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l3 STATE ID NUMBER 00000058940002 <br /> APPLICATION FOR PERMIT TO0 ERGROUND STORAGE TANK <br /> ( ) 01 NEW PERMIT ( 1 05 RENEWED PERMIT TAN! ( l 09 DELETE FROM FILE (NO FEEL <br /> f 1 02 CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT ( NO AGE (NO SURCHARGE) <br /> I OWNER <br /> N4ME(C0RP0P,ATION.INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> MOBIL OIL CORPORATION ( ) 01 FED ( ) 02 STATE ( ) 03 LOCAL <br /> STREET ADDRESS CITY STATE ZIP <br /> 612 SO. FLOWER ST. LOS ANGELES ICA 190017 <br /> II FACILITY <br /> FLCZLITY NAME DE.ALEP/FOPEM.AN/SUPERVISOR <br /> STOCKTON TERMINAL JERRY KELLY <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 3505 NAVY DR. <br /> CITY COUNTY ZIP <br /> STOCKTON SAN JOAQUIN 95203 <br /> MAILING ADDRESS CITY STATE ZIP <br /> P.O. BOX 1530 STOCKTON CA 95203 <br /> FHCNE W/APEA CODE TYPE OF BUSINESS <br /> 209-948-2710 ( l 01 GASOLINE STATION (X) 02 OTHER BULK PETRO. STORAGE <br /> NUMBEP OF C NTAINEPS RURAL AREAS ONLY TOWNSHIP RANGE SECTION <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAME LAST NAME FIRST) AND PHONE W:.APEA CODE NIGHTS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE <br /> KELLY, J. 209-948-2710 SINCLAIR, G. 415-352-4697 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( ) 04 OTHER: CONTAINER NUMBER 2 <br /> B. MANUFACTURER (IF APPROPRI.ATE): YEAR MFG: C. YEAR INSTALLED (X) UNKNOWN <br /> /I`s <br /> t.. <br /> D. CONTAINER CAPACITY: 280 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 ( l 04 DIESEL ( l 05 WASTE OIL ( l 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( 1 GAUGE ( ) INCHES ( ) CM (X) UNKNOWN <br /> B. f ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ( 1 03 UNKNOWN <br /> C. ( l 01 DOUBLE WALLED (X) 02 SINGLE WALLED ( ) 03 LINED <br /> D. (X) 01 CARBON STEEL ( ) 02 STAINLESS STEEL ( ) 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE ( ) 05 CONCRETE <br /> ( ) 06 ALUMINUM ( 1 07 STEEL CLAD ( ) 08 BRONZE ( 1 09 COMPOSITE ( 1 10 NON-METALLIC <br /> ( l 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br />