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STATE ID NUMBER 00000011758002 <br /> �� APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> (OC1 01 NEW PERMIT C 1 05 RENEWED PERMIT ( ) 07 TANK CLOSED ! ) 09 DELETE FROM FIL€ (ND FEE) <br /> ( ) 02 CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NA.ME(CORPORATION,INDIVIOUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> [ ] <br /> 01 FED ( ) 02 STATE ! ) 03 LOCAL <br /> J.S.G. TRUCKING COMPANY <br /> CITY FCA <br /> ATE ZIP <br /> STREET ADDRESS ACAMPO 95220 <br /> 19400 NORTH HIGHWAY 99 <br /> II FACILITY <br /> DEALER/FCREM.AN/SUPERVISOR <br /> FACILITY NAME J. GIAMMONA <br /> J.S.G. TRUCKING COMPANY <br /> NEAREST CROSS STREET <br /> STREET ADDRESS <br /> 19400 NORTH HIGHWAY 99 WOOD BRIDGE ROAD <br /> COUNTY ZIP <br /> CITY 95220 <br /> ACAMPO SAN JOAQUIN <br /> CITY STATE ZIP <br /> MAILING ADDRESS CA 95220 <br /> 19400 NORTH HIGHWAY 99 ACAMPO <br /> PHONE W/AREA CC?E TYPE OFBUSINESS <br /> 209-368-8815 E 1 O1 GASOLINE STATION (X) 02 OTHER TRUCKING <br /> NUMBER CF CCNTAINEP.S <br /> RURAL AREAS ONLY : TOWNSHIP RANGE SECTION <br /> 5 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS., NAME(LAST NAME FIRST) AND PHONE W/AREA CODE NIGHTS: (vA1E(L.AST NAME FIRST) AND PHONE W%AREA CODE <br /> J.M. GIAMMONA 209-- --32.9'3' �(�i�f-i��f/j <br /> J. GIAMMONA 209_3 o4�r0'- '3(0��`�'�'%✓r� <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK C ) 04 OTHER CONTAINER NUMBER 2 <br /> B. MANUFACTURER (IF APPROPRIATE): UNK YEAR MFG: 1970 C. YEAR INSTALLED 1981 ( ) UNKNOWN <br /> --tD. CONTAINER CAPACITY: 10000 GALLONS ( ) 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 ( ) 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br /> ( ) 01 UNLEADED ( ) 02 REGULAR ( ) 03 PREMIUM (,� 04 DIESEL p('J•05 WASTE OIL ( ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ! ) GAUGE ( 1 INCHES ( ] CM (X) UNKNOWN <br /> B. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULTI (X) 02 NON-VAULTED ( ) 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED ! 1 02 SINGLE WALLED ( 1 03 LINED <br /> 0. (X) O1 CARBON STEEL i ) 02 STAINLESS STEEL ( ) 03 FIBERGLASS ( 1 04 POLYVINYL CHLORIDE ( ) 05 CONCRETE <br /> ( ) 06 ALUMINUM ( ) 07 STEEL CLAD ! 1 08 BRONZE i 1 09 COMPOSITE ( ) 10 NON-METALLIC <br /> ! 1 12 UNKNOWN ( l 13 OTHER: <br /> PAGE 1 <br /> HSC04-070185 (10/18/85) <br />