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STATE ID NUMBER 00000011758005 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> (.� 01 NEW PERMIT t 1 05 RENEWED PERMIT ( ) 07 TANK CLOSED ( 1 09 DELETE FROM FILE (NO FEE) <br /> ( 1 02 CONDITIONAL PERMIT ( 1 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAME(COPPORATION,INDIVIDUAL OR PUBLIC AGENCY) =PUBLICENCY ONLYJ.S.G. TRUCKING COMPANY D ( 7 02 STATE l 1 03 LOCAL <br /> STREET ADDRESS CITY STATE ZIP <br /> 19400 NORTH HIGHWAY 99 ACAMPO CA 95220 <br /> II FACILITY <br /> FACILITY NAME DEALER/FOPEM.AN/SUPERVISCR <br /> J.S.G. TRUCKING COMPANY J. GIAMMONA <br /> STREET .ADDRESS NEAREST CROSS STREET <br /> 19400 NORTH HIGHWAY 99 WOODBRIDGE ROAD <br /> COUNTY ZIP <br /> CITY 95220 <br /> ACAMPO SAN JOA4UIN <br /> CITY STATE ZIP <br /> MAILING .ADOPESS CA 95220 <br /> 19400 NORTH HIGHWAY 99 ACAMPO <br /> PHONE W./APER CCDE TYPE OF BUSINESS <br /> 209-368-8815 ( 1 01 GASOLINE STATION (X) 02 OTHER TRUCKING <br /> NUM3�P OF CONTAINERS P.URAL AREAS ONLY TOWNSHIP RANGE <br /> JSEION <br /> 5 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> EJM=. GIAM;ONAST <br /> ME(LANAME FIP.ST) AND PHONE W/AREA CODE NIGHTS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE <br /> 209—� 3(rs$�' /� J. GIAMMONA <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( ) 04 OTHER= CONTAINER NUMBERX <br /> B. MANUFACTURER (IF APPROPRIATE): UNK YEAR MFG: 1970 C. YEAR INSTALLED 1981 t 1 UNKNOWN <br /> D. CONTAINER CAPACITY: 7500 GALLONS ( ) UNKNOWN E. DOES THE CONTAINER STORE: ( 1 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 (X) 02 REGULAR ( ) 03 PREMIUM ( 7 04 DIESEL ( l 05 WASTE OIL ( 1 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( 7 GAUGE ( 1 INCHES ( ) CM (X) UNKNOWN <br /> B. ( 1 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON—VAULTED ( l 03 UNKNOWN <br /> C. t ) 01 DOUBLE WALLED ( 7 02 SINGLE WALLED ( 1 03 LINED <br /> D. (X) 01 CARBON STEEL i ) 02 STAINLESS STEEL ( 1 03 FIBERGLASS ( 1 04 POLYVINYL CHLORIDE ( ) 05 CONCRETE <br /> ( ) 06 ALUMINUM [ 1 07 STEEL CLAD t 1 08 BRONZE t ) 09 COMPOSITE ( 1 10 NON—METALLIC <br /> ( ) 12 UNKNOWN ( ) 13 OTHER: <br /> PAGE I <br /> HSC04-070185 (10/18/85) <br />