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,D-e le lir STATE IO NUMBER 00000042978001 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> ( ) <br /> 01 NEW PERMIT ( ) 05 RENEWED PERMIT ) 07 TAMC CLOSE ( ) 09 DELETE FROM FILE (NO FEE) <br /> f 1 02 CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT (NO SURCHARGE) <br /> I OWNER <br /> NAME(CORPORATION,INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> BREA AGRICULTURAL SERVICE, INC ( ) O1 FED ( l 02 STATE ( ) 03 LOCAL <br /> STREET ADDRESS CITY STATC ZIP <br /> 1336 W. FREMONT ST. (DRAWER I) STOCKTON CA 95201 <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREMAN/SUPERVISOR <br /> BREA AGRICULTURAL SERVICE, INC RICH NEUHARTH <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 6042 EAST KETTLEMAN CURRY LANE <br /> CITY <br /> COUNTY LIP <br /> LODI SAN JOAQUIN 95240 <br /> MAILING ADDRESS CITY STATE ZIP <br /> P.O. BOX 668 LODI CA 95241 <br /> PHONE WlAREA C00! TYPE OF BUSINESS <br /> 209-334-2732 ( ] 01 GASOLINE STATION (X) 02 OTHER RETAIL FERTILIZERS <br /> NUMBER OF CONTAINERS RURAL ARIAS ONIY TOWNSHIP RANG{ SECTION <br /> 1 <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 /> NEUHARTH, RICH 209-369-6709 NElA1ARTH, RICH 209-360-6709 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK f 1 04 OTHER: CONTAINER NUMBER 765-440-00 <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: 1981 C. YEAR INSTALLED 1981 f ) UNKNOWN <br /> D. CONTAINER CAPACITY: 2500 GALLONS ( ) UNKNOWN E. DOES THE CONTAINER STORE: f ) 01 WASTE (X) 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? (X) 91 YES ( ) 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br /> (X) 01 UNLEADED ( ) 02 REGULAR ( ) 03 PREMIUM ( ) 04 DIESEL ( ) 05 WASTE OIL f ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: 3/16 ( ) GAUGE (X) INCHES ( ) CM ( 1 UNKNOWN <br /> B. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ( ) 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED (X) 02 SINGLE WALLED ( 1 03 LINED <br /> 0. ( ) 01 CARBON STEEL ( 1 02 STAINLESS STEEL ( 1 03 FIBERGLASS f ) 04 POLYVINYL CHLORIDE ( ) 05 CONCRETE <br /> ( ) 06 ALUMINUM ( ) 07 STEEL CLAD ( ) 08 BRONZE ( 1 09 COMPOSITE ( 110 NON-METALLIC <br /> ( ) 12 UNKNOWN (X) 13 OTHER: MILD STEEL <br /> HSC04-070185 (10/18/851 PAGE 1 <br />