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• • STATE ID NUMBER 00000031630001 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> ( ) 01 NEW PERMIT ( ) 05 RENEWED PERMIT f 1 07 TANK CLOSED <br /> ( ) 02 CONDITIONAL PERMIT ( 1 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE)) 09 DELETE FROM FILE (NO FEE) <br /> I OWNER <br /> NAME(COPPOFATION.ZNDIVIDUAL OR PUBLIC AGENCY) <br /> CITY OF STOCKTON - MUNICIPAL D PUBLIC AGENCY ONLY <br /> STREET ADDRESS ( ) 01 FED ( ) 02 STATE <br /> 2500 NAVY DRIVE CITY STATE ZIP <br /> STOCKTON CA 95204 <br /> II FACILITY <br /> FACILITY NAME <br /> ROYAL OAKS PUMP STATION DEALER/FOREMAN/SUPERVISOR <br /> SERA-COLb0(7. SUPERVISOR <br /> STREET ADDRESS <br /> ROYAL OAKS & PRINCESS STREET NEAREST CROSS STREET <br /> PRINCESS <br /> CITY <br /> STOCKTON COUNTY IIP <br /> SAN JOAQUIN 95209 <br /> MAILING ADDRESS <br /> 2500 NAVY DRIVE CITY siarE IIP <br /> STOCKTON CA 95206 <br /> PHONE W/AREA CODE TYPE OF BUSINESS <br /> 209-46C-Ml 014 ( ) 01 GASOLINE STATION (X) C2 OTHER DIESEL <br /> NUMBER OF CONTAINERS RURAL AREAS ONLY : TOWNSHIP <br /> 1 - RANGE SECTION <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAME(LAST 'NAME FIRST) AND PHONE W/AREA 0 NIGHTS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE <br /> OPERATOR IN CHARGE 209_466-32(,1 ' <br /> OPERATOR IN CHARGE 209-`�--52e1 <br /> COMPLETE THE FOLLO SEPARATE FORM FOR EACH CONT <br /> IV DESCRIPTION <br /> A. fX) 01 TANK '( ) 04 OTHER: <br /> CONTAINER NUMBER 1 <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: 1964 C. YEAR INSTALLED 1964 ( ) UNKNOWN <br /> D. CONTAINER CAPACITY: 1500 GALLONS f 7 UNKNOWN E. DOES THE CONTAINER STORE: ( 1 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 /> ( ) O1 UNLEADED ( ) 02 REGULAR ( ) 03 PREMIUM (X) 04 DIESEL ( ) 05 WASTE OIL ( 1 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: f ) GAUGE ( ) INCHES ( ) CM (X) UNKNOWN <br /> B. ( 1 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ( ) 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED (X 02 SINGLE WALLED ( ) 03 LINED <br /> D. (*0, rADRnu o+=�• ( ) 02 STAINLESS STEEL ( l 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE [ 1 05 CONCRETE <br /> ( 7 06 ALUMINUM ( ) 07 STEEL CLAD ( 1 08 BRONZE ( ) 09 COMPOSITE ( l 10 NON-METALLIC <br /> -FAI-12 UNKNOWN ( ) 13 OTHER: <br /> iSC04-070185 (10/18/85) <br /> PAGE 1 <br />