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w <br /> " r J4.1y WAIZ STATE ID NUMBER 00000020115 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> ( ) 01 NEW PERMIT ( ) 05 RENEWED PERMIT ( ) 07 TANK CL05ED ( ) 09 DELETE FROM FILE (NO FEE) <br /> ( ) 02 CChlDITIONAL PERMIT i ) 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I ONNER <br /> NA.'F(CORPORATION,INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> SHELL OIL COMPANY ( 1 01 FED ( 1 02 STATE ( 1 03 LOCAL <br /> STREET .ADDPESS CITY STATE ZSP <br /> ONE SHELL PLAZA HOUSTON �TX 77001 <br /> II FACILITY <br /> FACILITY NAME DEALER/FOP.EM.AN/SUPERVISOR <br /> STOCKTON PLANT G.D. MAZAR <br /> STP;ET ADDRESS NE.APEST CROSS STREET <br /> ROUGH & READY ISLAND <br /> ITY COUNTY ZIP <br /> STOCKTON SAN JOAQUIN 95203 <br /> MAILING ADDRESS CITY STATE ZIP <br /> P.O. BOX 775 WEST SACRAMENTO CA 95691 <br /> PHONE W/AREA CODE TYPE OF BUSINESS <br /> 916-371-6911 ( 1 01 GASOLINE STATION (X) 02 OTHER BULK GASOLINE STORAG <br /> NU"3ER OF CONTAINERS RURAL AREAS ONLY TOWNSHIP RANGE SECTION <br /> 4 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAME( LAST NAME FIRST) AND PHONE W/AREA CODE NIGHTS: NAME(LAST NAME FIPST) AND RHONE W/AP.EA 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 SESCRIPTION <br /> A. (X) 01 TANK ( ) 04 OTHER: CONTAINER NUMBER 03 <br /> B. MANUFACTURER. (IF APPROPRIATE): YEAR MFG- 1975 C. YEAR INSTALLED 1975 ( ) UNKNOWN <br /> 0. CONTAINER CAPACITY: 1000 GALLONS ( 1 UNKNOWN E. DOES THE CONTAINER STORE ( 1 01 WASTE (X) 02 PRODUCT <br /> IF. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? (X) 01 YES ( ) 02 NO IF YES CHECK APPROPRIATE BOX(ES)- <br /> (X1 01 UNLEADED ( 1 02 REGULAR ( ) 03 PREMIUM ( J 04 DIESEL f 1 05 WASTE OIL f 1 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: f ) GAUGE ( 1 INCHES ( ) CM (X) UNKNOWN <br /> B. ( 1 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ( ) 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED (X) 02 SINGLE WALLED ( 1 03 LINED <br /> D. (X1 01 CARBON STEEL ( ) 02 STAINLESS STEEL ( 1 03 FIBERGLASS ( 1 04 POLYVINYL CHLORIDE ( 1 05 CONCRETE <br /> ( ) 06 ALUMINUM ( ) 07 STEEL CLAD i ) 08 BRONZE ( 1 09 COMPOSITE ( 1 10 NON-METALLIC <br /> f ) 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br />