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STATE ID NUMBER 00000016476001 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> ( 1 <br /> 01 NEW PERMIT ( ) OS RENEWED PERMIT f 07 CL ED <br /> ( 1 02 CONDITIONAL PERMIT f 1 06 AMENDED PERMIT ( ) OB MINOR ANGE (NO SURCHARGEII 09 DELETE FROM FILE (NO FEE) <br /> I OWNER <br /> NAME(CORPCRATION,INDIV:DUAL OR PUBLIC AGENCY) <br /> MARY LEHR PUBLIC AGENCY ONLY <br /> f ) 01 FED ( ) 02 STATE ( ) 03 LOCAL <br /> STREET ADDRESS <br /> 1250 EDGEWOOD DR CITY STATE zxP <br /> LODI CA 95240 <br /> II FACILITY <br /> FACILITY NAME <br /> DEALER/FOREMAN/SUPERVISOR <br /> ARTS AND ARTISTS VICTOR HUBER <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 204 E LODI AVE STOCKTON ST <br /> CITY <br /> COUNTY ZIP <br /> LODI SAN JOAQUIN 95240 <br /> MAILING ADOPESS CITY STATE ZIP <br /> 204 E LODI AVE LODI CA 95240 <br /> PHONE W/APIA CODE TYPE OF BUSINESS <br /> 209-334-2471 ( ) 01 GASOLINE STATION (X) 02 OTHER ART GALLERY <br /> NUMBER OF CONTAINERS RURAL AREAS ONLY : TOWNSHIP RANGE SECTION <br /> 1 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> OATS: NAME(LAST NAM! FIRST) AND PHONE W/AREA CODE NIGHTS: NAMCILAST NAME FIRST) AND PHONE W/AREA CODE <br /> LEHR MARY 209-369-3215 SAME - <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) Ol TANK ( ) 04 OTHER: t1955 <br /> INER NUMBER 1 <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFGC. YEAR INSTALLED 1956 ( ) UNKNOWN <br /> D. CONTAINER CAPACITY: 515 GALLONS ( 1 UNKNOWN E. DOES THE CONTAINER STORE: f ) 01 WASTE ( 1 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? it 1 01 YES it ) 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br /> ( 1 01 UNLEADED ( ) 02 REGULAR ( ] 03 PREMIUM l ) 04 DIESEL ( ) 05 WASTE OIL ( 1 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: 14 (X1 GAUGE ( 1 INCHES ( ) CM ( ) UNKNOWN <br /> B. it ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ( ) 03 UNKNOWN <br /> C. it ) 01 DOUBLE WALLED (X) 02 SINGLE WALLED ( 1 03 LINED <br /> D. (X) 01 CARBON STEEL ( 1 02 STAINLESS STEEL ( 1 03 FIBERGLASS it ) 04 POLYVINYL CHLORIDE ( l 05 CONCRETE <br /> ( ) 06 ALUMINUM ( ) 07 STEEL CLAD ( ) 08 BRONZE ( ) 09 COMPOSITE ( ) 10 NON-METALLIC <br /> ( ) 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br />