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STATE ID NUMBER 00000038443004 <br /> ,,,,,,������!!l!!!rrrrrr APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> NEW PERMIT ( 1 05 RENEWED PERMIT ( 1 07 TANK CLOSED <br /> 02 CONDIT CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT ( ] OS MINOR CHANGE (NO SURCHARGE) 09 DELETE FROM FILE (NO FEE) <br /> I OWNER <br /> NAME(CCRPORATIC .INDIVIDUAL OR PUBLIC AGENCY) <br /> H.&M. TRANSPORT INC. PUBLIC AGENCY ONLY <br /> STREET ADDRESS ( 1 01 FED ( 1 02 STATE 03 LOCAL <br /> P.O. BOX H, 707 0TH 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 M CITY STATE IIP <br /> FRENCH CAMP CA 95231 <br /> PHONE W/AREA CODE TYPE OF BUSINESS <br /> 209-982-0260 (X) 01 GASOLINE STATION ( ) 02 OTHER <br /> iNUMBER OF CONTAINERS RURAL AREAS ONLY : TOWNSHIP <br /> 4 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 209-941-2485 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK f 1 04 OTHER: CONTAINER NUMBER 4 <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: C. YEAR INSTALLED 1980 ( 1 UNKNOWN <br /> 0. CONTAINER CAPACITY: 8000 GALLONS f ) UNKNOWN E. DOES THE CONTAINER STORE: <br /> 16i4-'Y't'MRBTC' ( 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? (X) O1 YES ( 1 02 NO IF YES CHECK APPROPRIATE BOXES 1: <br /> ( ) 01 UNLEADED ( ) 02 REGULAR ( 1 03 PREMIUM ( ) 04 DIESEL v - 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> PTHICKNEUSS OF PR MARY CONTAINMENT: 10 (X) GAUGE ( ) INCHES ( 1 CM ( 1 UNKNOWN <br /> ULTED LOCATED IN AN UNDERGROUND VAULT) ( ) 02 NON-VAULTED (X) 03 UNKNOWN <br /> UBLE W LLED ( ) 02 SINGLE WALLED ( 1 03 LINED <br /> RBON S EEL f 1 02 STAINLESS STEEL ( ) 03 FIBERGLASS ( 1 04 POLYVINYL CHLORIDE f ) 05 CONCRETE <br /> ALUMI UM ( ) 07 STEEL CLAD ( 1 08 BRONZE ( 1 09 COMPOSITE ( ) 10 NON-METALLIC <br /> KNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/1 /85) <br /> PAGE 1 <br />