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STATE ID NUMBER 00000045099003 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> 01 NEW PERMIT ( ) 05 RENEWED PERMIT ( 1 07 TANK CLOSED i ) 09 DELETE FROM FILE (NO FEE) <br /> ( l 02 CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br /> i OWNER <br /> NAME(CCPPOPATION,INDIVIDU.AL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> CALIFORNIA CEDAR, PRODUCTS-LOCK C ) 01 FED ( ) 02 STATE ( ) 03 LOCAL <br /> STREET LCOZESS CITY STATE ZIP <br /> 12418 LOCKE ROAD LOCKEFORD CA 95237 <br /> II FACILITY <br /> FACILITY NAME DEAL€R/FCREM.AN/SUPERVISOR <br /> CALIFORNIA CEDAR PRODUCTS-LOCK RAE Com' J� 6 V6 6+ <br /> STREET .ADDRESS NEAREST CROSS STREET <br /> 12418 LOCKE ROAD HIGHWAY 12 <br /> CITY COUNTY ZIP <br /> LOCKEFORD SAN JOAQUIN 95237 <br /> MAILING ADDRESSCITY STATE Zip <br /> PO BOX 528 STOCKTON �CA 95237 <br /> PHONE W/AREA CODE TYPE OF BUSINESS <br /> 209-727-5430 C 1 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 /> DAIS: NAM (LAST NAMEFIRST) AND PHONE W/AP.EA CODE NIGHTS: NAME( LAST NAME FIRST) AND PHONE W/AREA CODE <br /> ROB CHASE 209-944-5800 ROB CHASE 209-464-2273 <br /> 6RqVr XAVeLFi06C-rU A <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK t ) 04 OTHER: CONTAINER NUMBER 3 <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: C. YEAR INSTALLED (X) UNKNOWN <br /> D. CONTAINER CAPACITY: 10000 GALLONS ( 1 UNKNOWN E. DOES THE CONTAINER STORE: ( l 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 f ) 02 REGULAR ( ) 03 PREMIUM (X) 04 DIESEL [ ) 05 WASTE OIL ( ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( ) GAUGE C l INCHES ( ) CM (X) UNKNOWN <br /> S. ( J 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) ( 1 02 NON-VAULTED (X) 03 UNKNOWN <br /> C. C ) 01 DOUBLE WALLED ( ) 02 SINGLE WALLED ( 1 03 LINED <br /> D. [ ) 01 CARBON STEEL ( 1 02 STAINLESS STEEL ( ) 03 FIBERGLASS ( 1 04 POLYVINYL CHLORIDE f ) 05 CONCRETE <br /> ( ) 06 ALUMINUM C ) 07 STEEL CLAD ( l 08 BRONZE ( 1 09 COMPOSITE ( ) 10 NON-METALLIC <br /> (X) 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br />