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STATE ID NUMBER 00000030588001 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> F( ) 01 NEW PERMIT i ) 05 RENEWED PERMIT ( a 07 TANK CLOSED i ) 09 DELETE FROM FILE (NO FEE) <br /> 2 CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT i J 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAr,E(CCxPOPATION.INDIVIDUAL OR PUBLIC AGENCY) PUBLICAGENCY ONLY <br /> BANTA CARBONA IRRIGATION DISTR I ) O1 FED E ) 02 STATE 03 LOCAL <br /> STREET ADDRESS CITY STATE ZIP <br /> $880 W. LINNE ROAD ]TRACY CA 95376 <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREMAN/SUPERVISOR <br /> ,MAIN OFFICE & CORPORATION YARD FRED TERRILL <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 8880 W. LINNE ROAD MACARTHUR, ROAD <br /> CITY COUNTY <br /> zIa <br /> TRACY SAN JOAQUIN 95376 <br /> MAILING ADDRESS CITY STATE 2:P <br /> P.O. BOX 299 TRACY CA 95376 <br /> PHONE W/AREA CODE TYPE OF BUSINESS <br /> 209-835-4670 ( J 01 GASOLINE STATION (X) 02 OTHER YARD <br /> NUMBER OF CONTAINERS RURAL .APEAS C`1LY . TCWNSHIP RANGE SECTION <br /> 2 3S 5E q <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> T=YS.:LKAMi—p(LAST NAME FIRST) AND PHONE W/AREA CODE NIGHTS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE <br /> T , FRED 209-835-4670 TERRILL, FRED 209-835-2760 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK [ ) 04 OTHER: CONTAINER NUMBER 2 <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: 1948 C. YEAR INSTALLED 1948 ( ) UNKNOWN <br /> D. CONTAINER CAPACITY: 1000 GALLONS ( ) UNKNOWN E. DOES THE CONTAINER STORE: ( 1 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 ( 1 04 DIESEL ( ) 05 WASTE OIL t ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( ) GAUGE ( ) INCHES ( ) CM (X) UNKNOWN <br /> B. ( J 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON—VAULTED ( ) 03 UNKNOWN <br /> C. E 1 01 DOUBLE WALLED ( ) 02 SINGLE WALLED 1 ) 03 LINED <br /> D. ( ) 01 CARBON STEEL ( ) 02 STAINLESS STEEL ( ) 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE ( ) 05 CONCRETE <br /> ( ) 06 ALUMINUM ( ) 07 STEEL CLAD ( ) 08 BRONZE ( ) 09 COMPOSITE ( ) 10 NON—METALLIC <br /> (X) 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 t10/18l851 <br /> PAGE I <br /> s <br />