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�� � _��\1 • STATE 10 NUMBER 00000008376001 <br /> APPLICATION FOR PER IT TO OPEPE UNDERGROUND STORAGE TANK <br /> y(y4:0 NEW PERMIT ( l 05 RENEWED PERMIT 1 07 TANK CLOSED <br /> ( ) 09 DELETE FROM FILE (NO FEE1 <br /> Tl" 02 CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT 1 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> PUBLIC AGENCY ONLY <br /> NAME(CORPOR ATION,INDIVIDUAL OR PUBLIC AGENCY) ( ) 01 FED ( ) 02 STATE I 1 03 LOCAL <br /> S T SERVICES <br /> CITY STATE lzmp <br /> STREET ADDRESS DALLAS TX 75248 <br /> 17000 DALLAS PARKWAY SUITE 223 <br /> II FACILITY <br /> DEALER/FCPEMAN/SUPEPVISOR <br /> FACILITY NAME RICHARD ZIMMERMAN <br /> S T SERVICES <br /> NEAREST CROSS STREET <br /> STREET ACORES$ WASHINGTON ST. <br /> 2941 NAVY DR. <br /> \ COUNTY IIP <br /> STOCKTON SAN JOARUIN 95206 <br /> CITY STATE ZIP <br /> MAILING ADDRESS STOCKTON CA 95206 <br /> 2941 NAVY DR. <br /> PHONE W/AREA CODE TYPE OF BUSINESS <br /> 209-943-5662 ( ) Ol GASOLINE STATION (X) 02 OTHER BULK STORAGE <br /> NUY.B ER OF CONTAINERS RURAL ARIAS ONLY : TOWNSHIP RANGE SECTION <br /> . <br /> 4 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE NIGHTS: NAME4LAST NAME FIRST) AND PHONE W/AREA CODE <br /> ZIMMERMAN, RICHARD 209-369-5051 SAME - - <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( 1 04 OTHER: CONTAINER NUMBER #1 _ <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: C. YEAR INSTALLED (Xl UNKNOWN <br /> AD. r. <br /> 0. CONTAINER CAPACITY: 100 GALLONS f ] UNKNOWN E. DOES THE CONTAINER STORE: ( ) O1 WASTE IXl 02 PRODUCT <br /> F. DOES THE <br /> CONTAINER XR06 <br /> STORE MOTOR VEHICLEE FUEL 03 ORMWASTE OILDIESEL 0( )E05 WAST020NO (I1 YES <br /> SOCHECK APPROPRIATE BOX(ES): <br /> O <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( 1 GAUGE f 1 INCHES ( ) CM (X) UNKNOWN <br /> B. ( 1 01 VAULTED (LOCATED IN. AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ( ) 03 UNKNOWN <br /> C. ( ) O1 DOUBLE WALLED (X) 02 SINGLE WALLED [ 1 03 LINED <br /> 0. (X) 01 CARBON STEEL ( 1 02 STAINLESS STEEL ( 1 03 FIBERGLASS ( 1 04 POLYVINYL CHLORIDE ( ) 05 CONCRETE <br /> ( ) 06 ALUMINUM ( ) 07 STEEL CLAD ( ) 08 BRONZE ( 1 09 COMPOSITE ( ) 10 NON-METALLIC <br /> ( 1 12 UNKNOWN ( 1 13 OTHER: <br /> PAGE I <br /> HSC04-070185 (10/18/85) <br />