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STATE ID NUMBER 00000045099002 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> 01 NEW PERMIT ( ) 05 RENEWED PERMIT ( l 07 TANK CLOSED ( } 09 DELETE FROM FILE (NO FEE) <br /> 02 CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> N4ME(COPPCPATION.IND:VIOUAL OR PUBLIC AGENCY) L <br /> IC AGENCY ONLY <br /> CALIFORNIA CEDAR PRODUCTS-LOCK 01 FED ( 1 02 STATE f ) 03 LOCAL <br /> STREET .ADDFcSS CITY STATE ZIP <br /> 12418 LCCKE ROAD LOCKEFORD CA 95237 <br /> II FACILITY <br /> FACILITY NAME DEALER/FORE AN/SUPERVISOR <br /> CALIFORNIA CEDAR PRODUCTS-LOCK ra) <br /> E. <br /> STREET ADDRESS NEAREST CROSS STREET -� <br /> 12418 LOCKE ROAD HIGHWAY 12 <br /> CITY <br /> COUNTY ZIP <br /> LOCKEFORO SAN JOAQUIN 95237 <br /> MAILING ADDRESSCITY STATE ZIP <br /> PO BOX 528 ::I-STOCKTON CA 95237 <br /> PHONE W/AREA CODE TYRE OF BUSINESS <br /> 209-727-5430 ( ) 01 GASOLINE STATION (X) 02 OTHER LUMBER YARD <br /> NUMBER OF CONTAINERS PUPAL AREAS ONLY ,TOWNSHIP RANGE SECTION <br /> 3 <br /> III 24 HCUR EMERGENCY CONTACT PERSON <br /> DAYS: NAME LAST NAME FIRST) AND PHONE W/AREA CODE NIGHTS: N.AME(LAST NAME FIRST) AND PHONE W/AREA CODE <br /> Rfl8- #HL'�E 209-944-5800 R0&-GHASE 209-464-2273 <br /> s_�;20 or (L - rP_fk�(l� ! 6 c/C, 204 10 <br /> CCiFiFrC E LrH'�.FOLLOWING flN _A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( 1 04 OTHER: CONTAINER NUMBER 2 <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 ( ) 05 WASTE OIL ( 1 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: i l GAUGE ( ) INCHES f } CM (X) UNKNOWN <br /> B. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) ( ) 02 NON-VAULTED (X) 03 UNKNOWN <br /> C, l ) 01 DOUBLE WALLED ( ) 02 SINGLE WALLED f ) 03 LINED <br /> D. i ) 01 CARBON STEEL ( ) 02 STAINLESS STEEL ( ) 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE ( ) 05 CONCRETE <br /> ( ) 06 ALUMINUM ( 1 07 STEEL CLAD ( l 08 BRONZE ( ) 09 COMPOSITE ( ) 10 NON-METALLIC <br /> (X) 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br />