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STATE ID NUMBER 00000045931001 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> 0< 01 NEW PERMIT C l 05 RENEWED PERMIT ( l 07 TANK CLOSED ( ) 09 DELETE FROM FILE (NO FEE) <br /> PT 02 CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT ( ) 06 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NLME(COPPOPATION,INDIVIOUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> SAN JOA'QUIN DELTA COMMUNITY ( ) 01 FED ( ) 02 STATE ( 1 03 LOCAL <br /> STREET ADD=ESS CITY STATE ZIP <br /> 5151 PACIFIC AVENUE STOCKTON CA 95207 <br /> II FACILITY <br /> FACILITY NAME DEALER/FOPEMAN%SUPERVISOR p <br /> SAN JOAQUIN DELTA COMMUNITY COLt_E4XIle "or/ � "fv <br /> STP.EET ADDRESS NEAREST CROSS STREET <br /> 5151 PACIFIC AVENUE YOKUT <br /> CITY COUNTY Z:P <br /> STOCKTON SAN JOAQUIN 95207 <br /> MAILING ADOFESS CITY STATE ZIP <br /> 5151 PACIFIC AVENUE STOCKTON CA 95207 <br /> PHONE WiArEA CCDE TYPECF BUSINESS <br /> 2o9-v"-q@" <br /> ll"- L� _�a�'� ( ) 01 GASOLINE STATION (X) 02 OTHER JR. COLLEGE <br /> NUMBER OFCONTAINERS RURAL AREAS ONLY TOWNSHIP RANGE SECTION <br /> e-ro <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAMEtLAST NAME FIRST) AND PHONE W/APE.A CCDE NIGHTS: NA,`{E(L.AST NAME FIRST) AND PHONE W/AREA CODE <br /> 0 AA <br /> COMPL=THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER. <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( ) 04 OTHER: CONTAINER NUMBER SJDC - 5 <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG C. YEAR INSTALLED 1974 ( ) UNKNOWN <br /> woe t� <br /> 0. CONTAINER CAPACITY: 500 GALLONS ( ) UNKNOWN E. DOES THE CONTAINER STORE: ( l 01 WASTE (X) 02 PRODUCT <br /> F. GOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? ( ) 01 YES (X) 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br /> ( ) 01 UNLEADED i ) 02 REGULAR t ) 03 PREMIUM ( ) 04 DIESEL f l 05 WASTE OIL ( 1 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: 10 (X) GAUGE C ) INCHES f ) CM ( ] UNKNOWN <br /> B. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED C ) 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED (X) 02 SINGLE WALLED ( 1 03 LINED <br /> D. ( ) 01 CARBON STEEL ( ) 02 STAINLESS STEEL C 1 03 FIBERGLASS ( 1 04 POLYVINYL CHLORIDE t ) 05 CONCRETE <br /> ( ) 06 ALUMINUM ( 1 07 STEEL CLAD ( ) 08 BRONZE l ] 09 COMPOSITE ( 1 10 NON-METALLIC <br /> (X) 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br />