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=amu , STATE ID NUMBER 00000006886001 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> ( 1 01 NEW PERMIT l 1 05 RENEWED PERMIT ( ) 07 TANK CLOSED 1 l 09 DELETE FROM FILE (NO FEEL <br /> ( } 02 CONDITIONAL PERMIT ( J 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAME(CCPPORATION,INDIVIDUAL OR PUBLIC AGENCY) TPUBLIC AGENCY ONLY <br /> PACIFIC BELL01 FED ( 1 02 STATE ( 1 03 LOCAL <br /> STPEaT ADOPESS ( CITY /�j �,� STATE ZIP' <br /> C1ll�p f�lE(tt GAiB q`{SS <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREMAN/SUPERVISOR <br /> PACIFIC BELL (UE-8471 E. J. KOEHLER <br /> STOSET ADDRESS NEAREST CROSS STREET <br /> 4051 NEWTON ROAD <br /> COUNTY' ZIP <br /> CITY <br /> STOCKTON y� y SAN JOAQUIN 95205 <br /> MAILING ADDRESS 'r' F ! ITS STATE biP � <br /> 01G CA <br /> FHONE :J/AREA CODE TYPE OF BUSINESS <br /> 415-442--6-Z" 4 1 01 GASOLINE STATION (X) 02 OTHER PHONE CO. <br /> N' Y3Er^ OF CONTAINERS RURAL AREAS ONLY TOWNSHIP RANGE SECTION <br /> 3 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAIS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE NIGHTS; NAMEILAST NAME FIRST) AND PHON�;;L CODEEMERGENCY CDNTROL CENTEREMERGENCY CONitTOt CENTERT),7 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( ) 04 OTHER CONTAINER NUr1BER G-79-10K <br /> B. MANUFACTURER (IF APPROPRIATE): OWENS-CORNING YEAR MFG= 1979 C. YEAR INSTALLED 1979 ( 1 UNKNOWN <br /> D. CONTAINER CAPACITY: 10000 GALLONS ( } UNKNOWN E. DOES THE CONTAINER STORE: ( 1 01 WASTE (X) 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? (X) 01 YES ( ) 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br /> (X) 01 UNLEADED ( ) 02 REGULAR ( ) 03 PREMIUM ( } 04 DIESEL ( 1 05 WASTE OIL t ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( ) GAUGE ( 1 INCHES ( ) CM (X) UNKNOWN <br /> B. ( 1 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ( 1 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED (X) 02 SINGLE WALLED ( ) 03 LINED <br /> D. ( ) 01 CARBON STEEL C 1 02 STAINLESS STEEL (X) 03 FIBERGLASS f 1 04 POLYVINYL CHLORIDE ( 1 05 CONCRETE <br /> ( ) 06 ALUMINUM i 1 07 STEEL CLAD ( 1 08 BRONZE ( 1 09 COMPOSITE ( 1 10 NON-METALLIC <br /> ( l 12 UNKNOWN ( ) 13 OTHER' <br /> HSC04-070185 (10/18/85) PAGE 1 <br />