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STATE ID NUMBER 00000045931005 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> ( O1 <br /> NEW PERMIT ( 1 05 RENEWED PERMIT i 1 07 TANK CLOSED ( ) 09 DELETE FROM FILE (NO FEE) <br /> 1 02 CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I OSJNER <br /> NAM=(CCPPORATION,INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> SAN JOAQUIN DELTA COMMUNITY CO LC ( ) 01 FED ( ) 02 STATE ( ) 03 LOCAL <br /> STREET A00FESS CITY STAT_ ZIP <br /> SISI PACIFIC AVENUE STOCKTON CA 95207 <br /> II FACILITY <br /> FACILITY NAME DEALEP/FOREMAN/SUPERVISOR <br /> SAN JOAQUIN DELTA COMMUNITY CO BOOKER T. GUYTON <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 5151 PACIFIC AVENUE YOKUT <br /> CITY COUNTY ZIP <br /> STOCKTON SAN JOAQUIN 95207 <br /> "AILING ADDRESS CITY STATE ZIP <br /> 5151 PACIFIC AVENUE STOCKTON CA 95207 <br /> PHONE bJiAQE.A CODE TYPE OF BUSINESS <br /> 209-474 — �'(j Z'Z f 1 O1 GASOLINE STATION (X) 02 OTHER JR. COLLEGE <br /> NUMBER OF CONTAINERS RURAL AREAS ONLY ; TOWNSHIP IPANGE SECTION <br /> awom— <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAME(LAST NAME FIRST) AND PHONE W/AP.EA CODE NIGHTS: NAME(LAST NAME FIRST) AND PHONE W/APER CCDF <br /> 209-474 � Z g <br /> >d <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( ) 04 OTHER: CONTAINER NUMBER SJDC - 3 <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: C. YEAR INSTALLED 1973 ( 1 UNKNOWN <br /> D. CONTAINER CAPACITY: 1000 GALLONS ( 1 UNKNOWN JE. DOES THE CONTAINER STORE: ( ) 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 ( 1 02 REGULAR { ) 03 PREMIUM (X) 04 DIESEL ( ) 05 WASTE OIL ( 1 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: 10 (X) GAUGE t ) INCHES ( 1 CM ( ) UNKNOWN <br /> B. ( 1 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ( ) 03 UNKNOWN <br /> C. ( 1 01 DOUBLE WALLED (X) 02 SINGLE WALLED ( ) 03 LINED <br /> 0. ( ) 01 CARBON STEEL ( ] 02 STAINLESS STEEL E ) 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE ( 1 05 CCNCRETE <br /> ( ) 06 ALUMINUM ( 1 07 STEEL CLAD { 1 08 BRONZE ( ) 09 COMPOSITE { ) 10 NON-METALLIC <br /> ( ) 12 UNKNOWN (X) 13 OTHER: MILL STEEL PLATE <br /> HSC04-070185 (10/18/85) PAGE 1 <br />