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STATE ID NUMBER 00000OC6886003 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> ( 1 01 NEW PERMIT ( 1 05 RENEWED PERMIT ( ) 07 TANK CLOSED f 1 09 DELETE FROM FILE (NO FEE} <br /> F( <br /> ) 02 CONOITIONAL PERMIT ( ) 06 AMENDED PERMIT ( 1 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER _-- <br /> NAME(COPPORATION,INDIVIDUAL OR PU5LIC AGENCY) PUBLIC AGENCY ONLY <br /> PACIFIC BELL ( ] 01 FED ( ) 02 STATE ( 1 03 LOCAL <br /> STREET ADOPESS CITY STATE ZIP <br /> 370 THIRD STREET SAN FRANCISCO CA 94107 <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREM.AN/SUPERVISOR <br /> PACIFIC BELL (UE-R47) E. J. KOEHLER <br /> STREET ADOP£SS NEAREST CROSS STREET <br /> 4051 NEWTON ROAD <br /> CITY COUNTY ZIP <br /> STOCKTON SAN JOARUIN 95205 <br /> MAILING .ADD=ESS A]SANFRANCISCO <br /> Y STATE ZIP <br /> 370 THIRD STREET, ROOM 60OG CA 94107 <br /> PHONE W/AP,EA CODE TYPE OF BUSINESS <br /> 415-542-6758 ( 1 01 GASOLINE STATICN (X) 02 OTHER PHCNE CO. <br /> N' BER OF CdNTAIN£RS RURAL AREAS ONLY TOWNSHIP RANGE SECTION <br /> 3 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> D,YS: NAM (LAST NAME FIRST) AND PHONE W/AREA CODE NIGHTS: NAME(L.AST NAME FIRST) AND PRONE W/AR£A CODE <br /> EMERGENCY CONTROL CENTER 415-542-4601 EMERGENCY CONRTOL CENTER 415-542-4601 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( 1 04 OTHER CONTAINER NUMBER G-XX-1K <br /> B. MANUFACTURER, (IF APPROPRIATE): YEAR MFG: C. YEAR INSTALLED (X) UNKNOWN <br /> 0. CONTAINER CAPACITY: 1000 GALLONS ( ) UNKNOWN JE. DOES THE CONTAINER STORE: ( ) 01 WASTE (X) 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? (X) 01 YES i ) 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br /> (X) 01 UNLEADED ( ) 02 REGULAR ( ) 03 PREMIUM t 1 04 DIESEL t ) 05 WASTE OIL ( ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( } GAUGE i 1 INCHES i ) CM (X) UNKNOWN <br /> B. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ( l 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED (X) 02 SINGLE WALLED ( 1 03 LINED <br /> 0. ( ) 01 CARBON STEEL ( ) 02 STAINLESS STEEL ( 1 03 FIBERGLASS i ) 04 POLYVINYL CHLORIDE i 1 05 CONCRETE <br /> i ) 06 ALUMINUM ( ] 07 STEEL CLAD ( 1 08 BRONZE ( ) 09 COMPOSITE ( ) 10 NON-METALLIC <br /> (XI 12 UNKNOWN ( 1 13 OTHER' <br /> HSC04-070185 (10/18/85) PAGE 1 <br />