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STATE ID NUMBER 00000024702001 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> ( 1 01 NEW PERMIT ( ) 05 RENEWED PERMIT ( 1 07 TANK LOSEO ( ) 09 DELETE FROM FILE (NO FEE) <br /> 1 02 CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT I 1 08-MIN ANGE (NO SURCHARGE) <br /> I OWNER <br /> ME(CORPORATION.l NDIVIDVAL OR PUBLIC A NC ) PUBLIC AGENCY ONLY <br /> ORTH COAST HELICOPTER SERVICE f ] 01 FED f 1 02 STATE ( 1 03 LOCAL <br /> STREET ADOP'_SS -'--_" CITY STATE ZIP <br /> 1632 MILTON RD. NAPA CA 94559 <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREMAN/SUPERVISOR. <br /> LODI AIRPORT CORP. ROBERT KUPKA <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 23987 NORTH HWY 99 JAHANT RD. <br /> CITY - COUNTY ZIP <br /> ACAMPO SAN JOAQUIN 95220 <br /> MAILING ADDRESS CITY <br /> STATE ZIP <br /> 1632 MILTON RD. NAPA CA 94559 <br /> PHONE W/AREA CODE TYPE OF BUSINESS <br /> 209-368-2461 ( ) 01 GASOLINE STATION (X) 02 OTHER AIRCRAFT FUEL STORAG <br /> NUMBER OF CONTAINERS RURAL AREAS ONLY : TOWNSHIP RANGE SECTION <br /> 1 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAME(LAST NAME FIRST) AND PHONE W/AP.EA CODE NIGHTS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE <br /> WILDER, STEPHAN 707-257-6666 SAME <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( ) 04 OTHER: CONTAINER NUMBER H781872 <br /> B. MANUFACTURER (IF APPROPRIATE): PERKINS WELDING YEAR MFG: 1980 C. YEAR INSTALLED 1980 ( ) UNKNOWN <br /> 0. CONTAINER CAPACITY: 1 000 GALLONS ( ) UNKNOWN E. DOES THE CONTAINER STORE: ( ) 01 WASTE (X) 02 PRODUCT <br /> F. DOES THE CONTAINER STOR MOTOR VEHICLE FUEL OR WASTE OIL ? ( 1 01 YES (X) 02 NO IF YES CHECK APPROPRIATE BOX(ES); <br /> ( ) 01 UNLEADED ( ) 02 REGULAR ( ) 03 PREMIUM ( ) 04 DIESEL ( ) 05 WASTE OIL (X) 06 OTHER 100/130 AV GAS <br /> V CONTAINER CONSTRUCTION <br /> 0 <br /> A. THICKNESS OF PRIMARY CONTAINMENT: [ ) GAUGE ( I INCHES ( ) CM IX) UNKNOWN <br /> B. ( ] 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ( ) 03 UNKNOWN <br /> C. ( 1 01 DOUBLE WALLED (X) 02 SINGLE WALLED ( ) 03 LINED <br /> D. (X) 01 CARBON STEEL ( ) 02 STAINLESS STEEL ( ) 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE ( 1 05 CONCRETE <br /> ( ) 06 ALUMINUM ( 1 07 STEEL CLAD ( ) 08 BRONZE ( 1 09 COMPOSITE ( ) 10 NON-METALLIC <br /> � ( 1 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br /> a' <br />