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0 <br /> STATE ID NUMBER 00000001.392004 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> ) 01 NEW PERMIT E l 05 RENEWED PERMIT ( 1 07 TANK CLOSED ( ) 09 DELETE FROM FILE 4NO 'FEE) <br /> 1 02 CONDITIONAL PERMIT ( ? 06 AMENDED PERMIT ( 1 08 MINOR CHANGE (NO SURCHARGE) <br /> OWNER <br /> NAMEtCORPORATICN,INDIVIDUAL OR PUBLIC AGENCY) <br /> FptL <br /> IC AGENCY ONLY <br /> AMERICAN SAVINGS AND LOAN 41 FED ( ) 02 STATE ( ] 03 LOCAL <br /> Si%SET AGDPESS CITY STATE ZIP <br /> 1883 LOCKHEED COURT STOCKTON CA 95206 <br /> II FACILITY <br /> FACILITY NAME D_ALEP./FOP.EMAN/SUPERVISOR <br /> AMERICAN SAVINGS/LOAN ASSOC. JAS4-5RI!)6) CORD &(:5 le o0ed <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 1888 LOCKHEED COURT C. E. DIXON <br /> CITY COUNTY ZIP <br /> STOCKTON SAN JOAQUIN 95201 <br /> MAILING ADDRESS CITY STATE ZIP <br /> P.O. DRAWER D STOCKTON CA 95201 <br /> PHONE W/AREA CCDE TYPE OF BUSINESS <br /> 20 p ( 1 01 GA50LINE STATION (Xl 02 OTHER BANKS <br /> NUMBEP OF CONTAINEPS RURAL AREAS ONLY : TOWNSHIP ANGE SECTION <br /> 4 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NA"E( L4ST NAME FIRST) AND PHONE W/AREA CODE NIGHTS: NAME(LAST NAME FIRST) AND PHONE W/AP.EA CODE <br /> BRIDGEFOPD,JACK 209-44-3m33.12 BRIOGEFORD,JACK 209-4-34-1612 <br /> flM-Ft-ffG THE f=L'014ING ON A SEPARATE ­ - EACH CONTAIME-R---- <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( ) 04 OTHER: CONTAINER NUMBER 4 <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: C. YEAR INSTALLED 1982 ( 1 UNKNOWN <br /> 0. CONTAINER CAPACITY: 12000 GALLONS ( 1 UNKNOWN E. DOES THE CONTAINER STORE= ( ) 01 WASTE (X1 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 i ) 02 REGULAR (X) 03 PREMIUM ( ) 04 DIESEL ( 1 05 WASTE OIL ( ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: 3/8 ( ) GAUGE (X) INCHES f l CM ( ) UNKNOWN <br /> B. ( 1 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NCN-VAULTED ( 1 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED (X) 02 SINGLE WALLED ( ) 03 LINED <br /> D. (X) 01 CARBON STEEL ( 1 02 STAINLESS STEEL f 1 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE ( ) 05 CONCRETE <br /> ( ) 06 ALUMINUM ( 1 07 STEEL CLAD ( ) 08 BRONZE ( ) 09 COMPOSITE ( l 10 NON-METALLIC <br /> ( ) 12 UNKNOWN ( 1 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br />