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" d STATE ID NUMBER 00000020115 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> ( ] <br /> 01 NEW PERMIT ( l 05 RENEWED PERMIT ( 1 07 TANK CLOSED ( ) 09 DELETE FROM FILE (NO FEE) <br /> ( ) 02 CONDITIONAL PERMIT i 1 06 AMENDED PERMIT ( J 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> PUBLICAGENCY ONLY <br /> Nz?"E(CCPPOPATICN.INOIVIDU.AL OR PUBLIC AGENCY) { ) 01 FED ( ) 02 STATE ( l 03 LOCAL <br /> SHELL OIL COMPANY <br /> CITY STATE ZIP <br /> ST-=ET ADOPESS HOUSTON TX 77001 <br /> ONE SHELL PLAZA <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREMAN/SUPERVISOR <br /> STOCKTON PLANT <br /> R. /� i^�Ll <br /> STREET ADDRESS NEAREST CROSS STREET <br /> ROUGH & READY ISLAND <br /> COUNTY ZIP <br /> CITY SAN JOAQUIN 95203 <br /> STOCKTON <br /> CITY' STATE ZIP <br /> MAILING ADDRESS CA 95691 <br /> P.O. BOX 775 WEST SACRAMENTO <br /> PHONE W-'AREA CODE TYPE OF BUSINESS <br /> 916-371-6911 i ) 01 GASOLINE STATION (X) 02 OTHER BULK GASOLINE STORAG <br /> OF rn PU".4L AREAS ONLY : TOWNSHIP RANGE SECTION <br /> NUM3-P O. CONTAIN.., S <br /> 4 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> ENA-FAR5 <br /> N;"E(LAST NAME FIFST) AND PHONE W/AREA CCOE NIGHTS: NAMEILAST NAME FIRST) AND PHCNE W/APEA CODE9i6;1;+._ "l MAZAR, G.D. 916-781-2643 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> S �� G <br /> �A '}""�`-' CONTAINER NUMBER <br /> A. (X) 01 TANK i ) 04 OTHER: <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: C. YEAR INSTALLED r' (X) UNKNOWN <br /> D. CONTAINER CAPACITY: 1000 GALLONS ( ) UNKNOWN E. DOES THE CONTAINER STORE: i ) 01 WASTE (X) 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? (X) 01 YES f ) 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br /> ( ) 01 UNLEADED ( ) 02 REGULAR tX) 03 PREMIUM ( ) 04 DIESEL C J 05 WASTE OIL [ ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( ) GAUGE ( ) INCHES i ) CM (X) UNKNOWN <br /> B. ( J 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. (X) 01 CARBON STEEL ( ) 02 STAINLESS STEEL i ) 03 FIBERGLASS ( J 04 POLYVINYL CHLORIDE ( ) 05 CONCRETE <br /> f ) 06 ALUMINUM ( ) 07 STEEL CLAD ( ) 08 BRONZE ( ) 09 COMPOSITE ( ) 10 NON-METALLIC <br /> ( 1 12 UNKNOWN ( ) 13 OTHER: <br /> PAGE 1 <br /> HSC04-070185 (10/18/85) <br />