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STATE ID NUMBER 00000001392003 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> (; ) <br /> 0 <br /> 1 NEW PERMIT [ ) 05 RENEWED PERMIT ( 1 07 TANK CLOSED ( l 09 DELETE FROM FILE (NO FEE) <br /> ( 02 CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> N.AME(COPPOPATION,INDIVIDUAL OR PUBLIC AGENCY) PUBLICAGENCY ONLY <br /> AMERICAN SAVINGS AND LOAN ( ) 01 FED C i 02 STATE i ) 03 LOCAL <br /> STREET ADDRESS =SITTOCKTON <br /> STATE ZIP <br /> 1888 LOCKHEED COURT CA 9520b <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREM.AN/SUPERVISOR <br /> AMERICAN SAVINGS/LOAN ASSOC. rlAs~KrBRI D Q �/E,�l� <br /> STP.EET ASDPESS NEAREST CROSS STREET <br /> 1888 LOCKHEED COURT C. E. DIXON <br /> CITY COUNTY ?CA <br /> IP <br /> STOCKTON SAN JOAQUIN 95201 <br /> MAILING ADDRESS CITY ZIP <br /> F.O. DRAWER D STOCKTON 95201 <br /> PHONE W/APEA CODE ]TlEOFF BUSINESS <br /> 209-944. 3 _Clo 9 ( 1 01 GASOLINE STATION (XI 02 OTHER BANKS <br /> NUMBER OF CONTA?pprse...,.­.. p FPIPAL .AREAS ONLY T TOWNSHIP SECTION <br /> 4 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> [DAYS: NAME(LAST NAME FIF.ST) AND PHONE W/AREA CODE NIGHTS: N.AME(LAST NAME FIRST) AND PHONE W/ARE.A CODE <br /> EZLRaJ'ACK X212 BRT�FJ3R K 289--334= 2 <br /> THE ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK [ ) 04 OTHER* CONTAINER NUMBER 3 <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: C. YEAR INSTALLED 1982 ( ) UNKNOWN <br /> D. CONTAINER CAPACITY: 12000 GALLONS ( l 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 C ) 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br /> l 1 01 UNLEADED [ ) 02 REGULAR ( l 03 PREMIUM ( l 04 DIESEL ( ) 05 WASTE OIL (XI 06 OTHER JET FUEL <br /> V CONTAINER CONSTRUCTION ° <br /> A. THICKNESS OF PRIMARY CCNTAIHMENT: 3/8 ( ) GAUGE [X) INCHES C ) CM ( 1 UNKNOWN <br /> B. f ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ( ) 03 UNKNOWN <br /> C. ( 1 01 DOUBLE WALLED (X) 02 SINGLE WALLED [ ) 03 LINED <br /> D., (X) 01 CARBON STEEL C l 02 STAINLESS STEEL ( 1 03 FIBERGLASS C ) 04 POLYVINYL CHLORIDE ( ) 05 CONCRETE <br /> C ) 06 ALUMINUM ( 7 07 STEEL CLAD C l 08 BRONZE [ ) 09 COMPOSITE ( l 10 NON-METALLIC <br /> t 1 12 UNKNOWN ( ) 13 OTHER*. <br /> HSC04-070185 (10/18/85) PAGE 1 <br /> 0 <br />