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STATE ID NUMBER 00000049996003 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> C 01 NEW PERMIT ( ) 05 RENEWED PERMIT ( 1 07 TANK CLOSED i ) 09 DELETE FROM FILE (NO FEE) <br /> 02 CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAME(COPPORATICN,INDIVIDUAL OR PUBLIC AGENCY) :p(UB) <br /> LIC AGENCY ONLY <br /> ELMER F AMD/OR IRENE L KLUDT 01 FED ( ] 02 STATE ( l 03 LOCAL <br /> .71 <br /> STREET ADDRESS 1 CITY =c� <br /> ATE ZTP <br /> c�t�'16{ LODI <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREM.AN/SUPERVISOR <br /> E F KLUDT & SONS, INC STEPHEN C. KLUDT, SUPERVISOR <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 11.26 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%ATEA CODE TYPE OF BUSINESS <br /> 209-368-0634 ( ) 01 GASOLINE STATION (X) 02 OTHER PETROLEUM JOBBER <br /> NUMBEP. OF CONTAINERS PUPAL AREAS ONLY : TOWNSHIP RANGE S€CTION <br /> 5 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAM ( LAST NAME FIRST) AND PHONE W/AREA CODE NIGHTS: NAME(LAST NAME FIRST) AND PHONE W/AREA 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: CONTAINER NU112ER 3 <br /> B. MANUFACTURER (IF APPROPRIATE): STOCKTON MANUFACTURING S SALES YEAR MFG: 1984 C. YEAR. INSTALLED 1984 ( ) UNKNOWN <br /> D. CONTAINER CAPACITY: 20000 GALLONS C ) 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 /> ( ) 01 UNLEADED d ) 02 REGULAR ( ) 03 PREMIUM (X) 04 DIESEL ( ) 05 WASTE OIL f ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT.* 5/16 ( l GAUGE (X) INCHES ( 1 CM C ) UNKNOWN <br /> B. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON—VAULTED ( ) 03 UNKNOWN <br /> C. f ) 01 DOUBLE WALLED (X) 02 SINGLE WALLED ( ) 03 LINED <br /> 0. (X) 01 CAREON STEEL ( ) 02 STAINLESS STEEL ( 1 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE ( ) 05 CONCRETE <br /> ( ) 06 ALUMINUM d ) 07 STEEL CLAD ( 1 08 BRONZE ( ) 09 COMPOSITE l ) 10 NON—METALLIC <br /> f 1 12 UNKNOWN ( ) 13 OTHER: <br /> KSC04-070185 (10/18/85) PAGE 1 <br />