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• • STATE ID NUMBER 00000057975001 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> ty). O1 NEW PERMIT ( ) 05 RENEWED PERMIT ( ) 07 TANK CLOSED ( ) 09 DELETE FROM FILE (NO FEE) <br /> 1 02 CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAME(COP.POPATION.INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> LES CALKINS TRUCKING INC. ( ) 01 FED ( ) 02 STATE ( ) 03 LOCAL <br /> STREET ADDRESS CITY STATE ZIP <br /> 19501 N. HWY. 99 ACAMPO CA 95220 <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREMAN/SUPERVISOR <br /> LES CALKINS TRUCKING INC. MICHAEL THOMAS <br /> STPEET ADDRESS NEAREST CROSS STREET <br /> 19501 N. HWY. 99 WOODBRIDGE RD. <br /> CITY COUNTY ZIP <br /> ACAMPO SAN JOAQUIN 95220 <br /> MAILING AODPESS CITY STATE ZIP <br /> P.O. BOX LODI CA 95241 <br /> PHONE W/AREA CODE TYPE OF BUSINESS <br /> 209-369-3609 ( ) O1 GASOLINE STATION (X) 02 OTHER TRUCKING <br /> NJMSER OF CONTAINERS PUPAL AREAS ONLY TOWNSHIP RANGE SECTION <br /> 2 <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/AREA CODE <br /> MICHAEL THOMAS 209-369-3609 LES CALKINS 209-369-3609 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( ) 04 OTHER: CONTAINER NUMBER 002 <br /> B. MANUFACTURER (IF APPROPRIATE): PERKINS WLD. YEAR MFG: 1957 C. YEAR INSTALLED (X) UNKNOWN <br /> 0. CONTAINER CAPACITY: 10000 GALLONS ( ) UNKNOWN E. DOES THE CONTAINER STORE: f ) 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 ' L-REGULAR ( ) 03 PREMIUM yQ 04 DIESEL ( ) OS WASTE OIL f ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: l 1 GAUGE ( 1 INCHES ( 1 CM (X) UNKNOWN <br /> B. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) ( 1 02 NON-VAULTED (X) 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED ( 02 SINGLE WALLED ( ) 03 LINED <br /> 0. Oe 01 CARBON STEEL ( ) 02 STAINLESS STEEL 1 1 03 FIBERG:ASS ( ) 04 POLYVINYL CHLORIDE ( 1 05 CONCRETE <br /> 06 ALUMINUM ( 1 07 STEEL CLAD ( l 08 BRONZE ( ) 09 COMPOSITE ( 1 10 NON-METALLIC <br /> -iYl i^ at" ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br />