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STATE ID NUMBER 00000037907C09 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> f ] 01 NEW PERMIT [ 1 05 RENEWED PERMIT ftr07 JjWLr..LOSED ( ) 09 DELETE FROM FILE (NO FEE) <br /> t ] 02 CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAh1E(C0RPCRAT:CN,INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> SEARS, ROEBUCK, AND COMPANY ( ) 01 FED ( ) 02 STATE t ) 03 LOCAL <br /> STREET ADD&ESS CITY STATE ZIP <br /> 5110 PACIFIC AVENUE STOCKTON CA 95207 <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREMAN/SUPERVISOP. <br /> SEARS, ROEBUCK, AND COMPANY DICK WHITAKER-DISTRIC MGR. CIT <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 5110 PACIFIC AVENUE YOKUTS <br /> CITY COUNTYZIP <br /> STOCKTON SAN JOAQUIN 95207 <br /> MAILING ADDRESS CITY STATE ZIP <br /> 5110 PACIFIC AVENUE STOCKTON CA 95207 <br /> PHONE W/AREA CODE TYPE OF BUSINESS <br /> 209-477-8111 ( ) 01 GASOLINE STATION [Xl 02 OTHER RETAIL STORE <br /> NUMBER OF CONTAINERS RURAL AREAS ONLY TOWNSHIP RANGE SECTION <br /> 10 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: N.-ME( LAST NAGE FIRST) AND PHONE WiAREA CODE NIGHTS: NAMESLAST NAME FIRST) AND PHONE W/AREA CODE <br /> (DAVID BACON 209-477-8111 DAVID BACON 209-478-2644 <br /> COMPLETE THE FOLLOAING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( ) 04 OTHER: CONTAINER NUMBER 9 <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: C. YEAR INSTALLED 1964 t 1 UNKNOWN <br /> D. CONTAINER CAPACITY: 1000 GALLONS ( ) UNKNOWN E. DOES THE CONTAINER STORE: ( ) 01 WASTE ( ) 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? ( ) 01 YES (X) 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br /> ( ) 01 UNLEADED ( 1 02 REGULAR ( ) 03 PREMIUM t ) 04 DIESEL ( 1 05 WASTE OIL ( 1 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( ) GAUGE ( ) INCHES ( 1 CM (X) UNKNOWN <br /> B. ( 1 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED t ) 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED (X) 02 SINGLE WALLED ( 1 03 LINED <br /> 0. ( ) 01 CARBON STEEL ( 1 02 STAINLESS STEEL ( ) 03 FIBERGLASS t ) 04 POLYVINYL CHLORIDE ( 1 05 CONCRETE <br /> ( ) 06 ALUMINUM (X) 07 STEEL CLAD ( 1 08 BRONZE ( ) 09 COMPOSITE ( 1 10 NON-METALLIC <br /> ( ) 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br />