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STATE ID NUMBER 00000058940003 <br /> APPLICATION FOR PERMIT TO0 TE UNrtRGROUND STORAGE TANK <br /> ( ) 01 NEW PERMIT ( 1 05 RENEWED PERMIT ( 07 TANK CLOSED ( ) 09 DELETE FROM FILE (NO FEE) <br /> ( 1 02 CONDITIONAL PERMIT ( 1 06 AMENDED PERMIT ) ROR--6b4 0 SURCHARGE) <br /> I OWNER <br /> NA"!E(COPPOPATZON.INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> MOBIL OIL CORPORATION ( ) 01 FED ( ) 02 STATE ( 1 03 LOCAL <br /> STREET ADDRESS CITY STATE ZIP <br /> 612 SO. FLOWER ST. LOS ANGELES CA 90017 <br /> II FACILITY <br /> FACILITY NAf'E DEALER/FOREMAN/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 /> PHONE W/AREA CCDE TYPE OF BUSINESS <br /> ( ) 01 GASOLINE STATION (X) 02 OTHER BULK PETRO. STORAGE <br /> NUMBER OF CONTAINERS PUPAL AREAS ONLY TOWNSHIP RANGE SECTION <br /> x 4k 3 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAME(LAST NAME FIRST) AND PHONE W/ARE.A CODE NIGHTS: N.AME(LAST NAME FIRST) AND PHONE W/AREA CODE <br /> KELLY, J. 209-w'e-2 PTU _/g 7 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 1 <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: 19873C. EAR INSTALLED 1983 ( ) UNKNOWN <br /> '(3 T_ <br /> D. CONTAINER CAPACITY: 'SSCP GALLONS t ) UNKNOWN E. DOES THE CONTAINER STORE: (X) 01 WASTE ( ) 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? (X) 01 YES ( ) 02 NOI YES CHECi�APPROPRIATE BOX(ES): <br /> ( ) 01 UNLEADED x-62 REGULAR. ( ) 03 PREMIUM ( ) 04 DIESEL ( 1 05 WASTE OIL ( 06 OTHER 6,, <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( ) GAUGE f ) 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 ( ) 03 LINED <br /> D. ( ) 01 CARBON STEEL ( ) 02 STAINLESS STEEL (X) 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE ( ) 05 CONCRETE <br /> ( ) 06 ALUMINUM ( ) 07 STEEL CLAD ( ) 08 BRONZE ( ) 09 COMPOSITE ( ) 10 NON-METALLIC <br /> ( ) 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br />