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STATE I0 NUMBER 00000009483002 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> �(1 <br /> 01 NEW PERMIT f 1 05 RENEWED PERMIT ( ) 07 TANK CLOSED ( ) 09 DELETE FROM FILE (NO FEE) <br /> ( 102 CONDITIONAL PERMIT ( 1 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAME(COP.POPATION,INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> KOPPEL STOCKTON TERMINAL I( ) 01 FED ( ) 02 STATE ( ) 03 LOCAL <br /> STREET ADDRESS CITY STATE ZIP <br /> 2025 W. HAZELTON AVE. STOCKTON CA 95203 <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREMAN/SUPERVISOR r <br /> KOPPEL STOCKTON TERMINAL MOTEW-,-MRL A) del <br /> $TPEET ADDRESS NEAREST CROSS STREET <br /> 2025 W. HAZELTON AVE VENTURA <br /> CITY COUNTY Y952O3 <br /> STOCKTON SAN JOAQUIN MAILING ADDRESS CITY STATP.D. BOX 248 STOCKTON CA <br /> PHONE W/AREA CODE TYPE OF BUSINESS <br /> 209-466-3715 ( 1 01 GASOLINE STATION (X) 02 OTHER WAREHOUSE <br /> NUMBER OF CONTAINERS RURAL AREAS ONLY TOWNSHIP RANGE SECTION <br /> 2 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> GAYS: NAME(IAST NAME FIRST) AND PHONE W/AREA CODE NIGHTS: NAME(LAST NAME FIRST) AND PHONE W/AREA COOK <br /> MO i RL 209-466-3715 MOWdl4L'!QL 20tib9�4490 Lo .I r <br /> OL II 013 L04 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. 1X1 O1 TANK ( ) 04 OTHER: CONTAINER NUMBER 2 <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: C. YEAR INSTALLED 1976 ( ) UNKNOWN <br /> 0. CONTAINER CAPACITY: 550 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 l ) 02 NO IF YES CHECK APPROPRIATE BOX(ES)- <br /> [ ) O1 UNLEADED ( 1 02 REGULAR ( ) 03 PREMIUM (X) 04 DIESEL ( 1 OS WASTE OIL ( 1 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: 10 (X1 GAUGE f 1 INCHES ( ) CM ( ) UNKNOWN <br /> S. l 1 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ( ) 03 UNKNOWN <br /> C. f 1 01 DOUBLE WALLED (X) 02 SINGLE WALLED f ) 03 LINED <br /> D. (X) 01 CARBON STEEL l 1 02 STAINLESS STEEL ( l 03 FIBERGLASS l ) 04 POLYVINYL CHLORIDE ( 1 05 CONCRETE <br /> ( ) 06 ALUMINUM [ l 07 STEEL CLAD ( 1 OB BRONZE ( 1 09 COMPOSITE [ 1 10 NON-METALLIC <br /> 1 ) 12 UNKNOWN ( l 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br /> `i ✓ <br />