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cc <br /> STATE ID NUMBER 00000016769002 <br /> N$ FOR PERMIT TO OPERA OUND STORAGE TANK <br /> ( ) <br /> 01 NEW PERMIT ( 1 05 RENEWED PERMIT ( CLOSED K) 09 <br /> ( 1 02 CONDITIONAL PERMIT ( 1 06 AMENDED PERMIT )_08 MINOR CHANGE (NO SURCHARGE) DELETE FROM FILE (NO FEE) <br /> I OWNER <br /> NA`1!(CORPOPATZON.:NDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> RIPON FARM SERVICE ( 1 01 FED ( ) 02 STATE ( 1 03 LOCAL <br /> HWY 99 A JACKTONE RD CI <br /> STREET ADDRESS <br /> TY STAT! IIP <br /> RIPON CA 95366 <br /> II FACILITY <br /> FACILITY NAM,! DEALER/FOREMAN/SUPERVISOR <br /> RIPON FARM SERVICE BUD DENOUDEN <br /> STREET ADDRESS NEAREST CROSS STREET <br /> HWY 99 L JACKTON RD. <br /> CITY <br /> COUNTY IIP <br /> RIPON SAN JOAQUIN 95366 <br /> MAILING ADDRESS CITY <br /> PO 8X 786 srATE zIP <br /> RIPON CA 95366 <br /> PHONE W/A:EA CODE TYPE OF BUSINESS <br /> 209-599-2188 ( ] 01 GASOLINE STATION (X) 02 OTHER AGR. CHEM A FERT. SA <br /> NUMBER OF CONTAINERS RURAL AREAS ONLY : TOWNSHIP RANGE SlCTION <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAME(LAST NAM! FIRST) AND PHONE W/AREA CODE NIGHTS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE <br /> DENOUDEN, BUD 209-599-2761 SAME <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> j//l�ra//an boy <br /> A. ( ) 01 TANK (X) 04 OTHER: SUMP CONTAINER NUMBER 2 <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: C. YEAR INSTALLED (X) UNKNOWN <br /> D. CONTAINER CAPACITY: 18000 GALLONS f l UNKNOWN E. DOES THE CONTAINER STORE: (X) 01 WASTE f 1 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? ( 1 01 YES (X) 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br /> ( 1 <br /> 01 UNLEADED 1 ) 02 REGULAR ( ) 03 PREMIUM ( ) 04 DIESEL f 1 05 WASTE OIL X) 06 OTHER �rfy'/jZIY �°IHX>A( <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: t ) GAUGE 1 I INCHES ( ) CM (X) UNKNOWN <br /> B. f 1 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON <br /> N-nVAULTEEO ( ) 03 UNKNOWN <br /> C. ( 1 01 DOUBLE WALLED ( 102 SINGLE WALLED (X) 03 LINED <br /> D. ( 101 CARBON STEEL ( 1 02 STAINLESS STEEL ( ) 03 FIBERGLASS ( 104 POLYVINYL CHLORIDE (X) 05 CONCRETE <br /> f ) 06 ALUMINUM ( ) 07 STEEL CLAD ( 1 08 BRONZE ( ) 09 COMPOSITE ( 1 10 NON-METALLIC <br /> ( 1 12 UNKNOWN ( ) 13 OTHER: <br /> SC04-070185 (10/18/85) <br /> PAGE 1 <br />