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• • STATE I0 NUMBER 00000036670001 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> ( 7 O1 NEW PERMIT RENEWED PERMIT 0 <br /> ] <br /> ( ] 05 <br /> ( ) 02 CONDITIONAL PERMIT ( ] 06 AMENDED PERMIT l ] OS MINOR ANGE (NO SURCHARGE)SED ( ) 09 DELETE FROM FILE (NO FEE <br /> j OWNER PUBLIC AGENCY ONLY <br /> NAME(CORPORAT:ON,INDIVIDUAL OR PUBLIC AGENCY) <br /> ( I O1 FED ( 1 02 STATE ( 1 03 LOCAL <br /> REUBEN W KNECHT BACKHOE SERVIC STATE ZIP <br /> CITY CA 95240 <br /> STREET ADDRESS LODI <br /> 1015 W. LOCKEFORD <br /> II FACILITY <br /> DEALER/FOREMAN/SUPERVISOR <br /> FACILITY NAME <br /> REUBEN W KNECHT BACKHOE SERVIC <br /> NEAREST CROSS STREET <br /> STREET ADDRESS <br /> 1015 W. LOCKEFORD ZIP <br /> COUNTY 95240 <br /> CITY SAN JOAQUIN <br /> LODI STATE ZIP <br /> CITY CA 95240 <br /> MAILING ADDRESS LOCI <br /> 1015 W. LOCKEFORD <br /> TYPE OF BUSINESS <br /> PHONE W/AREA CODE ( 1 O1 GASOLINE STATION (X) 02 OTHER SERVICE <br /> 209-368-5994 RANGE SECTION <br /> NUMBER OF CONTAINERS RURAL AREAS ONLY TOWNSHIP <br /> 2 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> AME(LAST NAME FIRST) AND PHONE W/AREA <br /> DAYS: NAME(LAST NAME FIRST) AND PHONE WAR <br /> COCE NZGHTS: N - CODE <br /> KNECHT, REUBEN 209-368-5994 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> CONTAINER NUMBER 1 <br /> A. (X) 01 TANK f ] 04 OTHER: <br /> YEAR MFG: C. YEAR INSTALLED 1955 f 7 UNKNOWN <br /> B. MANUFACTURER (IF APPROPRIATE): <br /> D. CONTAINER CAPACITY: 150 GALLONS ( ) UNKNOWN E. DOES THE CONTAINER STORE: ( ) O1 WASTE (X) 02 PRODUCT <br /> F. DOES THE <br /> CONTAINER STOREMOTORVEHICLE FUEL ORMWASDIESEL TE OILO( )E05 ( ) 02 <br /> 20Io (I) YESOCHECK APPROPRIATE BOX(ES): <br /> O <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: f ) GAUGE ( 1 INCHES ( ) CM (X) UNKNOWN <br /> B. (X) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) ( ) 02 NON-VAULTED ( ) 03 UNKNOWN <br /> C. ( ) O1 DOUBLE WALLED (X) 02 SINGLE WALLED ( ) 03 LINED <br /> 0 ( )(0) ObCARBON <br /> LUMINUMSTEEL <br /> (XI)072STEEL NCLA0 S(E)L08f BRONZEF IBERG09SCOMPOSITE POLYVINYL <br /> NON-METALLIC( l 05 CONCRETE <br /> ( ) 12 UNKNOWN ( 7 13 OTHER: <br /> PAGE 1 <br /> HSC04-070185 (10/18/85) <br />