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STATE ID NUMBER 00000034557005 <br /> APPLICATION FOR PERMIT TO OPA E UNDERGROUND STORAGE TANK <br /> f ) 01 NEW PERMIT ( 7 05 RENEWED PERMIT 07 TANK CLOSED f 7 09 DELETE FROM FILE (NO FEE) <br /> ( ) 02 CONDITIONAL PERMIT ( l 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAME(CORPORATION.INOIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> LINCOLN UNIFIED SCHOOL DISTRIC ( 1 01 FED f ) 02 STATE ( 7 03 LOCAL <br /> STREET ADDRESS CITY STATE ZIP <br /> 2010 W. SWAIN ROAD STOCKTON CA 95207 <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREMAN/SUPERVISOR <br /> MAINTENANCE, OPERATIONS. TRANS ALLAN PATTERSON <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 6749 HARRISBURG PLACE BEN HOLT <br /> CITY COUNTY ZIP <br /> STOCKTON SAN JOAQUIN 95207 <br /> MAILING ADDRESS CITY STATE ZIP <br /> 6749 HARRISBURG PLACE STOCKTON CA 95207 <br /> PHONE W/AREA CODE TYPE OFBUSINESS <br /> 209-473-5585 ( 1 01 GASOLINE STATION (X) 02 OTHER SCHOOL DISTRICT <br /> NUMBER OF CCNTAINERS RURAL AREAS ONLY TOWNSHIP RANGE SECTION <br /> 5 <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 /> PATTERSON, ALLAN 209-473-5585 TALESFORE, THOMAS 209-982-8672 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( ) 04 OTHER: CONTAINER NUMBER 5 <br /> S. MANUFACTURER (IF APPROPRIATE): YEAR MFG: C. YEAR INSTALLED 1978 f ) UNKNOWN <br /> D. CONTAINER CAPACITY: 5000 GALLONS ( ) UNKNOWN E. DOES THE CONTAINER STORE: ( ) 01 WASTE ( ) 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? ( ) 01 YES ( ) 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br /> f ) 01 UNLEADED ( ) 02 REGULAR ( ) 03 PREMIUM ( ) 04 DIESEL ( 1 05 WASTE OIL ( ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: 1/4" ( ) GAUGE (X1 INCHES ( ) CM f ) UNKNOWN <br /> B. [ I 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ( ) 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED f ] 02 SINGLE WALLED ( l 03 LINED <br /> 0. ( 1 01 CARBON STEEL f ) 02 STAINLESS STEEL f ) 03 FIBERGLASS l l 04 POLYVINYL CHLORIDE ( 1 05 CONCRETE <br /> ( ) 06 ALUMINUM (X) 07 STEEL CLAD ( ) 08 BRONZE ( 1 09 COMPOSITE ( 7 10 NON-METALLIC <br /> f ) 12 UNKNOWN ( ) 13 OTHER: <br /> . HSC04-070185 (10/18/85) PAGE 1 <br />