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• 0 STATE ID NUMBER 00000019572003 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> F'1�__o <br /> O1 NEW PERMIT (�) 05RENEWED PERMIT ( ) 07 TANK CLOSED ( 1 09 DELETE FROM FILE (NO FEE) <br /> 2 CO"�DITIONAL PERMTT tAMENDEDPERMIT ( 1 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAME(CCPPORATION,INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> UNION OIL CO. t ) 01 FED ( ) 02 STATE [ J 03 LOCAL <br /> STREET ADDRESS CITYft STATECA ZIP <br /> Fom <br /> 175_44(F, bwb"6-s- # <br /> II FACILITY <br /> FAC'LITY NAME DEALEP/FOREMAN/SUPERVISOR <br /> UNION OIL SS# 6981 J. MCCARTHY <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 4707 PACIFIC <br /> CITY COUNTY ZIP <br /> STOCKTON SAN JOAQUIN 95207 <br /> 4•le: IWRG ADDPE ' !, kt CITY STATE 22R 5�_CK <br /> G <br /> PHONE W/AREA CODE TYPE OF BUSINESS <br /> 209-952-7676 (X) 01 GASOLINE STATION t ) 02 OTHER <br /> NUMBER OF CONTAINERS RURAL AREAS ONLY TOWNSHIP RANGE SECTION <br /> 3 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE NIGHTS: NAME(LAST NAME PIPST) AND PHONE W/AREA CODE <br /> JAURIGUI, L. J. 415-A &O UNION OIL CO. 415-9fs3=9322 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION T <br /> A. (X) 01 TANK ( ) 04 OTHER,: CONTAINER NUMBER Es981-4--Y• <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: C. YEAR INSTALLED (X) UNKNOWN <br /> D. CONTAINER CAPACITY: 12000 GALLONS C ) UNKNOWN E. DOES THE CONTAINER STORE: t ) 01 WASTE (XJ 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 /> ( 1 <br /> 01 UNLEADED E ) 02 REGULAR (X) 03 PREMIUM [ l 04 DIESEL ( ) 05 WASTE OIL ( ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( 1 GAUGE C ) INCHES [ ] CM (X) UNKNOWN <br /> B. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ( l 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED tX) 02 SINGLE WALLED t 103 LINED <br /> D. (X) 01 CARBON STEEL f ) 02 STAINLESS STEEL i 1 03 FIBERGLASS f ) 04 POLYVINYL CHLORIDE ( J 05 CONCRETE <br /> ( ) 06 ALUMINUM ( ) 07 STEEL CLAD ( ) 08 BRONZE ( 1 09 COMPOSITE ( ) 10 NON-METALLIC <br /> ( ) 12 UNKNOWN ( ) 13 OTHER: <br /> MSC04-070185 (10/18/85) PAGE 1 <br />