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STATE ID NUMBER 00000011758001 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> (.),1 01 NEW PERMIT i ) 05 PENEWED PERMIT ( l 07 TANK CLOSED ( ) 09 DELETE FROM FILE (NO FEE) <br /> { ) 02 CONDITIONAL PERMIT ( 1 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER __J <br /> NAME(CCRPCRATION,INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> ( 1 O1 FED ( 1 02 STATE ( ) 03 LOCAL <br /> J.S.G. TRUCKING COMPANY <br /> CITY STATE ZIP <br /> STREET ADDRESS ACAMPO CA 95220 <br /> 19400 NORTH HIGHWAY 99 <br /> II FACILITY <br /> FACILITY NAME DEALER/FCREM.ApN/SUPERVISOR <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 SAN JOAQUIN 95220 <br /> ACAMPO <br /> CITY STATE ZIP <br /> MAILING ADDRESS ICA 95220 <br /> 19400 NORTH HIGHWAY 99 ACAMPO <br /> PHONE W/APEA CODE T'S'PE OF 6USINESS <br /> 209-368-8815 ( ) 01 GASOLINE STATION (X) 02 OTHER TRUCKING <br /> NUMBEP. OF CONTAINERS <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: NAME(LAST NAME FIRST) AND PHONE W/.ARE.A CCDE <br /> J.M. GIAMMONA 209-3r3§-J2T"J" J. GIAMMONA <br /> I COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( ) 04 OTHER: CONTAINER NUMBER 1 <br /> B. MANUFACTURER (IF APPROPRIATE): UNK YEAR MFG: 1970 C. YEAR INSTALLED 1981 ( 1 UNKNOWN <br /> D. 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 /> ( ) O1 UNLEADED ( ) 02 REGULAR ( ) 03 PREMIUM (X) 04 DIESEL ( ) 05 WASTE OIL ( ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( 1 GAUGE ( ) INCHES ( ) CM (X) UNKNOWN <br /> B. ( 1 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ( 1 03 UNKNOWN <br /> C. S 1 O1 DOUBLE WALLED i ) 02 SINGLE WALLED ( ) 03 LINED <br /> D., (X) 01 CARBON STEEL C 3 02 STAINLESS STEEL ( ) 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE l l 05 CONCRETE <br /> ( ) 06 ALUMINUM ( ) 07 STEEL CLAD f ) 08 BRONZE ( ) 09 COMPOSITE ( 1 10 NON-METALLIC <br /> t ) 12 UNKNOWN ( ) 13 OTHER: <br /> PAGE 1 <br /> HSC04-070185 (10/18/85) <br />