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�ljoU � �i�Tl *Awe STATE ID NUMBER 00000018684001 <br /> APPLICATION FOR P ERATE UNDERGROUND STORAGE TANK <br /> ( ) <br /> 01 NEW PERMIT ( 1 05 RENEWED PERMIT (Y) 0707Tom, <br /> l ) 02 CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT ( ) MIS INOR CHANGE (NO SURCHARGE Iy 09 DELETE FROM FILE (NO F 7 <br /> I OWNER <br /> NAME(CORPORATION,INDIVIDUAL OR PUBLIC AGENCY) <br /> SINCLAIR TRUCKING PUBLIC AGENCY ONLY <br /> ( ) 01 FED f ) 02 STATE f 1 03 LOCAL <br /> ST PEET ADDRESS <br /> 3780 W. LINNE RD. ciry STATE iia <br /> TRACY CA 95376 <br /> II FACILITY <br /> E3780W. <br /> NAME <br /> TRUCKING DEALER/FOREMAN/SUPERVISOR <br /> DRESS NEAREST CROSS STREET <br /> LINNE RD. COUNTY ZIP <br /> SAN JOAQUIN 95376 <br /> MAILING ADDRESS CITY STATE ZIP <br /> 3780 W. LINNE RD. TRACY CA 95376 <br /> PHONE W/APEA CODE TYPE OF BUSINESS <br /> 209-835-5763 ( ) 01 GASOLINE STATION (X) 02 OTHER TRUCKING CO. <br /> NUMBER OF CONTAINERS RURAL AREAS ONLY TOWNSHIP RANGE SECTION <br /> 1 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAME(LAST NAM! FIRST) AND PHONE W/AREA CODE NIGHTS: NAMH(LAST NAME FIPSTI AND PHONE W/AREA CODE <br /> SINCLAIR, VERNA 209-835-5763 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( ) 04 OTHER: CONTAINER NUMBER 1 <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: C. YEAR INSTALLED (X) UNKNOWN <br /> 0. CONTAINER CAPACITY: 350 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 ( ) 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br /> ( ) 01 UNLEADED (X) 02 REGULAR ( ) 03 PREMIUM ( ) 04 DIESEL ( ) 05 WASTE OIL ( 7 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( ) GAUGE ( ) INCHES ( 1 CM (X) UNKNOWN <br /> B. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) f 1 02 NON-VAULTED (X) 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED ( 7 02 SINGLE WALLED ( 7 03 LINED <br /> D. ( ) 01 CARBON STEEL [ 7 02 STAINLESS STEEL ( ) 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE ( 1 05 CONCRETE <br /> ( ) 06 ALUMINUM ( ) 07 STEEL CLAD ( ) 08 BRONZE ( ) 09 COMPOSITE ( 1 10 NON-METALLIC <br /> (X) 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br />