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• /� STATE ID NUMBER 00000048936002 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> NEW PERMIT ( ) 05 RENEWED PERMIT (3dr07 TANK CLOSED (30-09 DELETE FROM FILE (NO FEE) <br /> CONDITIONAL PERMIT ( 1 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NA"(CORPORATION,INOIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> STOCKTON DOOR CO. INC. I( ) 01 FED f ) 02 STATE ( ) 03 LOCAL <br /> STREET ADDRESSCITY STATE Zip <br /> 433 W. SCOTTS AVE. STOCKTON CA 93203 <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREMAN/SUPERVISOR <br /> STOCKTON DOOR CO. INC. ROBERT L. PITTMAN <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 433 W. SCOTTS AVE. LINCOLN <br /> CITY COUNTY ZIP <br /> STOCKTON SAN JOAQUIN 95203 <br /> MAILING ADDRESS GIT STATE ZIP <br /> e*w '5 C 95203 <br /> PHONE W/AREA CODE TYPEOF BUSINESS <br /> 209-948-0637 ( ) 01 GASOLINE STATION (X) 02 OTHER DOOR MANUF. <br /> NUMBER OF CONTAINERS RVRAL AREAS ONLY TOWNSHIP RANGE SECTION <br /> 4 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NFME(LAS7 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 ( 1 04 OTHER: CONTAINER NUMBER RA'.2 <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: C. YEAR INSTALLED (X) UNKNOWN <br /> D. CONTAINER CAPACITY: 500 GALLONS f l 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 ( 1 02 NO IF YES CHECK APPROPRIATE SOX(ES): <br /> (X) 01 UNLEADED f 1 02 REGULAR ( ) 03 PREMIUM ( ) 04 DIESEL ( 1 05 WASTE OIL ( 1 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: f ) GAUGE l ) INCHES ( ) CM (X) UNKNOWN <br /> B. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) W) 02 NON-VAULTED (X) 03 UNKNOWN <br /> C. ( 1 01 DOUBLE WALLED ( 02 SINGLE WALLED ( 1 03 LINED <br /> D. L),.O1 CARBON STEEL ( ) 02 STAINLESS STEEL ( ) 03 FIBERGLASS ( 1 04 POLYVINYL CHLORIDE f ) 05 CONCRETE <br /> 4N"T ) 06 ALUMINUM ( 1 07 STEEL CLAD ( ) 08 BRONZE t ) 09 COMPOSITE f ) 10 NON-METALLIC <br /> (X) 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br />