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STATE IO NUMBER 00000009065001 <br /> u� APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> f�1 <br /> 01 NEW PERMIT ( ) OS RENEWED PERMIT ( ) 07 TANK CLOSED ( 1 09 DELETE FROM FILE (NO FEE) <br /> ( ) 02 CONDITIONAL PERMIT f 1 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAME(CORPORATION,INDIVIDUAL OR PUBLIC AGENCY) <br /> A-1—EXTERMINATORS,—A-tORp_.SL-E PUBLIC AGENCY ONLY <br /> ( ) 01 FED ( ) 02 STATE ( ) 03 LOCAL <br /> STREET ADDRESS <br /> 805 E. HARDING WAY CITY STATE ZIP <br /> STOCKCA 95205 <br /> II FACILITY <br /> FACILITY NAME <br /> A-1 EXTERMINATORS DEALER/FOREMAN/SUPERVISOR <br /> STREET ADDRESS z <br /> 805 E. HARDING WAY NEAREST CROSS STREET <br /> CITY <br /> STOCKTON COUNTY ZIP <br /> SAN JOAQUIN 95205 <br /> MAILING ADDRESS CITY STATE ZIP <br /> 805 E. HARDING NAY STOCKTON CA 95205 <br /> PHONE W/AREA CODE TYPE OF BUSINESS <br /> 209-465-5834 ( ) 01 GASOLINE STATION (X) 02 OTHER PEST CONTROL <br /> NUMBEP, OF CONTAINERS RURAL AREAS ONLY : TOWNSHIP RANGE SECTION <br /> r <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAME(LAST NAME FIRST) AND PRONE W/AREA CODE [NIGHTS: NAME(IAST NAME FIRST) AND PRONE W/AREA CODE <br /> GLENN REICH 209-465-5834 SAME _ <br /> COMPLETE 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 [ ) UNKNOWN <br /> 0. CONTAINER CAPACITY: 1900 GALLONS ( ] UNKNOWN E. DOES THE CONTAINER STORE: l ) 01 WASTE (X) 02 PRODUCT <br /> F. (kIS TCONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? (X) 01 YES ( ) 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br /> f OHE1 UNLEADED (' ) 02 REGULAR ( ) 03 PREMIUM ( ) 04 DIESEL ( ) 05 WASTE OIL ( ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> e <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( ) GAUGE ( ) INCHES ( ) CM (X) UNKNOWN <br /> B. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON—VAULTED f ) 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED (X) 02 SINGLE WALLED ( 1 03 LINED <br /> D. ( ) 01 CARBON STEEL ( ) 02 STAINLESS STEEL ( ) 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE ( ) 05 CONCRETE <br /> ( ) 06 ALUMINUM (X) 07 STEEL CLAD ( ) 08 BRONZE ( 1 09 COMPOSITE ( ) 10 NON—METALLIC <br /> l ) 12 UNKNOWN ( 1 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br /> low 7w <br />