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STATE ID NUMBER 00000045931002 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> XI) NEW PERMIT t } 05 RENEWED PERMIT ( 1 07 TANK CLOSED t ) 09 DELETE FROM FILE (ND FEE) <br /> 102 CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT ( ) 08 MINOR CHANGE CNO SURCHARGEI <br /> I OWNER <br /> NAME(COP.POPATION.INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> SAN JOAQUIN DELTA COMMUNITY CO ( 1 01 FED ( l 02 STATE f ) 03 LOCAL <br /> STPEE7 ADDRESS CITY STATE ZIP <br /> 5151 PACIFIC AVENUE STOCKTON CA 95207 <br /> II FACILITY <br /> FACILITY NAME OEALER/FOREMAN/SUPERVISOP y <br /> SAN JOAQUIN DELTA COMMUNITY CO 61 <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 5151 PACIFIC AVENUE YOKUT <br /> CITY COUNTY ZIP <br /> STOCKTON ISAN JOAQUIN 95207 <br /> MAILING ACDF.ESS CITY STATE ZIP <br /> 5151 PACIFIC AVENUE STOCKTON CA 95207 <br /> FHCNE W/.APER CODE TYPE OF 3USINESS <br /> 209 % 01 GASOLINE STATION (X) 02 OTHER JR. COLLEGE <br /> NU"'!BEP OF CONT.A EPS PUPAL AREAS ONLY TOWNSHIP F 3E SECTION <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAME(LAST NAME FIRST) AND PHONE W/APEA CODE NIGHTS: NAME(LAST NAME FIRST) AND PHONE W/ATEA CODE <br /> 209+ <br /> '6'``I so <br /> COMPLETE HE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( 1 04 OTHER; CONTAINER NUMBER SJDC - 6 <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: C. YEAR INSTALLED 1974 ( 1 UNKNOWN <br /> D. CONTAINER CAPACITY: 500 GALLONS f I UNKNOWN E. DOES THE CONTAINER STORE: (X) 01 WASTE ( ) 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 ( ) 03 PREMIUM t 1 04 DIESEL (X) 05 WASTE OIL ( ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: 10 (X) GAUGE f ) INCHES ( l CM ( I UNKNOWN <br /> B. ( l 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ( 103 UNKNOWN <br /> C. ( 1 01 DOUBLE WALLED (X) 02 SINGLE WALLED { ) 03 LINED <br /> 0. i 1 01 CARBON STEEL f ) 02 STAINLESS STEEL ( 103 FIBERGLASS ( 1 04 POLYVINYL CHLORIDE ( ) 05 CONCRETE <br /> t ) 06 ALUMINUM ( 1 07 STEEL CLAD ( ) 08 BRONZE ( l 09 COMPOSITE ( 1 10 NON-METALLIC <br /> (XI 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br /> i • <br />