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0 STATE ID NUMBER 00000011249003 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> C l 01 NEW PERMIT [ 1 05 RENEWED PERMIT ( ) 07 TANK CLOSED ( ) 09 DELETE FROM FILE (NO FEE) <br /> ( ) 02 CONDITIONAL PERMIT ( ) 06 AMENDED FERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAME(CCPPOPATION.=NDIVIDUAL OR PLBLIC .AGENC's ) PUBLIC AGENCY ONLY <br /> ( ) 02 STATE 03 LOCAL <br /> STREET ,may _ f CITY STA ZIPWruw--Muln 19-7-m <br /> - <br /> G/ A ^r/ <br /> II FACILITY <br /> FACILITY NP.!'E DEALER/FOREMAN/SUPERVISOR <br /> SPEEDY FOOD #2 <br /> STREET A,7CRESS NEAREST CROSS STREET <br /> 8200 N. HWY. 99 AND FOPPIANO R <br /> CITY COUNTY Z R <br /> STOCKTON SAN JDAQUiN / <br /> M=ILiNaADDRESS 2V CITY STATE 2 <br /> p (/U Ag � <br /> PHONE W/AFEA CODE TYPE OF BUSINESS <br /> 1+ (X) 01 GASOLINE STATION f 6 C2 OTHER <br /> NU.IBER OF CONTAINEP.S RURAL AREAS ONLY TOWNSHIP RANGE 5ECTION <br /> 3 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE NI3HTS: N.4MEtLAST NAME FIRST? AND PHONE W'KFEA C E <br /> MPLETE THE FOLLOWING ATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( ) 04 OTHER: CONTAINER NUMBER 101 <br /> B. MANUFACTURER tIF APPROPRIATE): JOOR YEAR MFG= C. YEAR INSTALLED 78 l ) UNKNOWN <br /> 0. CONTAINER CAPACITY: 8101 GALLONS ( ) UNKNOWN E. DOES THE CONTAINER STORE: ( ) 01 WASTE (X) 02 PRODUCT <br /> F. nOES THE CONTAINER STORE MOTOR VE LE FUEL OR WASTE OIL ? (X) 01 YES C 1 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br /> 0X1UNLEADED ( ) 02 REGULAR ( 03 PREMIUM `�. C 1 05 WASTE OIL ( 1 06 OTHER <br /> C <br /> V CONTAINER CONSTRUCTION <br /> R <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( 1 GAUGE [ 1 INCHES ( ) CM (X) UNKNOWN <br /> B. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ( ) 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED (X) 02 SINGLE WALLED ( 1 03 LINED <br /> D. (X) 01 CARBON STEEL t ) 02 STAINLESS STEEL ( ) 03 FIBERGLASS ( l 04 POLYVINYL CHLORIDE [ ) 05 CONCRETE <br /> ( ) 06 ALUMINUM ( 1 07 STEEL CLAD ( 1 08 BRONZE ( ) 09 COMPOSITE ( 1 10 NON-METALLIC <br /> f 1 12 UNKNOWN ( 1 13 OTHER: T <br /> PACE 1 <br /> HSC04-070185 (10/18/85) '` <br />