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a /n1� <br /> STATE ID NUMBER 00000059169 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> f ) 01 NEW PERMIT ( 1 05 RENEWED PERMIT1 07 TANK CLOSED �,/1�L <br /> ( ) 02 CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT 08 MINOR CHANGE (NO SURCHARGE 9 DELETE FROM FILE (NO FEE) <br /> I OWNER <br /> NAM'-(CCPPORATION,INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> DELTA INVESTMENT GROUP <br /> ( 1 <br /> 01 FED f ) 02 STATE f ) 03 LOCAL <br /> STREET ADDRESS <br /> 808 EVERT COURT CITY STATE ZIP <br /> LORI CA 95240 <br /> II FACILITY <br /> FACILITY NAME <br /> GLEN FREIH'S ARCO DEALER/FOPEMAN/SUPERVISOR <br /> GLENN FREIH <br /> STREET ADDRESS <br /> 1301 W. LOCKEFOP.O ST. NEAREST CROSS STREET <br /> HAM LANE <br /> CITY <br /> COUNTY ZIP <br /> LODI SAN JOAQUIN 95240 <br /> MAILING ADDFESS CITY <br /> 1301 W. LOCKEFORO ST. STATE IIP <br /> [Col <br /> CA 95240 <br /> PHONE W/AREA CODE TYPE OF BUSINESS <br /> 209-368-5689 (X) 01 GASOLINE STATION ( ) 02 OTHER <br /> NUMBER OF CONTAINERS RURAL AREAS ONLY : TOWNSHIP RANGE SECTION <br /> Y <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE NIGHTS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE <br /> SNIDER, JOHN 209-333-0900 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( ) 04 OTHER: CONTAINER NUMBER 2 <br /> S. MANUFACTURER (IF APPROPRIATE): YEAR MFG: C. YEAR INSTALLED (X) UNKNOWN <br /> D. CONTAINER CAPACITY: 6000 GALLONS ( 7 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 ( 1 02 NO IF YES CHECK APPROPRIATE BOXES): <br /> ( ) 01 UNLEADED ( ) 02 REGULAR (X) 03 PREMIUM ( ) 04 DIESEL ( ) 05 WASTE OIL ( ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> 0 <br /> A. THICKNESS OF PRIMARY CONTAINMENT: 1/4 f ) GAUGE (X) INCHES ( ) CM [ ) UNKNOWN <br /> B. ( 1 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ( ) 03 UNKNOWN <br /> C. ( 7 01 DOUBLE WALLED (X) 02 SINGLE WALLED f 1 03 LINED <br /> D. (X) 01 CARBON STEEL ( ) 02 STAINLESS STEEL ( 1 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE f ) 05 CONCRETE <br /> f ) 06 ALUMINUM ( ) 07 STEEL CLAD ( ) 08 BRONZE ( ] 09 COMPOSITE f ] 10 NON-METALLIC <br /> ( 1 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) <br /> PAGE 1 <br /> 0 <br />