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0 <br /> STATE ID NUMBER 00000040920002 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> F4( �01NE�MIT <br /> 05 RENEWED PERMIT f ) 07 TANK CLOSED ( ) 09 DELETE FROM FILE (NO FEE) <br /> NAL PERMIT t ) 06 AMENDED PERMIT ( 108 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> Ntl.ME(COFFOPATION.IN7IVI0UAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> CONTI TRUCKING, INC. l ) O1 FED ( ) 02 STATE ( l 03 LOCAL <br /> STREET ADDRESS CITY STATE ZIP <br /> 2660 LOOMIS ROAD STOCKTON CA 95205 <br /> II FACILITY <br /> FACILIT'i NAME DEALER/FOREMAN/SUPERVISOR <br /> CONTI TRUCKING INC. DONALD GOODRICH <br /> STREET ADDGESS NEAREST CROSS STREET <br /> 2660 LOOMIS ROAD HWY 99 FRONTAGE RD <br /> CITY COUNTY ZIP <br /> STOCKTON SAN JOAQUIN 95205 <br /> MAILING ADDRESSi / y <br /> CITY STATE <br /> STOCKTON CA5 <br /> PHONE W'APEA CCDE TYPE OF BUSINESS <br /> 209-948-5901 ( 1 01 GASOLINE STATION [X) 02 OTHER TRUCK TEPHINAL <br /> NU'r9ER OF CONTAINERS RURAL AREAS ONLY TOWNSHIP RANGESECTION <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> =.YS: N.AME(LAST NAME FIRST) AND PHONE W/AREA CODE NIGHTS: NAME(LAST NAME FIRST) AND PHONE W/AP.EA CODE <br /> GOCDRICHP DONALD 209-948-0903 GOODRICH, DONALD 209-948-&903. j5'7 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK i 1 04 OTHER: CONTAINER NUMBER 802 <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: C. YEAR INSTALLED 1979 ( ) UNKNOWN <br /> D. CONTAINER CAPACITY: 10000 GALLONS [ 1 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 BOX(ES): <br /> i ) 01 UNLEADED ( ) 02 REGULAR ( ) 03 PREMIUM (X) 04 DIESEL [ 1 05 WASTE OIL ( ) 06 OTHER <br /> V CONTAINER CCNSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT ( ) GAUGE ( I INCHES ( ) CM (X) UNKNOWN <br /> B. ( ) 01 VAULTED iLOCATED IN AN UNDERGROUND VAULT) LC) 02 NON-VAULTED fid)-03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED ( ) 02 SINGLE WALLED ( ) 03 LINED <br /> D. ( ) 01 CARBON STEEL ( 1 02 STAINLESS STEEL ( ) 03 FIBERGLASS f 1 04 POLYVINYL CHLORIDE ( ) 05 CONCRETE <br /> t ) 06 ALUMINUM ( ) 07 STEEL CLAD ( ➢ 08 BRONZE ( l 09 COMPOSITE ( ) 10 NON-METALLIC <br /> (X) 12 UNKNOWN ( ) 13 OTHER* <br /> HSC04-070185 (10/18/85) PAGE 1 <br />