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STATE ID NUMBER 00000011282001 <br /> NK <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE` 09 DELETE <br /> FROM FILE (NO FEE])(X-r'ul NEW PERMIT ( ) 05 RENEWED PERMIT ( ) 07 TANK CLOSED <br /> 02 CONDITIONAL PERMIT ( 1 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I <br /> OWNER . PUBLIC AGENCY ONLY <br /> N4ME(CORPORATIONrSNDIVIDUAL OR PUBLIC AGENCY) <br /> ( 1 01 FED ( ) 02 STATE oO3 LOCAL <br /> CITY OF STOCKTON STATE ZIP <br /> CITY CA 95202 <br /> STREET ADDRESS STOCKTON <br /> 425 N. EL DORADO <br /> II FACILITY ( �DEALER/FOREMAN/SUPERVISORr� ,r./r 1 J, <br /> FACILITY NAME f/'F c -•QPi•TC�1PS (tl�^1G <br /> ENGINE COMPANY N5 <br /> NEAREST CROSS STREET <br /> STREET ADDRESS EIGHTH STREET <br /> 2201 LEVER BLVD. ZIP <br /> COUNTY 95206 <br /> CITY SAN JOAQUIN <br /> STOCKTON STATE ZIP <br /> CITY CA 95206 <br /> MAILING ADDRESS STOCKTON <br /> 2201 LEVER BLVD. <br /> TYPE OF BUSINESS <br /> PHONE W/AREA CODE ( ) 01 GASOLINE STATION (X) 02 OTHER FIRE STATION <br /> 209-462-3227 RANGE SECTION <br /> RURAL AREAS ONLY : TOWNSHIP N/A N/A <br /> NUMBER OF CONTAINERS N/A <br /> 1 <br /> III 24 HOUR EMERGENCY CONTACT PERSON NIGHTS. NAME(LAST NAME FIRST) AND PHONE W/AREA CODE <br /> JY — 2 1 <br /> DAYS: ME(IAST NAME FIRST) AND PHONE /AREA CODE <br /> SAME- yy`o` <br /> BAWE I�jAl5 he!- 2E1`lb <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> CONTAINER NUMBER. <br /> A. (X) Ol TANK ( ) 04 OTHER <br /> YEAR MFG: <br /> C. YEAR INSTALLED (X) UNKNOWN <br /> B. MANUFACTURER (IF APPROPRIATE): UNKNOWN <br /> D. CONTAINER CAPACITY: 1000 GALLONS ( 1 UNKNOWN E. GOES THE CONTAINER STORE ( ) O1 WASTE (X) 02 PRODUCT <br /> 2 <br /> F. DOES 01 THE <br /> CONTAINER STOREREGUOR VEHICLEE FUEL ORMWASTE OOIL <br /> DIESEL O( )E 05 WASTE OIOL (ISCHECK APPROPRIATE BOX(ES): <br /> ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT* ( ] GAUGE ( 1 INCHES ( 1 CM (X) UNKNOWN <br /> B. ( ) O1 VAULTED (LOCATED IN AN UNDERGROUND VAULT) ( ) 02 NON-VAULTED 6X1 03 UNKNOWN <br /> C. ( ) O1 DOUBLE WALLED ( 1 02 SINGLE WALLED ( 1 03 LINED <br /> 1 04 D ( 1(01 CARBON STEEL (( 1)002SSTAINLESS <br /> S(EELOB(BRO03 FIBERGLLAASCOMPOSITE POL1V10YNONMETACHLORIDE5 CONCRETE <br /> NON-06 METALLIC <br /> 1 <br /> TEEL <br /> CLAD <br /> 09 <br /> (X) 12 UNKNOWN ( ) 13 OTHER.- PAGE 1 <br /> HSC04-070185 (10/18/851 <br />