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1 <br /> STATE ID NUMBER 00000020115 <br /> y APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> [ l 41 NEW PE2MIT [ l 05 RENEWED PERMIT ( 1 07 TANK CLOSED ( l 09 DELETE FROM FILE (NO FEE) <br /> ( l 02 CUNDIT)SONAL PERMIT t 1 06 AMENDED PERMIT f ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NA.ME(CCPPCtATI0N,1401VZOUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> ( 1 01 FED ( ) 02 STATE ( 1 03 LOCAL <br /> SHELL OIL COMPANY <br /> CITY STATE ZIP <br /> STREET ADDRESS TX 77001 <br /> ONE SHELL PLAZA HOLTUSTC <br /> II FACILITY <br /> FACILITY NAME DEALER/FCREMAN/SUPERVISOR <br /> STOCKTON PLANT G.D. MAZAR <br /> STREET ADD?ESS NEAREST CROSS STREET <br /> ROUGH & READY ISLAND <br /> COUNTY ZIP <br /> STOCKTON SAN JOAQUIN 95203 <br /> MAILING ADDRESS CITY STATE ZIP <br /> CA 95691 <br /> P.O. BOX 775 WEST SACRAMENTO <br /> PHONE WlAREA CGDE TYPE OF 9USINESS <br /> 916-371-6913 ( i 01 GASOLINE STATION (X) 02 OTHER BULK GASOLINE STORAG <br /> t;° GER <br /> OF CONTAINERS RURAL AREAS ONLY TOWNSHIP FRAGE SECTION <br /> 4 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAME(LAS7 NAME FIRST) AND RHONE LJ/AP.EA COO NIGHTS: NAME(LAST NAME FIRST) AND PHCNE W/AREA CODE <br /> MAZAR, G.D. 916-371-6911 MAZAR, G.D. 916-781-2643 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( ) 04 OTHER =CONTAINER NUMBER 04 <br /> B. MANUFACTURER tIF APPROPRIATE): TEAR MFG:----[C. YEAR INSTALLED (X) UNKNOWN <br /> D. CONTAINER CAPACITY: 1300 GALLONS ( ) UNKNOWN E. DOES THE CONTAINER STORE: [ l 01 WASTE [X) 02 PRODUCT <br /> F. { 1 DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? (X) 01 YES ( l 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br /> O1 UNLE <br /> ADEDD (X) 02 REGULAR ( 1 03 PREMIUM ( ) 04 DIESEL [ ) 05 WASTE OIL ( 1 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> d <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( I GAUGE t l INCHES ( ] CM (X) UNKNOWN <br /> B. [ ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) f ) 02 NON-VAULTED (X) 03 UNKNOWN <br /> C. ( 1 01 DOUBLE WALLED (X) 02 SINGLE WALLED [ ) 03 LINED <br /> D. [ l 01 CARBON STEEL ( 1 02 STAINLESS STEEL (X) 03 FIBERGLASS [ 1 04 POLYVINYL CHLORIDE ( 1 05 CONCRETE <br /> t ) 06 ALUMINUM ( 1 07 STEEL CLAD ( ) 08 BRONZE ( ) 09 COMPOSITE ( ) 10 NON-METALLIC <br /> ( 1 12 UNKNOWN ( ) 13 OTHER: <br /> PAGE 1 <br /> KSC04-070185 (10/18/85) <br />