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• STATE IO NUMBER 00000019572002 <br /> • APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> OI NEW PERMIT ( l 05 RENEWED PERMIT ( ) 07 TANK CLOSED ( ) 09 DELETE FROM FILE (NO FEE) <br /> l 02 CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I CWNER <br /> NAM!(CCRPOPATION,INDIVIDU.AL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> I ) 01 FED ( ) 02 STATE f l 03 LOCAL <br /> STPEET 400RESS �- CITY Z <br /> STATE <br /> ZYP <br /> II FACILITY <br /> FACILITY NA-,E DEALER/FOREM.AN/SUPERVISCR <br /> UNION OIL 55# 6981 J. MCCARTHY <br /> STREET ADDPESS NEAREST CROSS STREET <br /> 4707 PACIFIC <br /> CITY COUNTY ZIP <br /> STOCKTON SAN JOAQUIN 95207 <br /> `7aYLIN3 ADDRESS CYTS STATE Z P <br /> 4997-FAG! ! <br /> CA <br /> PHONE W/AREA CODE TYPE OF BUSINESS <br /> 209-952-7676 (X) 01 GASOLINE STATION ( l 02 OTHER <br /> NUMBER OF CONTAINEPS RURAL AREAS ONLY TOWNSHIP RANGE SECTION <br /> 3 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: N.AME(LAST NAME FIRST) AND PHONE W/AP.EA CODE NIGHTS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE <br /> JAURIGUit L. J. 415-45 6@9-C�?� UNION 0IL CO. 415— 3 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( ) 04 OTHER: CONTAINER NUMBER_b9'8�"1-F ^ <br /> B. MANUFACTURER tIF APPROPRIATE): YEAR MFG= C. YEAR INSTALLED (X) UNKNOWN <br /> 0. CONTAINER CAPACITY: 12000 GALLONS C ) UNKNOWN <br /> ___FS THE CONTAINER STORE: f D 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 /> ( ) 01 UNLEADED ( ) 02 REGULAR (X) 03 PREMIUM ( ) 04 DIESEL E ) 05 WASTE OIL ( ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> ra <br /> A. THICKNESS OF PRIMARY CONTAINM€NT I ) GAUGE ( l INCHES I ) CM (X) UNKNOWN <br /> B. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON—VAULTED I ) 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED (X) 02 SINGLE WALLED ( ) 03 LINED <br /> D. (X) 01 CARBON STEEL t ] 02 STAINLESS STEEL ( ) 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE ( ) 05 CONCRETE <br /> ( ) 06 ALUMINUM ( l 07 STEEL CLAD t ) 08 BRONZE f ) 09 COMPOSITE f ] 10 NON—METALLIC <br /> C ) 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/16/85) PAGE 1 <br />