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STATE IO NUMBER 00000020115001 <br /> APPLICATION FOR PER T TO OPERATE UNDERGROUND STORAGE TANK <br /> ( 1 01 NEW PERMIT ( l 05 RJqEWED PERMIT ( l 07 TANK CLOSED ( l 09 DELETE FROM FILE tNO FEE) <br /> f 1 02 CONDITIONAL PERMIT ( D 06 AMENDED PERMIT ( 1 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAME(COPPOPATICN,INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> SHELL OIL COMPANY f ) 01 FED C ) 02 STATE ( ) 03 LOCAL <br /> STREET ADDRESS CITY STATE ZIP <br /> ONE SHELL PLAZA HOUSTON TX 77001 <br /> II FACILITY <br /> FACILITY NAME DEALER/FOFEMAN/SUPERVISOR <br /> STOCKTON PLANT G.D. MAZAR <br /> STREET ADDRESS NEAREST CROSS STREET <br /> ROUGH & READY ISLAND <br /> CITY COUNTY ZIP <br /> STOCKTON SAN JOAQUIN 95203 <br /> MAILING ADDRESS CITY STATE ZIP <br /> P.O. BOX 775 WEST SACRAMENTO CA 95691 <br /> PHONE :::'AREA CODE TYPE OF BUSINESS <br /> 916-371-6911 ( ) 01 GASOLINE STATION (X) 02 OTHER SULK GASOLINE STORAG <br /> NUMBER 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/APEA CODE NIGHTS: NAME(LAST NAME FIRST) AND PHONE 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 1 <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: C. YEAR INSTALLED ( 1 UNKNOWN <br /> 0. CONTAINER CAPACITY: GALLONS ( l UNKNOWN E. DOES THE CONTAINER STORE: ( ) 01 WASTE ( ) 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? C 1 01 YES ( ) 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br /> 01 UNLEADED C ) 02 REGULAR ( ) 03 PREMIUM ( ) 04 DIESEL ( 1 05 WASTE OIL ( ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKI4ESS OF PRIMARY CONTAINMENT: ( ) GAUGE C ) INCHES ( ) CM ( ) UNKNOWN <br /> F B. C 1 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) ( ) 02 NON-VAULTED ( l 03 UNKNOWN <br /> C. ( l 01 DOUBLE WALLED C ) 02 SINGLE WALLED f l 03 LINED <br /> 0. ( ) 01 CARSON STEEL ( ) 02 STAINLESS STEEL ( 1 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE ( l 05 CONCRETE <br /> t ) 06 ALUMINUM t ) 07 STEEL CLAD ( 1 08 BRONZE ( ) 09 COMPOSITE ( ) 10 NON-METALLIC <br /> ( ) 12 UNKNOWN ( l 13 OTHER: <br /> i KSC04-070185 (10/18/85) PAGE 1 <br />