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STATE ID NUMBER 00000038443003 <br /> � " J APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> yiy.;I NEW PERMIT ( ) 05 RENEWED PERMIT ( ) 07 TANK CLOSED <br /> TT ) 02 CONOITIONAL PERMIT f ) 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE)) 09 DELETE FROM FILE (NO FEEL <br /> I OWNER <br /> NAME(CORPORATIC. ,INDIVIDUAL OR PUBLIC AGENCY) <br /> H.&M. TRANSPORT INC. PUBLIC AGENCY ONLY <br /> ( ) 01 FED ( ) 02 STATE 03 LOCAL <br /> STREET ADDRESS <br /> P.O. BOX H, 707 .ROTH RD. CITY STATE ZIP <br /> FRENCH CAMP CA 95231 <br /> II FACILIT <br /> FACILITY NAME <br /> H.&M. TRANSPORT NC. DEALER/FOREMAN/SUPERVISOR <br /> STREET ADDRESS <br /> 707 ROTH RD. NEAREST CROSS STREET <br /> MCKINLEY <br /> CITY <br /> FRENCH CAMP COUNTY ZIP <br /> SAN JOAQUIN 95231 <br /> MAILING ADDRESS <br /> P.O. BOX H CITY STATE ZIP <br /> FRENCH CAMP CA 95231 <br /> PHONE W/p REq CODE TYPE OF BUSINESS <br /> 209-982-0260 (X) 01 GASOLINE STATION ( ) 02 OTHER <br /> NUMBER OF CONTAIRS RURAL AREAS ONLY TOWNSHIP <br /> y RANGE SECTION <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAME(LAST N ME FIRST) AND PHONE W/AREA CODE NIGHTS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE <br /> MACHADO, JOE 209-823-4808 CENBRANO, BETTY <br /> 209-941-2485 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( 1 04 OTHER: <br /> CONTAINER NUMBER 3 <br /> B. MANUFACTURER ( LF APPROPRIATE): YEAR MFG: <br /> C. YEAR INSTALLED 1980 ( ) UNKNOWN <br /> 0. CONTAINER CAPA ITY: 8000 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 /> ( ) 01 UNLEADED ( ) 02 REGULAR f ) 03 PREMIUM (X) 04 DIESEL ( ) 05 WASTE OIL ( 1 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: 10 fX) GAUGE ( ) INCHES ( ) CM ( ) UNKNOWN <br /> B. ( ) 01 VAULTED LOCATED IN AN UNDERGROUND VAULT) f ) 02 NON-VAULTED (X) 03 UNKNOWN <br /> C. f 7 01 DOUBLE WALLED ( ) 02 SINGLE WALLED ( 1 03 LINED <br /> D. (X) 01 CARBON STEEL ( ) 02 STAINLESS STEEL ( ) 03 FIBERGLASS f ) 04 POLYVINYL CHLORIDE ( ) 05 CONCRETE <br /> ( ) 06 ALUMINUM ( 7 07 STEEL CLAD ( 1 08 BRONZE ( ) 09 COMPOSITE ( ) 10 NON-METALLIC <br /> f ) 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/1 85) <br /> PAGE 1 <br />