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STATE ID NUMBER <br /> 00000010516002 <br /> APPLICATION FOR PERMIT TO OP ATE UNDERGROUND STORAGE TANK <br /> ( 01 NEW PERMIT ( ) 05 RENEWED PERMIT d 07 TANK CLOSED <br /> 02 CONDITIC14AL PERMIT ( ) 06 AMENDED PERMIT J MINOR CHANGE (NO SURCHARGE) <br /> 04 DELETE FROM FILE (NO FEEL <br /> I OWNER <br /> NAME(CCFPOPATION,INDIVIDUAL OR PUBLIC AGENCY) <br /> WILLIAM JOSEPH PUBLIC AGENCY ONLY <br /> ( ) 01 FED { ) 02 STATE ( ) 03 LOCAL <br /> STPEET ADDRESS <br /> 9799 FERNWOOD CITY STATE ZIP <br /> STOCKTON CA 45212 <br /> II FACILITY <br /> FACILITY NAME <br /> STOCKTON 46444"- DEALER/FOP.EM,AN/SUPERVISOR <br /> E.J. WOODS <br /> STREET ADD;ESS <br /> 2100 SANQUINETTI LANE NEAREST CROSS STREET <br /> STEWART ST. <br /> CITY <br /> STOCKTON COUNTY ZIP <br /> SAN JOAQUIN 95205 <br /> MAILING A.DDPEss <br /> P.O. BOX 8850 CITY STATE ZIP <br /> STOCKTON CA 45208 <br /> PHONE W/AREA CCDE TYPE OF BUSINESS <br /> 209-448-9027 ( ) O1 GASOLINE STATION (X) 02 OTHER DEALERSHIP <br /> ~UMBER OF CpNTAINERS RURAL AREAS ONLY TOWNSHIR <br /> 2 RANGE SECTION <br /> III 24 DOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAME(LAST NAME FIRST) AND PHONE W/AREA CCDE INIGHTS. NAME(L.AST NAME FIRST) AND PHONE W/AREA CODE <br /> MURTt £' 209-948-9027 SAME <br /> C LE - E THE FOLL014INC ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. {X) 01 TANK ( ) 04 OTHER: <br /> CONTAINER NUMBER #2 <br /> B.�MANUFACTURERROPRIATE)= UNKNOWN YEAR MFG: <br /> C. YEAR INSTALLED (X) UNKNOWN <br /> D. CONTAINER CAPACITY: GALLONS 0153 UNKNOWN 7EDOES THE CONTAINER STORE: Ck 01 WASTE GX4 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? (X) 01 YES f ) 02 NO IF YES CHECK APPROPRIATE BOX(ES)= <br /> ( ) 01 UNLEADED (-X'r 02 REGULAR ( ) 03 PREMIUM ( ) 04 DIESEL ( 05 WASTE OIL ( ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> EATHIC,KNESS OF PP,IMARY CONTAINMENT: ( ) GAUGE ( ) INCHES ( ) CM (X) UNKNOWN <br /> ULTED (LOCATED IN AN UNDERGROUND VAULT) � 02 NON—VAULTED 4*4 03 UNKNOWN <br /> C. { l 01 DOUBLE WALLED ( ) 02 SINGLE WALLED f ) 03 LINED <br /> D. J O1 CARBON STEEL ( ) 02 STAINLESS STEEL ( J 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE ( ) 05 CONCRETE <br /> ( ) 06 ALUMINUM ( ) 07 STEEL CLAD { ) 08 BRONZE f ) 09 COMPOSITE ( ) 10 NON—METALLIC <br /> Ml 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) <br />