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STATE ID NUMBER 00000045123002 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> J 01 NEW PERMIT ( ) 05 RENEWED PERMIT t ) 07 TANK CLOSED ( ) 09 DELETE FROM FILE (NO FEE) <br /> ( ) 02 CONDITIONAL PERMIT ( ] 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) — <br /> I OWNER <br /> NAME(CORPCRAT:ON,INDIVIOUAL DP PUBLIC AGENCY) <br /> WERNER'S AERO SERVICE PUBLIC AGENCY ONLY <br /> ( 1 01 FED ( 1 02 STATE [ ) 03 LOCAL <br /> STREET ADDRESS _ <br /> 1425K LI' T / ) � / C TY STATE ZIP <br /> b c �•P STOCKTON CA 95206 <br /> II FACILITY <br /> FACILITY NAME <br /> WERNER'S AERD SERVICE DEALEROFOREM N/SUPERVISO <br /> STREET ADDRESS <br /> NEAREST CROSS STREET � `�""`-�^'" <br /> 1425 LINDBERGH S E �z�6 /'� '�' {rf- <br /> e2TY � 3ri <br /> STOCKTON COUNTY ZIP <br /> SAN JOAQUIN 95206 <br /> MAILING ADDRESS <br /> 1425 QST, CITY STATE ZIP <br /> STOCKTON CA 95206 <br /> PHONE W/AREA COD'E'S""`___ PE OF BUSINESS <br /> 209-982-1010 ( ] 01 GASOLINE STATION (X) 02 OTHER AIRCRAFT <br /> NU-,BEP OF CONTAINERS RURAL AREAS ONLY . TOWNSHIP RANGE <br /> 3 SECTION <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> =GEORGER. <br /> ST NAME FIRST) AND PHONE W/AREA C00E NIGHTS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE <br /> NER 209-982-1010 WERNER GEORGE R. 477-401-7 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (XI 01 TANK ( ) 04 OTHER: CONTAINER NUMBER 2 <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: C. YEAR INSTALLED 1970 ( 1 UNKNOWN <br /> D. CONTAINER, CAPACITY: 10000 GALLONS ( 1 UNKNOWN �DOESTHETAINER STORE: ( l 01 WASTE (X) 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? (X) 01 YES ( ) 02 HO IF YES CHECK APPROPRIATE BOX(ES): <br /> f ) 01 UNLEADED ( ) 02 REGULAR ( 1 03 PREMIUM ( ) 04 DIESEL C ) 05 WASTE OIL (X) 06 OTHER AVIATION AV GAS <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( ) GAUGE ( ) INCHES ( I CM (X) UNKNOWN <br /> B. ( 1 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ( 1 03 UNKNOWN <br /> C. t l 01 DOUBLE WALLED f l 02 SINGLE WALLED ( ) 03 LINED <br /> D. (X) 01 CARBON STEEL ( 1 02 STAINLESS STEEL ( ) 03 FIBERGLASS ( l 04 POLYVINYL CHLORIDE ( ) 05 CONCRETE <br /> f ) 06 ALUMINUM ( ) 07 STEEL CLAD ( ) 08 BRONZE ( 1 09 COMPOSITE ( 1 10 NON-METALLIC <br /> ( ) 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/851 <br /> PAGE 1 <br />