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• STATE ID NUMBER 00000011183002 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> — - — ( 1 09 DELETE FROM FILE (NO FEE) <br /> ( ) 05 RENEWED PERMIT ( 1 07 TANK CLOSED <br /> P�( �1 �02 CONDITIONAL PERMIT ( 1 06 AMENDED PERMIT l 1 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> -- PUBLIC AGENCY ONLY <br /> Nm'°IE(CCPPCcATION,INOIV:DUAL OR PUBLIC AGENCY) ( ) 01 FED ( 1 02 STATE ( ) 03 LOCAL <br /> E-Z SERVEr INC. <br /> CITY STATE ZIP <br /> STREET ADD-ESS ABILENE TX 79602 <br /> 901 SOUTH 1ST. <br /> II FACILITY �y <br /> CFALER/FOPEM.AN/SUPEPVISCP <br /> F-CiLITY titMr <br /> tires <br /> STREET ..ODPESS -- <br /> NEAREST CPOSS STREET <br /> ff`� - - - <br /> COUNTY ZIP <br /> C:Tr SAN JOAQUIN — <br /> RIPON <br /> TY f� STATE ZIP <br /> CI <br /> MAIL:NG ADOPESS -CITkft'f�' T*- 1 r W I <br /> P.O. BOX-3S119- SS _ <br /> FHD.`:E W;AC`A CCOE TIPS OF BUSINESS <br /> —�14 _ (X) Oi GASOLINE STATION ( 1 02 OTHER <br /> ':U5!9 OF CONTAINERS PUPAL APE4S DNLY TOWNSHIP <br /> RANGE SECTION` <br /> 3 <br /> III 24 'HOUR EMERGENCY CONTACT PERSON <br /> GAYS: N-r"EILAST NAME FIPSTI ANO :HCNE W/AQEA CODE NIGHTS: NAMEfLAST NAME FIFSTI AND PHONE 4!✓AREA CODE <br /> COMPL TE THE FOLLOWING ON A S <br /> IV DESCRIPTION ---- <br /> CONTAINER NUMBER 56 <br /> A. (X) 01 TAfIK ( 1 04 OTHER: <br /> YEAR MFG: C_ YEAR INSTALLED 78 ( 1 UNKNOWN <br /> B. MANUFACTURER (IF APPROPRIATE): R S R -- <br /> 0. CONTAINER CAPACITY 7896 GALLONS i 1 UNKNOWN E. DOES THE CONTAINER STORE: ( 1 01 WASTE (X) 02 PRODUCT <br /> F. DOES THE CCHTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? (X) 01 YES ( 1 02 NO IF YES CHECK APPROPRIATE BOXIES): <br /> (X) 01 UNLEADED I ) 02 REGULAR I 1 03 PREMIUM f 1 04 DIESEL l 105 WASTE OIL t ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: [ 1 GAUGE 1 1 INCHES ( 1 CM (X) UNKNOWN <br /> 01 VAULTED (LOCATED IN AN UNOERGROUI:O VAULT) (XI 02 NON-VAULTED ( i 03 UNKNOWN <br /> C. ( 1 01 DOUBLE WALLED (X) 02 SINGLE WALLED l 1 03 LINED <br /> D. (X)(01 06 ALUMINUML 1( 110p2STEELr+CLAD STEEL <br /> 08(BRON7EFIBERGLASS <br /> COMPOSITE POLYVINYL <br /> la NONHMETADLLIC( 1 05 CONCRETE <br /> ( ) 12 UNY,NOW'J ( 1 13 OTHER: - <br /> -- - — —- - - - - -- — PAGE 1 <br /> HSC04-070185 (10/18/85) <br />