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�77 <br /> i <br /> STATE IO NUMBER 00000048936001 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> rO1 NEW PERMIT ( ) 05 RENEWED PERMIT (�b7 TANK CLOSED t�09 DELETE FROM FILE (NO FEE1 <br /> 02 CONDITIONAL PERMIT f 1 06 AMENDED PERMIT f ) 08 MINOR CHANGE (NO SURCHARG ) <br /> I OWNER <br /> NAME(COPPORATION.INDIVIOUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> STOCKTON DOOR CO. INC. ( ) 01 FED f 1 02 STATE f ) 03 LOCAL <br /> STREET ADDRESS CITY STATE ZIP <br /> 433 W. SCOTTS AVE. STOCKTON CA 95203 <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREMAN/SUPERVISOR <br /> STOCKTON DOOR CO. INC. ROBERT L. PITTMAN <br /> STPEET ADDRESS NEAREST CROSS STREET <br /> 433 W. SCOTT$ AVE. LINCOLN <br /> CITY COUNTY ZIP <br /> STOCKTON SAN JOAQUIN 95203 <br /> MAILING AODPESS CITY STATE ZIP <br /> S.AEM ? 95203 <br /> PHONE W/AREA CODE TYPE OF BUSINESS <br /> 209-948-0637 ( ) 01 GASOLINE STATION (X) 02 OTHER DOOR MANUF. <br /> NUMBER, OF CONTAINERS RURAL AREAS ONLY : TOWNSHIP RANGE SECTION <br /> 4 <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 /> PITTMAN, ROBERT 209-948-0637 PITTMAN, ROBERT 209-951-2573 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( ) 04 OTHER: CONTAINER NUMBER aW <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: C. YEAR INSTALLED (X) UNKNOWN <br /> 0. CONTAINER CAPACITY: 1000 GALLONS f ) UNKNOWN E. DOES THE CONTAINER STORE: f ) 01 WASTE lX) 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 /> f 1 <br /> 01 UNLEADED (X) 02 REGULAR ( ) 03 PREMIUM ( ) 04 DIESEL ( 7 05 WASTE OIL f 106 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( ) GAUGE ( ) INCHES ( ) CM (X) UNKNOWN <br /> S. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) ) 02 NON-VAULTED (X) 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED SINGLE WALLED ( 1 03 LINED <br /> 0. ;�4 O1 CARBON STEEL ( ) 02 STAINLESS STEEL f ) 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE ( ) 05 CONCRETE <br /> ( ) 06 ALUMINUM ( ) 07 STEEL CLAD f ) 08 BRONZE f 1 09 COMPOSITE [. 7 10 NON-METALLIC <br /> (X) 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br /> 5 <br />