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STATE ID NUMBER 00000031203003 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> O1 NEW PERMIT [ ) 05 RENEWED PERMIT i 1 07 TANK CLOSED ( ) 09 DELETE FROM FILE (NO FEE) <br /> 02 C0140ITIONAL PERMIT ( ) 06 AMENDED PERMIT ( 1 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> N,AME(COPFOPATION.INDIVIDVAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> ( ) 01 FED ( ) 02 STATE ( ) 03 LOCAL <br /> STREET ADDRESS 6; `` CITY �� STATE ZIP <br /> 1G fJ� o64H FR*Ne!9etr <br /> CA <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREMAN/SUPERVISOR <br /> UNION OIL SS #5421 WALTER S. ORR <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 7303 PACI€IC AVE. WILLORA <br /> CITY COUNTY <br /> ZIP <br /> STOCKTON SAN JOAQUIN 95207 <br /> MAILING ADDRESS ( CITY STATE ZIP <br /> DRONE W:APER CODE r TY E OF BUSINESS l• <br /> 209-478-0342 iX) 01 GASOLINE STATION f ) 02 OTHER <br /> NUMBER OF CONTAINERS DURAL AREAS ONLY TOWNSiIP RANGE SECTION <br /> 3 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NA(ME(LAST NAME FIRST) AND PHONE W/AP.EA CODE NIGHTS: NAME(LAST NAME FIRST) AND RHONE W/AREA CODE <br /> JAURIGUI, L.J. 415- �-}669 �j 7/` UNION OIL CO. 415 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( ) 04 OTHER: CONTAINER NUMBER 5427L3-4--1 <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG:(76 C. YEAR INSTALLED HH UNKNOWN <br /> D. CONTAINER CAPACITY: 280 GALLONS ( 1 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 ) 04 DIESEL (X) 05 WASTE OIL { 1 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: f 1 GAUGE f ) INCHES ( ] CM (X) UNKNOWN <br /> B. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NDN-VAULTED ( ) 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED (X) 02 SINGLE WALLED ( l 03 LINED <br /> D. (X) 01 CARBON STEEL { l 02 STAINLESS STEEL ( ) 03 FIBERGLASS ( D 04 POLYVINYL CHLORIDE ( } 05 CONCRETE <br /> ( ) 06 ALUMINUM ( ) 07 STEEL CLAD ( ) 08 BRONZE ( ) 09 COMPOSITE ( l 10 NON-METALLIC <br /> [ l 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br />