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STATE ID NUMBER 00000045931003 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> 01 NEW PERMIT ( ) 05 RENEWED PERMIT ( l 07 TANK CLOSED ( ) 09 DELETE FROM FILE (NO FEE) <br /> 02 CONDITIONAL PERMIT ( 1 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> Nt":E(CCRFOPATION,!NDIVIOU.AL OR PT;BLIC AGENCY) .PUBLIC AGENCY ONLY <br /> SAN JOAQUIN DELTA COMMUNITY CO(, Q ( ) 01 FED ( ) 02 STATE t ) 03 LOCAL <br /> STPEET ,ADDRESS CITY STATE 195207 <br /> IP <br /> 5151 PACIFIC AVENUE STOCKTON CA <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREMAN,'SUPERVISOR <br /> SAN JOAQUIN DELTA COMMUNITY CO GGelk ffj le enr✓ <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 5151 PACIFIC AVENUE YOKUT <br /> CITY COUNTY ZIP <br /> STOCKTON SAN JOAQUIN 95207 <br /> MAILING ADDRESS CITY STATE ZIP <br /> 5151 PACIFIC AVENUE STOCKTON CA 95207 <br /> PHONE W/AREA CCDE TYPE OF BUSINESS <br /> 209-474-5063 ( ) 01 GASOLINE STATION (X) 02 OTHER JR. COLLEGE <br /> NUMBEz <br /> CNT. I"'RS RURAL AREAS ONLY TOWNSHIP RANGE SECTION. <br /> r <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NL!EfLAST NAME FIRST) AND PHONE W/AREA CODE NIGHTS: NAME(LAST NAME FIRSTS AND PHONE W/AREA CODE <br /> 209-474+80660=P Z 6"6r Z <br /> / ,f <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( ) 04 OTHER: CONTAINER NUMBER SJDC - 2 <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG:= YEAR INSTALLED 1973 ( i UNKNOWN <br /> 0. CONTAINER CAPACITY: 1000 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 ( ) 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br /> (X) 01 UNLEADED ( ) 02 REGULAR ( ) 03 PREMIUM E ) 04 DIESEL ( ) 05 WASTE OIL ( ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: 10 (X) GAUGE ( 1 INCHES ( ) CM ( ) UNKNOWN <br /> B. E ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ( ) 03 UNKNOWN <br /> C. ( l 01 DOUBLE WALLED IX) 02 SINGLE WALLED ( l 03 LINED <br /> 0. ( ) 01 CARBON STEEL ( ) 02 STAINLESS STEEL ( l 03 FIBERGLASS ( l 04 POLYVINYL CHLORIDE ( ) 05 CONCRETE <br /> ( ) 06 ALUMINUM t ) 07 STEEL CLAD ( ) 08 BRONZE ( l 09 COMPOSITE ( ) 10 NON-METALLIC <br /> F ) 12 UNKNOWN (X) 13 OTHER: MILL STEEL PLATE <br /> HSC04-070185 (10/18/85) PAGE 1 <br />