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0 STATE ID NUMBER 00000045094001 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> 'V) 01 NEW PERMIT ( ) 05 RENEWED PERMIT ( l 07 TANK CLOSED ( ) 09 DELETE FROM FILE (NO FEE) <br /> { ) 02 CONDITIONAL PERMIT ( ) 05 AMENDED PERMIT f 1 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAMEICOPPOPA.TION.INDIVIOVAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> CALIFORNIA CEDAR PRODUCTS-LOCK ( 1 01 FEO ( ) 02 STATE ( l 03 'LOCAL <br /> STREET ADDRESS CITY STATE ZIP <br /> 12418 LOCKE ROAD LGCKEFORD CA 95237 <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREMAN/ ?ADVISOR <br /> CALIFORNIA CEDAR PRODUCTS-LOCK <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 12418 LOCKE ROAD HIGHWAY 12% <br /> 'CITY COUNTY ZIP <br /> LOCKEFORD SAN JOAQUIN 95237 <br /> Mk:LING ADDRESS CITY STATE ZIPor <br /> PO BOX 528 STOCKTON CA 952331 <br /> PHONE W/A.PEA CODE TYPE OF BUSINESS <br /> 209-727-5430 ( ) 01 GASOLINE STATION (X) 02 OTHER LUMBER YARD <br /> NUMBER OF CONTAINERS RURAL AREAS ONLY TOWNSHIP RANGE SECTION <br /> 3 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAME( LAST NAME FIRST) AND P4ONE W/AP.EA CODE NIGHTS: NAMEELAST NAME FIRST) AND PHONE W/AREA CODE <br /> ROB- E z09- 209-4b4= Z 3 <br /> C0MPLE+E- -G ON A SEPARATE FORM FOR EACH CONTAINER. <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( ) 04 OTHER: CONTAINER HUr18ER 1 <br /> B. MANUFACTURER (IF APPROPRIATE); YEAR MFG: C. YEAR INSTALLED (X) UNKNOWN <br /> D. CONTAINER CAPACITY: 10000 GALLONS ( ) 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 ( ) 02 REGULAR ( ) 03 PREMIUM (X) 04 DIESEL I ) 05 WASTE OIL f ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: i ) GAUGE ( ) INCHES f l CM (X) UNKNOWN <br /> B. i ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) C ) 02 NON-VAULTED (X) 03 UNKNOWN <br /> C. C ) 01 DOUBLE WALLED ( l 02 SINGLE WALLED ( ) 03 LINED <br /> 0. C ) 01 CARBON STEEL i ) 02 STAINLESS STEEL ( ) 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE ( 1 05 CONCRETE <br /> ( ) 05 ALUMINUM ( ) 07 STEEL CLAD ( ) 08 BRONZE ( 1 09 COMPOSITE ( 1 10 NON-METALLIC <br /> (XI 12 UNKNOWN ( l 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br />