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STATE ID NUMBER 00000049996002 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> f1l 01 NEW PERMIT ( 1 05 RENEWED PERMIT { 1 07 TANK CLOSED [ 1 09 DELETE FROM FILE (NO FEEL <br /> ("'1 02 CONDITIONAL PERMIT i l 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAME(CCPPOPATXON.INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> ELMER F AND/OR IRENE L KLUDT ( ) 01 FED f ) 02 STATE f ) 03 LOCAL <br /> STREET ADDRESS CITY STATE ZIP <br /> i LODI CA <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREMAN/SUPERVISOR <br /> E F KLUDT & SONS, INC STEPHEN C. KLUDT, SUPERVISOR <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 1126 E PINE STREET CLUFF <br /> CITY COUNTY ZIP <br /> LODI SAN JOAQUIN 95240 <br /> MAILING ADDRESS CITY STATE ZIP <br /> P.O. BOX 166 LODI CA 95241 <br /> PHONE W/AREA CODE FycPE)_o <br /> OF BUSINESS <br /> 209-368-0634 I GASOLINE STATION (X) 02 OTHER PETROLEUM JOBBER <br /> NUMBEP OF CONTAINERS RURAL AREAS ONLY TOWNSHIP PANGS SECTION <br /> 5 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: N4ME(LAST NAME FIRST) AND PHONE W/AREA CODE NIGHTS: NAME(LAST NAME FIRST) .AND PHONE W/AP.EA CODE <br /> KLUDT, STEPHEN C. 209-368-0634 KLUDT, RICHARD A. 209-334-2668 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( ) 04 OTHER: TC NTAINER NUMBER 2 <br /> B. MANUFACTURER (IF APPROPRIATE): STOCKTON MFG & SALES CO YEAR MFG: 1984 C. YEAR INSTALLED 1984 ( ) UNKNOWN <br /> D. CONTAINER CAPACITY: 20000 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 /> C ) 01 UNLEADED (X) 02 REGULAR C ) 03 PREMIUM ( 1 04 DIESEL ( l 05 WASTE OIL { l 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: 5/16 ( ) GAUGE {X) INCHES ( ) CM ( ) UNKNOWN <br /> B. f ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON—VAULTED ( l 03 UNKNOWN <br /> C. ( J 01 DOUBLE WALLED (X1 02 SINGLE WALLED ( 1 03 LINED <br /> D. (X) 01 CARBON STEEL f ) 02 STAINLESS STEEL f ) 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE C ) 05 CONCRETE <br /> ( ) 06 ALUMINUM ( 1 07 STEEL CLAD ( ) 08 BRONZE ( ) 09 COMPOSITE i 1 10 NON—METALLIC <br /> ( ) 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 {10/18/85) PAGE I <br />