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STATE ID NUMBER 00000004741002 <br /> s <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> (nl--REW PERMIT ( ) 05 RENEWED PERMIT ( ) 07 TANK CLOSED ( ) 09 DELETE FROM FILE (NO FEE) <br /> ( ) 02 CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT ( 1 08 MINOR CHANGE (NO SURCHARGE) J <br /> I OWNER <br /> NAME(COPPORATION,INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> THRIFTY OIL CO. ( ) 01 FED ( l 02 STATE 03 LOCAL <br /> STREET ADDRESS CITY STATEZIP <br /> 10000 LAKEWCOO BLVD. DOWNEY CA 90240 <br /> II FACILITY <br /> FACILITY NA"_ DEALER/FOREMAN/SUPERVISOR <br /> THRIFTY OIL STH. 4172 <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 7647 PACIFIC AVENUE RIVARA <br /> CITY COUNTY ZIP <br /> STOCKTON SAN JOAQUIN 95200 <br /> A_LING LDDP=SS CITY STATE ZIP <br /> 10000 LAKEWOOD BLVD. DOWNEY CA 90240 <br /> PHONE W/APER ODE A5�4-, TYPE OF BUSINESS <br /> 213-923-9876 X174 7l$ (x) 01 GASOLINE STATION ( ) 02 OTHER <br /> NUM9EP OF CONTAINERS RURAL AREAS ONLY : TOWNSHIP RANGE SECTION <br /> 4 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> 04YS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE FLARRYSHAWKS <br /> : NAME(LAST NAME FIRST) AND PHONE W/AREA CODE <br /> LARRY HAWKS 213=.. '9 -fib- L•,y:_ S �b� 9�4b3� � �j�._ � � <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( J 04 OTHER: CONTAINER NUMBER 172-2 <br /> B. MANUFACTURER (IF APPROPRIATE). YEAR MFG C. YEAR INSTALLED (X) UNKNOWN <br /> D. CONTAINER CAPACITY: 6000 GALLONS ( l UNKNOWN FEDOES 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 ( 1 04 DIESEL ( ) 05 WASTE OIL ( l 06 OTHER <br /> v CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: 1/4 [ ) GAUGE (X) INCHES ( 1 CM ( ) UNKNOWN <br /> B. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ( 1 03 UNKNOWN <br /> C. ( 1 01 DOUBLE WALLED (X) 02 SINGLE WALLED ( l 03 LINED <br /> 0. (X) 01 CARBON STEEL t ) 02 STAINLESS STEEL f ) 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE ( ) 05 CONCRETE <br /> [ ) 06 ALUMINUM ( ) 07 STEEL CLAD ( 1 08 BRONZE ( 1 09 COMPOSITE ( ) 10 NON-METALLIC <br /> ( ) 12 UNKNOWN ( ) 13 OTHER <br /> HSC04-070165 (10/18/85) PAGE 1 <br />