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°1 MEW APPLICATION FOR PERMIT 0 <br /> MMIN <br /> � PERMIT T T D <br /> D <br /> AL PERMIT OPERATE srarE TO( ) 05 RENEWED PERMIT NUMBER 0000006380900 <br /> I ( ) 06 AMENDED PERMIT f ) 07 TANK UNDERGROUND STORAGE <br /> CLOSED TANK <br /> OWNER <br /> ��R ( ) 08 MINOR CHANGE NAME C <br /> "O"A <br /> O"A7I0NrINprVIOVAL pp R (N0 SURCHARGE)) 09 DELETE FRAM FILE fN <br /> VB ICr,4GEN r Q FEE. <br /> STREET E7 CY)! <br /> �AGGRESS b S(S , L 4-1AjG <br /> LPtID trc acENrY ON <br /> I ) 01 FED t ) O <br /> FACILg STATE <br /> ITY crrY �`T Z'd <br /> K .L <br /> FACILC f 03 LOCAL <br /> ITY STATE <br /> NAME <br /> ,r { zI� <br /> sTRE r�S <br /> ET AOORESS OEALER/FO <br /> BEAST MIS <br /> LOO AVENUE —�_� G�wr .�.�.�Er'7AN/SVRERYISQR <br /> CITY �t <br /> STOCKTON NEAREST CPCSs STREET <br /> MAILING ,00RESS <br /> COUNTY <br /> a EAST LOOMIS AVENUE SAN .JOAQUIN <br /> W/AREA CCOE CITY ZIP C? <br /> STOC 5- <br /> � -.58�� KION <br /> TIRE OF BUSINEss STATE zrP <br /> 0 ( ) OI GASOLINE CA <br /> ,FI CNTaINERS STATION 3 <br /> Rina (X) 02 OTHER <br /> L ARRAS ONLY TOWNSH., TRUCK TERMINAL <br /> 114 RANGE <br /> HOUR, EMERGENCY CONTACTSECTION <br /> DAYS: NAME(LAST NAPE FIRST) a�7 P4p PERSON <br /> � � NE W/AREA -- <br /> NIG'T3 <br /> J4�= :.�' (•2,:r U8-'yGC GMRKr FAULNArjE(LAs7 NAME FrPST) allo v <br /> COMPLETE THE FOLLOWING ONNE w/aRE.a copE <br /> A SEP <br /> IV DESCRIPTION ABATE FORM F .- <br /> OR EACH CONTAINER <br /> A. (X) 01 TANK ( J 04 OTHER: <br /> B. MANUFACTURER (IF APPROPRIATE): CONTAINER NUMBER 42 <br /> YEAR MFG: <br /> D. CONTAINER CAPACITY: 12000 GALL04S I C. YEAR INSTALLED <br /> YEAR <br /> E. DOES THE CONTAINER STORE: (X) UNKNOWN <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLEF OR WASTE f ) 01 WASTE <br /> ( ) <br /> 01 UNLEADED ( ) 02 REGULAR t ) 03EMIUM OIL ? (X) O1 YES (X) 02 PRODUCT <br /> (X) 04 DIESEL ( ) 02 IL IF YES CHECK APPROPRIATE SOXtES): <br /> ( ) 05 WASTE OIL ( ) 06 OTHER <br /> J CONTAINER CONSTRUCTION <br /> 4. THICKNESS OF PRIMARY CONTAINMENT: f J GAUGE ( ) <br /> INGHES ( J CM (X) UNKNOWN <br /> 3. ( ) 01 VAULTED (LOCATED IN AN UNDERGROLAULT) f ) 02 NDN-VAULTED <br /> (X) 03 UNKNOWN <br /> 01 DOUBLE WALLED ( l 02 SINGLE WAL( 03 LINED <br /> 1 CA <br /> BON <br /> LESS <br />)+ t )(0) 06RALLUMINUML (( ))0072STEELNCLAD S)t ) 03 FIBERGLASS BRONZE ( ) 04 POLYVINYL CHLORIDE <br /> (X) 12 UNKNOWN ( 1 13 OTHER: ( ) 09 COMPOSITE ) 10 NON-METALLIC ) 05 CONCRETE <br /> 3C04-070180 (10/18/85) <br /> PAGE 1 <br />