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STATE ID NUMBER 00000030588002 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> ( ) 01 NEW PERMIT ( ) 05 RENEWED PERMIT { l 07 TANK CLOSED ( ) D9 DELETE FROM FILE (NO FEE) <br /> 02 CONDITIONAL PERMIT ( ) 06 AMENDED PERVIIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> K,AME(COP,PCPATICN.INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> BANTA CARBONA IRRIGATION DISTR ( ) 01 FED [ ) 02 STATE ( ) 03 LOCAL <br /> STREET ADDRESS CITY STATE 2IR <br /> 8880 W. LINNE ROAD TRACY CA 95376 <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREMAN/SUPERVISCR <br /> MAIN OFFICE & CORPORATION YARD FRED TERRILL <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 8880 W. LINNE ROAD MACARTHUR, ROAD <br /> CITY COUNTY ZIP <br /> TRACY SAN JOAQUIN 95376 <br /> MAILING ADOPESS CITY STATE ZIP <br /> P.O. BOX 299 TRACY CA 95376 <br /> PHONE W/APEA CODE TYP$ OF BUSINESS <br /> 209-835-4670 { ) OI GASOLINE STATION (X) 02 OTHER YARD <br /> NUMBER. OF CONTAINERS RURAL AREAS ONLY TOWNSHIP RANGE SECTION <br /> 2 3S 5E 9 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DA'iS: N="E( LAST NAME FIRST) AND PHONE W/AREA CODE NIGHTS: NAME(L.AST NAME FIRST) AND PHONE W/APEA CODE <br /> TERRILL, FRED 209-835-4670 TERRILL, FRED 204-835-2760 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER. <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( ) 04 OTHER: �CCNTAINER NUMBER 3 <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: C. YEAR. INSTALLED 1965 i ) UNKNOWN <br /> D. CONTAINER CAPACITY: 4000 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 /> (X) 01 UNLEADED ( ) 02 REGULAR ( ) 03 PREMIUM ( ) 04 DIESEL ( ) 05 WASTE OIL ( 3 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: C ) GAUGE ( r INCHES ( ) CM (X) UNKNOWN <br /> B. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ( l 03 UNKNOWN <br /> C. ( l 01 DOUBLE WALLED ( ) 02 SINGLE WALLED i ) 03 LINED <br /> D. ( ) 01 CARBON STEEL i ) 02 STAINLESS STEEL l ) 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE ( ) 05 CONCRETE <br /> i ) 06 ALUMINUM ( ) 07 STEEL CLAD ( ) 08 BRONZE ( ) 09 COMPOSITE ( ) 10 NON-METALLIC <br /> (X) 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br /> 0 <br />