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STATE ID NUMBER 00000024467001 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> NEW PERMIT ( ) 05 RENEWED PERMIT f ? 07 TANK CLOSED ( ) 09 DELETE FROM FILE IND FEE <br /> !"02 CONDITIONAL PERMIT i 1 06 AMENDED PERMIT ( 1 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAME(COPPOP.ATION,INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> RANDALL L. ESKES f ) 01 FED ( 1 02 STATE ( 1 03 LOCAL <br /> STREET AOORESS CITY STATE ZIP' <br /> 23204 HWY 99 RIPON CA 95366 <br /> II FACILITY <br /> FACILITY NAME OEALEP/FOREMAN/SUPERVISOR <br /> H & W CONSTRUCTION CO. RANDALL L. ESKES <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 23204 HWY 99 JACKTONE RD. <br /> CITY COUNTY ZIP <br /> RIPON SAN JOAQUIN 95366 <br /> MAILING AOOPESS CITY STATE ZIP <br /> 23204 HWY 99 RIPON CA 95366 <br /> PHONE W/AREA CODE TYPE OF BUSINESS <br /> 209-599-4236 ( ) 01 GASOLINE STATION (X) 02 OTHER CONSTRUCTION CO. <br /> NUMBER OF CONTAINERS RURAL AREAS ONLYTOWNSHIP RANGE SECTION <br /> 1 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE NIGHTS: NAME(LAST NAME FIFST) AND PHONE W/APEA CODE <br /> RANDALL L. ESKES 209-599-4326 ESKES, RANDALL 209-599-2853 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) OI TANK ( ) 04 OTHER: =CONTA�INER NUMSER 1 <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: 1980 C. YEAR INSTALLED 1950 ( 1 UNKNOWN <br /> 0. CONTAINER CAPACITY: 1500 GALLONS ( 1 UNKNOWN JE. 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 /> ( 1 <br /> 01 UNLEADED (X) 02 REGULAR f ) 03 PREMIUM i 1 04 DIESEL f ) 05 WASTE OIL ( 1 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( ) GAUGE ( 1 INCHES ( ) CM (X) UNKNOWN <br /> B. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ( 1 03 UNKNOWN <br /> C. ( 1 01 DOUBLE WALLED 02 SINGLE WALLED [ ) 03 LINED <br /> D. (X) 01 CARBON STEEL i 1 02 STAINLESS STEEL ( l 03 FIBERGLASS ( ] 04 POLYVINYL CHLORIDE ( ) D5 CONCRETE <br /> ( ) 06 ALUMINUM f 1 07 STEEL CLAD i ) 08 BRONZE ( 1 09 COMPOSITE i ) 10 NON-METALLIC <br /> ( ) 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br />