE STATION ( ) 02 OTHER <br /> NUMBER OF CONTAINERS RURAL AREAS ONLY : TOWNSHIP RANGE SECTION <br /> 2 <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/AREA CODE <br /> 209-944-4078 SAME - <br /> oozL- Rfty <br /> CAPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( ) 04 OTHER: CONTAINER NUMBER 1 <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: C. YEAR INSTALLED 1979 f 1 UNKNOWN <br /> D. CONTAINER CAPACITY: 500 GALLONS ( 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 ( 1 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br /> f 1 01 UNLEADED (X) 02 REGULAR f 103 PREMIUM ( ) 04 DIESEL f ) 05 WASTE OIL ( ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( ) GAUGE ( l INCHES ( ) CM (X) UNKNOWN <br /> B. f l 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ( ) 03 UNKNOWN <br /> C. ( 7 01 DOUBLE WALLED (X) 02 SINGLE WALLED ( 1 03 LINED <br /> 0. (X) 01 CARBON STEEL t 1 02 STAINLESS STEEL t ) 03 FIBERGLASS [ ) 04 POLYVINYL CHLORIDE ( ) OS CONCRETE <br /> l ) 06 ALUMINUM ( ) 07 STEEL CLAD f l 08 BRONZE f ) 09 COMPOSITE ( 1 10 NON-METALLIC <br /> ( 1 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br />