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• • STATE ID NUMBER 00000035196001 <br /> ' APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> t'p^ 01 NEW PERMIT ( 1 05 RENEWED PERMIT ( ) 07 TANK CLOSED ( ) 09 DELETE FROM FILE tNO FEE) <br /> 02 CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAME(COWNER ION�INOIVIDVAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> [ ) O1 FED ( ) 02 STATE ( l 03 LOCAL <br /> LANGSTON ARCO <br /> CITY STATE ZIP <br /> STREET ADDRESS LATHROP CA 95330 <br /> 15615 S. 7TH ST. <br /> II FACILITY <br /> DEALER/FOREMAN/SUPERVISOR <br /> FACILITY NAME <br /> LANGSTON ARCO JAMES M. LANGSTON <br /> NEAREST CROSS STREET <br /> STREET ACOR=SS <br /> 15615 S. 7TH ST. 7TH 6 L. STS <br /> COUNTY IF <br /> CITY <br /> ITHROP SAN JOAQUIN 95330 <br /> CITY STATE ZIP <br /> MAILING ADDRESS CA 95330 <br /> P.O. BOX 97 LATHROP <br /> PHONE W/AREA CODE TYPE OF BUSINESS <br /> 209-858-2470 (X) O1 GASOLINE STATION ( 1 02 OTHER <br /> NUMBER OF CONTAINERS <br /> RURAL AREAS ONLY : TOWNSHIP RANGE SECTION <br /> 3 <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 /> LANGSTON, JAMES 209-858-2470 LANGSTON, JAMES 209-858-4388 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( 1 04OTHER: CONTAINER NUMBER 1 <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: C. YEAR INSTALLED (X) UNKNOWN <br /> D. CONTAINER CAPACITY: 4000 GALLONS ( 1 UNKNOWN E. DOES THE CONTAINER STORE: ( ) 01 WASTE (X) 02 PRODUCT <br /> F. DOES THE <br /> CONTAINER STORE <br /> ERMOTOR VEHI06 CLE <br /> FUELPREORMWASTE OIL04 DIESEL O( 1E05 WAST020IOO ( ) YES <br /> SOCHECK APPROPRIATE BOX(ES): <br /> O <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: f 1 GAUGE ( ) INCHES ( ) CM (X) UNKNOWN <br /> B. (X) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) 02 NON-VAULTED ( ) 03 UNKNOWN <br /> C. ( 1 01 DOUBLE WALLED ( 2 SINGLE WALLED f ) 03 LINED <br /> D. 01 CARBON STEEL ( 1 02 STAINLESS STEEL f ) 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE f 1 05 CONCRETE <br /> ) 06 ALUMINUM f 7 07 STEEL CLAD f ] 08 BRONZE ( b 09 COMPOSITE l l 10 NON-METALLIC <br /> C 2 UNKNOWN f ) 13 OTHER: <br /> PAGE 1 <br /> HSC64-070185 (10/18/85) <br />