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STATE ID <br /> UMBER <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGENTANK 00000038443002 <br /> 20 01 NEW PERMIT ( 1 05 RENEWED PERMIT ( 1 07 TANK CLOSED <br /> ( 1 02 CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE)) 09 DELETE FROM FILE (NO FEE) <br /> I OWNER <br /> NAME(CORPORAT/C ZNDIVIDUAL OR PUBLIC AGENCY) <br /> H.&M. TRANSPORT INC. PUBLIC AGENCY ONLY <br /> STREET ADDRESS ( ) 01 FED ( ) 02 STATE 03 LOCAL <br /> P.O. BOX H, 707 ROTH RD. CITY STATE <br /> FRENCH CAMP IIP <br /> CA 95231 <br /> II FACILITY <br /> FACILITY NAME <br /> H.&M. TRANSPORT ENC. DEALER/FOREMAN/SUPEPVISOR <br /> STPEET ADDRESS <br /> 707 ROTH RD. NEAREST CROSS STREET <br /> MCKINLEY <br /> CITY <br /> FRENCH CAMP COUNTY <br /> SAN JOAQUIN IIP <br /> MAILING ADDRESS 95231 <br /> P.O. BOX H CITY STATE ZIP <br /> FRENCH CAMP CA 95231 <br /> PHONE W/AREA COD <br /> 209-982-0260 TYPE OF BUSINESS <br /> (X) 01 GASOLINE STATION ( ) 02 OTHER <br /> NUMBER OF CONTAINERS RURAL AREAS ONLY : TOWNSHIP <br /> 4 RANGE SECTION <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 /> MACHADO-, JOE 209-823-4808 <br /> CENBRANO, BETTY 209-941-2485 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( ) 04 OTHER: <br /> CONTAINER NUMBER 2 <br /> B. MANUFACTURER (IF APPROPRIATE): <br /> YEAR MFG: C. YEAR INSTALLED 1980 ( ) UNKNOWN <br /> D. CONTAINER CAPAC TY: 8000 GALLONS f ) UNKNOWN E. DOES THE CONTAINER STORE: ( ) 01 WASTE fX) 02 PRODUCT <br /> F. DOES THE CONTAI ER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? fX) 01 YES ( 1 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br /> ( 1 01 UNLEADED ( ) 02 REGULAR ( ) 03 PREMIUM (X) 04 DIESEL ( ) 05 WASTE OIL ( ) 06 OTHER <br /> V CONTAINEP CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: 10 (X) GAUGE ( 1 INCHES ( ) CM ( ) UNKNOWN <br /> B. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) ( 1 02 NON-VAULTED (X) 03 UNKNOWN <br /> C• ( 1 01 DOUBLE WALLED f ) 02 SINGLE WALLED ( ) 03 LINED <br /> D. (X) O1 CARBON STEEL ( ) 02 STAINLESS STEEL ( ) 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE ( 1 05 CONCRETE <br /> ( 1 06 ALUMINUM ( ) 07 STEEL CLAD f ) 08 BRONZE ( ) 09 COMPOSITE f ) 10 NON-METALLIC <br /> f 1 12 UNKNOWN I ) 13 OTHER: <br /> iSC04-070185 (10/18/85) <br /> PAGE 1 <br />