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• Oe <br /> /_j� • STATE ID NUMBER 00000036670002 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> 07 TANK CLOSED ( ) 09 DELETE FROM FILE (NO FEE) <br /> ( 1 O1 NEW PERMIT ( 1 05 RENEWED PERMIT ANGE (NO SURCHARGE) <br /> ( ) 02 CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT <br /> I OWNER <br /> PUBLIC AGENCY ONLY <br /> NAMEf CCRFORATION�ZND IVIDUA L OR PU9LIC AGENCY) [ ) 01 FED ( ) 02 STATE ( 1 03 LOCAL <br /> REUBEN W KNECHT BACKHOE SERVIC STATE IIP <br /> CITY 95240 <br /> STREET ADO P.ESS LORI CA <br /> 1015 W. LOCKEFORO <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 I_P <br /> COUNTY <br /> 95240 <br /> CITY SAN JOAQUIN <br /> LODI <br /> STATE IIP <br /> CITY CA 95240 <br /> M4ILING ADDRESS LODI <br /> 1015 W. LOCKEFORD <br /> PHONE W/AREA CODE <br /> TYPE OF BUSINESS <br /> 209-368-5994 ( ) O1 GASOLINE STATION (X) 02 OTHER SERVIC <br /> NUMBER OF CONTAINERS RURAL AREAS ONLY TOWNSHIP <br /> RANGE SECTION <br /> 2 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAME(LAST NAME FIRST) AND PHONE W/APEA CODE NIGHTS: NAME(LAST NAME FIRST AND-PMO NE W/AREA CODE <br /> KNECHT, REUBEN 209-368-5994 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> CONTAINER NUMBER 2 <br /> A. (X) 01 TANK ( ) 0E S. MANUFACTURER (IF A : YEAR MFG: C. YEAR INSTALLED 1955 ( 1 UNKNOWN <br /> 0. CONTAINER CAPACITY: 550 GALLONS ( ) UNKNOWN E. DOES THE CONTAINER STORE: ( ) 01 WASTE (X) 02 PRODUCT <br /> F. DOES ;HUNLEADEONERX5T002ERMOTOR EGULARVEHI)L03F PREMIUM0404LDIESEL O( 1E 05 WASTE20IOL (I1 06SOTH OTHER APPROPRIATE BOX(ES)- <br /> ( <br /> OX)ES): <br /> V CONTAINER CONSTRUCTION <br /> F.,, <br /> OF PRIMARY CONTAINMENT: ( ) GAUGE ( 1 INCHES ( ) CM (X) UNKNOWN <br /> LTED (LOCATED IN AN UNDERGROUND VAULT) ( 1 02 NON-VAULTED ( ) 03 UNKNOWN <br /> BLE WALLED ( l 02 SINGLE WALLED ( 1 03 LINED <br /> LORIDE <br /> ALUMINUML STAINLESS <br /> S(EEL08( 03 BRONZEFIBERG09SS 04 COMPOSITE POL1V10YNON-METALLIC( ) 05 CONCRETE <br /> NOWN ( ) 13 OTHER: <br /> PAGE 1 <br /> HSC04-070185 (10/18/851 <br />