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low, <br /> �STATE ID NUMBER 00000009623001 <br /> APPLICATION FOR PERMIT TO OPE ERGROUND STORAGE TANK <br /> f l 01 NEW PERMIT ( ) 05 RENEWED PERMIT Te NI ( ) 09 DELETE FROM FILE (NO FEE) <br /> ( ) 02 CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT ( CHANGE (NO SURCHARGE) <br /> I OWNER <br /> ENAME(CCP,POPATlON,INDZVIDUALAL OP. PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> LULPHUR CO., INC. O1 FED ( ) 02 STATE ( ) 03 LOCAL <br /> SENTO ST. ci TY STATE zIF <br /> LODI CA 95240 <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREMAN/SUPERVISOR <br /> SAN JOAOUIN SULPHUR CO., INC. PAT BROWN <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 711 N. SACRAMENTO ST. LOUIS <br /> CITY <br /> LODI COUNTY ZIP <br /> SAN JOAE}UIN 95240 <br /> MAILING ADDRESS CITY STATE ZIP <br /> P.O. Box 700 LDOI <br /> CA 95241 <br /> PHONE W/AREA CODE TYPE OF BUSINESS <br /> 209-368-6676 ( ) 01 GASOLINE STATION (X) 02 OTHER RETAIL AG CHEM. <br /> NUMBER OF CONTAINERS RURAL AREAS ONLY TOWNSHIP RANGE SECTION <br /> 1 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE NIGHTS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE <br /> BROWN, PAT 209-368-6676 BROWN> PAT 209-369-3868 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( ) 04 OTHER: CONTAINER NUMBER 2 <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: C. YEAR INSTALLED (X) UNKNOWN <br /> D. CONTAINER CAPACITY: 500 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 BOXIEST: <br /> ( ) 01 UNLEADED (X) 02 REGULAR ( 1 03 PREMIUM ( ) 04 DIESEL ( 1 05 WASTE OIL f l 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( ) GAUGE f ) INCHES f ) CM (X) UNKNOWN <br /> B. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) ( ) 02 NGN-VAULTED (X) 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED ( 1 02 SINGLE WALLED f 1 03 LINED <br /> D. (XI 01 CARBON STEEL ( ) 02 STAINLESS STEEL ( 1 03 FIBERGLASS [ ) 04 POLYVINYL CHLORIDE ( 1 05 CONCRETE <br /> f 3 06 ALUMINUM ( ) 07 STEEL CLAD ( ) 08 BRONZE ( l 09 COMPOSITE ( 1 10 NON-METALLIC <br /> l 1 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br />