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/ , STATE ID NUMBER 00000064450001 <br /> APPLICATION FOR PERMIT TO OPER "ONDERGROUND STORAGE TANK <br /> O1 NEW PERMIT f ) 05 RENEWED PERMIT eur rEp ( ) 09 DELETE FROM FILE (NO FEE) <br /> 2 CONDITIONAL PERMIT f 7 06 AMENDED PERMIT (2rT8 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAME(COPPOPATION,INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> SAFEWAY STORES, INC. <br /> I ) 01 FED ( ) 02 STATE 'P. 403 LOCAL <br /> STREET ADDRESS <br /> 2600 IGNACIO VALLEY ROAD CITY STATE ZIP <br /> WALNUT CREEK CA 94598 <br /> II FACILITY <br /> FACILITY NAME <br /> SAFEWAY MEAT PROCESSING PLANT DEALER/FOREMAN/SUPERVISOR <br /> STREET ADDRESS <br /> 1111 NAVY DRIVE NEAREST CROSS STREET <br /> ARGONANT <br /> CITY <br /> STOCKTON COUNTY ZIP <br /> SANJOAQUIN 95206 <br /> MAILING ADDRESS <br /> P.O. BOX 8347 CITY STATE ZIP <br /> STOCKTON CA 95208 <br /> PHONE W/AREA CODE TYPE OF BUSINESS <br /> 209-948-6440 ( ) 01 GASOLINE STATION (X) 02 OTHER MEAT PROCESSING <br /> NUMBER OF NTAINERS RURAL AREAS ONLY : TOWNSHIP RANGE <br /> SECTION <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAME(LAST NAME FIRST) AND PHONE W/ WEA CODE NIGHTS: NAME(LAST NAME FIRST <br /> JULIAN MUNOZ 209-883-2585 M.H. MORSE 209-) AND PHONE W/AREA CODE <br /> 951-7295 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( ) 04 OTHER: CONTAINER NUMBER 352050(C-5 / <br /> B. MANUFACTURER (IF APPROPRIATE): OWENS CORNING YEAR MFG: 1973 C. YEAR INSTALLED 1973 ( ) UNKNOWN <br /> D. CONTAINER CAPACITY: 12000 GALLONS ( ) UNKNOWN E. DOES THE CONTAINER STORE: f ) 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 SOX(ES): <br /> ( ) 01 UNLEADED ( ) 02 REGULAR f ) 03 PREMIUM (X) 04 DIESEL f ) 05 WASTE OIL ( 7 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( ] GAUGE ( ) INCHES ( ) CM (X) UNKNOWN <br /> B. ( 1 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. f ) 01 CARBON STEEL ( ) 02 STAINLESS STEEL (X) 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE ( ) 05 CONCRETE <br /> ( ) 06 ALUMINUM ( 7 07 STEEL CLAD ( ) 08 BRONZE f 1 09 COMPOSITE ( ) 10 NON-METALLIC <br /> ( ) 12 UNKNOWN ( ) 13 OTHER: <br /> ISC04-070185 (10/18/85) <br /> PAGE 1 <br />