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GSTATE ID NUMBER 00000016769005 <br /> FOR PERMIT TO OPE ATrF ROUND STORAGE TANK <br /> fkl 01 NEW PERMIT f 1 05 RENEWED PERMIT ANK CLOSED ( 1 09 DELETE FROM FILE (NO FEE) <br /> f ) 02 CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT ) 08 MINOR CHANGE (NO SURCHARGE) ' <br /> I OWNER <br /> NAME(CCRPOPATION,INDIVIDUAL 09 PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> RIPON FARM SERVICE ( 1 01 FED ( 1 02 STATE ( 1 03 LOCAL <br /> STREET ADDRESS CITYSTATE ZIP <br /> HWY 99 6 JACKTONE RD RIPON CA 95366 <br /> II FACILITY <br /> F-COFA NAME <br /> RIPON <br /> DEALER/FOREMAN/SUPERVISOP <br /> RIPON FARM SERVICE BUD DENOUDEN <br /> STREET AODFESS NEAREST CROSS STREET <br /> HWY 99 8 JACKTON RD. <br /> CITY COUNTY <br /> RIPON ZAP <br /> SAN JOAQUIN <br /> 95366 <br /> MAILING ADDPESS CITY STATE ZIP <br /> PO BX 786 RIPON CA 95366 <br /> PHONE W/APE4 CODE TYPE OF BUSINESS <br /> 209-599-2188 ( ) 01 GASOLINE STATION (X) 02 OTHER AGR. CHEM S FERT. SA <br /> NU-5-P O• CCNTASNEPS RURAL AREAS ONLY TOWNSHIP RANGE SECTION <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAME(LAST NAME FIRST) AND PHONE W/APEA CODE NIGHTS: NAMEILAST NAME FIRST) AND PHONE W/AREA CODE <br /> BUD 209-599-2761 SAME <br /> D ENOUOEN, - _ <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK f 1 04 OTHER: CONTAINER NUMBER DIESEL-RFS <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: C. YEAR INSTALLED (X) UNKNOWN <br /> 0. CONTAINER CAPACITY: 10000 GALLONS ( 1 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 ( 1 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br /> f ) 01 UNLEADED ( ) 02 REGULAR ( 1 03 PREMIUM (X) 04 DIESEL ( ) 05 WASTE OIL ( 1 06 OTHER <br /> CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( 1 GAUGE ( ) INCHES ( ) CM (X) UNKNOWN <br /> B. ( 1 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (XI 02 NON-VAULTED ( ) 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED V0 02 SINGLE WALLED ( ) 03 LINED <br /> 0. ( 1 01 CARBON STEEL f ) 02 STAINLESS STEEL ( 1 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE ( 1 05 CONCRETE <br /> ( ) 06 ALUMINUM f 1 07 STEEL CLAD ( 1 08 BRONZE [ 1 09 COMPOSITE ( ) 10 NON-METALLIC <br /> (X) 12 UNKNOWN ( ) 13 OTHER: <br /> SC04-070185 (10/18/85) <br /> PAGE 1 <br />