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STATE ID NUNEER 00000011249001 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> ( ) 01 NEW PERMIT ( ) 05 RENEWED PERMIT ( ) 07 TANK CLOSED ( ) 09 DELETE FROM FILE (NO FEE) <br /> ( ) 02 CONDITIONAL PERMIT { ) 06 AMENDED PERMIT ( 1 08 MINOR CHANGE (NO SURCHARGE) v � <br /> I OWNER <br /> NGME(CORPOPA.TION,:NDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> J� ( ) 01 FED f ) 02 STATE 03 LOCAL <br /> STREET ADDPESS pCITY r STAPTE 2SP <br /> C� `Z U o ,j s L-J ` A6 E ,•,�,, T3C r <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREMAN/SUPERVISOR <br /> SPEEDY FOOD #2 <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 8200 N. HWY. 99 AND FOPPIANO R <br /> CITY COUNTY ZIP Af <br /> STOCKTQN SAN JOAQUIN '� _i•1I <br /> MAILING A00Pc r rr�h C TY <br /> 79 � � 1 IJ t� 1 STATE ZIP <br /> !v E <br /> PHONE W/APPA CODE TYPE OF BUSINESS <br /> (X) 01 GASOLINE STATION ( ) 02 OTHER <br /> NUMBEP OF CONTAINEPS RURAL AREAS ONLY : TOWNSHIP RANGE SECTION <br /> 3 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAME( T NAME FIRST) 4ND PHCNE W/AREA CODE NIGHTS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE <br /> WEAV Y'_ 61 WEAVER, RAY 619-561-1731 <br /> COrPLETE THE OLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTICN <br /> A. (X) 01 TANK ( } 04 OTHER: CONTAINER NUMBER 99 <br /> B. MANUFACTURER (IF APPROPRIATE): JQOR YEAR MFG: C. YEAR INSTALLED 78 1 ) UNKNOWN <br /> D. CONTAINER CAPACITY: 8197 GALLONS ( ) 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 ( ) 02 NO IF YES CHECK APPROPRIATE BOX(ES) <br /> ( ) 01 UNLEADED !X) 02 REGULAR ( ) 03 PREMIUM ( ) 04 DIESEL ( ) 05 WASTE OIL ( } 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: I ) GAUGE ( ) INCHES f ) CM (X) UNKNOWN <br /> B. ( ) 01 VAULTED {LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ( 1 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED (X) 02 SINGLE WALLED ( 1 03 LINED <br /> D. {X1 01 CARSON STEEL ( 1 02 STAINLESS STEEL ! ) 03 FIBERGLASS ( ] 04 POLYVINYL CHLORIDE ( 1 05 CONCRETE <br /> ( ) 06 ALUMINUM ( } 07 STEEL CLAD ( ) 08 BRONZE ( l 09 COMPOSITE ( ) 10 NON-METALLIC <br /> ( l 12 UNKNOWN ( } 13 OTHER <br /> HSC04-070185 (10/18/85) PAGE 1 <br />