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STATE I0 NUMBER 00000000747002 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> f <br /> 01 NEW PERMIT ( ) 05 RENEWED PERMIT ( ) 07 TANK CLOSED ( ) 09 DELETE FROM FILE (NO FEE) <br /> l 02 CONDITIONAL PERMIT ( l 06 AMENDED PERMIT ( ) 08 MIHOR) CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAME(CORPORATION.INDIVICUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> ANHEUSER-BUSCH, INC. 9TOGttl"tM'- l 1 01 FED ( ) 02 STATE ( ) 03 LOCAL <br /> STREET ADOEESSCITY /_ �� STATE ZIP <br /> /3lL5CEf % Gull r7 0, ""S-6 1 r <br /> II FACILITY <br /> FACILITY NAME DEALER/POREMAN/SUPERVISOR <br /> STOCKTON WHOLESALE OPERATION 0 Vlyf OA( JAMES KONERSMAN, GENERAL MANAG(Z, <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 3932 BUDWEISER COURT WATERLOO ROAD <br /> CITY COUNTY ZIP <br /> STOCKTON SAN JOAQUIN 95205 <br /> MAILING ADOPESS CITY STATE ZIP <br /> P.O. BOX 5218 STOCKTON CA 952052301 <br /> PHONE 'W/AREA CODE TYPE OF BUSINESS <br /> 209-931-5661 ( l 01 GASOLINE STATION (X) 02 OTHER WHOLESALER <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 /> PRIDE WRIGHT 209-931-5661 KEVIN BYRNE 209-931-566,15- <br /> COMPLETE <br /> 09-931-566,YSCOMPLETE 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): YEAR MFG: ' C. YEAR INSTALLED (X) UNKNOWN <br /> D. CONTAINER CAPACITY: 6000 GALLONS f ) UNKNOWN E. DOES THE CONTAINER STORE: ( ) 01 WASTE (X) 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? (X) 01 YES f ) 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br /> (LL 01 UNLEADED P)H 02 REGULAR ( ) 03 PREMIUM ( 1 04 DIESEL ( ) 05 WASTE OIL ( 1 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( ) GAUGE ( 1 INCHES ( ) CM (X) UNKNOWN <br /> B. ( 1 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ( ) 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED ( ) 02 SINGLE WALLED ( ) 03 LINED <br /> D. ( ) Ol CARBON STEEL f ) 02 STAINLESS STEEL f ) 03 FIBERGLASS f l 04 POLYVINYL CHLORIDE ( ) 05 CONCRETE <br /> f ) 06 ALUMINUM ( ) 07 STEEL CLAD ( ) 08 BRONZE ( ) 09 COMPOSITE ( ) 10 NON-METALLIC <br /> (X) 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br />