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STATE ID NUMBER 00000019572001 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> NEW PERMIT ( ) 05 RENEWED PERMIT ( ) 07 TANK CLOSED ( 1 09 DELETE FROM FILE (NO FEE) <br /> �1 02 CONDITICNAL PERMIT [ 1 06 AME)IOEO PERMIT l ) 08 MINOR GRANGE (NO SURCHARGE) <br /> I OWNER <br /> NAME(CORPORA7ION,IN0ZVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> UN ( ) 01 FED [ ) 02 STATE f ) 03 LOCAL <br /> �-- CITY STATE ZIP <br /> STPE.ET ADDRESS ,�--Sw <br /> 1 GA�LLIFGR� Ste-c��rf l� � , CA <br /> II FACILITY <br /> FACILITY NAME DEALER/FCREMAN/SUPERVISOR <br /> UNION OIL SS# 6981 J. MCCARTHY <br /> ST-EET ADDRESS NEAREST CROSS STREET <br /> 4707 PACIFIC <br /> CITY COUNTY Zip <br /> STOCKTON SAN JOAQUIN 95207 <br /> MAILING ADDRESS CITY STATE ZIP <br /> ,75_/y <br /> ! t &Tl�eK I UN CA <br /> PHONE W/A.REA, CODE TYPE OF BUSINESS <br /> 209-952-7676 (X) 01 GASOLINE STATION ( 1 02 OTHER <br /> NUMBER OF CONTAINERS RURAL AREAS ONLY T: TOWNSHIP RANGE SON <br /> 3 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE NIGHTS: NAMECLAST NAME FIRST) AND PHONE W/AREA CODE <br /> 1AURIGUI, L. J. 415- UNION OIL CO. 415-5fr1�93"2�c� _ �� ., <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> AI f x 1 01 TANK t f) 04 OTHER: CONTAINERNUMBER Wl '_� <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: C. YEAR INSTALLED <br /> (X) UNKNOWN <br /> p. CONTAINER CAPACITY: 12000 GALLONS [ ) UNKNOWN E. 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 l 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br /> (X) 01 UNLEADED ( 1 02 REGULAR ( ) 03 PREMIUM [ ) 04 DIESEL ( 1 05 WASTE OIL [ ) 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 i l 03 UNKNOWN <br /> C. ( 1 01 DOUBLE WALLED (X) 02 SINGLE WALLED ( ) 03 LINED <br /> D. (X) 01 CARBON STEEL ( ) 02 STAINLESS STEEL ( ) 03 FIBERGLASS ( 1 04 POLYVINYL CHLORIDE ( ) 05 CONCRETE <br /> ( ) 06 ALUMINUM ( ] 07 STEEL CLAD ( ) 08 BRONZE ( ) 09 COMPOSITE [ 1 10 NON-METALLIC <br /> ( ) 12 UNKNOWN ( ) 13 OTHER- <br /> HSC04-070185 (10/18/85) PAGE 1 <br />