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STATE ID NUMBER 00000011280001 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> 1 NEW PERMIT ( ) 05 RENEWED PERMIT ( 1 07 TANK CLOSED ( 1 09 DELETE FROM FILE (HO FEE) <br /> 1 D2 CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT ( l 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAME(CCP,POPATION.INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> CITY OF STOCKTON ( ) 01 FED ( ) 02 STATE ,CVY 3 LOCAL <br /> STREET ADDPESS CIT}' STATE �Z:p425 N. EL OCRADO STOCKTON CA <br /> II FACILITY /_ G <br /> FACILITY NAME �4 c, r, J,VN e �G+ ' 4 DEALER/FOREMAN/SUPERVISOR. <br /> NE l COMPANY OFFICERS <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 2062 E. SONORA LAUREL <br /> CITY COUNTY H9522-05 <br /> STOCKTON SAN JOAQUIN MAILING ADDRESS CITY ST2062 E. SONORA STOCKTON CA05 <br /> PHONE W/APE.A CODE TYPE OF BUSINESS <br /> 209-462-4091 ( ) 01 GASOLINE STATION (X) 02 OTHER FIRE STATION <br /> NUMBER, OF CONTAINERS RURAL AREAS ONLY TOWNSHIP RANG-c SECTION <br /> 1 N/A N/A N/A <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: E(L ST NAME FIPS AND PHONEW/A A CODE NIGHTS: NAME(LAST NAME FIRST) AND <br /> PHONE W!AREA CODEaxta.EgaT '4W & lj 07 -Y.6( �/6Y <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( ) 04 OTHER CONTAINER NUMBER�a--'/ <br /> B. MANUFACTURER CIF APPROPRIATE): UNKNOWN YEAR MFG FCYEAR INSTALLED (X) UNKNOWN <br /> D. CONTAINER CAPACITY: 400 GALLONS ( ) UNKNOWN E. DOES THE CONTAINER STORE: C ) 01 WASTE (X) 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? (X) 01 YES C 1 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br /> ( ) 01 UNLEADED C ) 02 REGULAR ( ) 03 PREMIUM (X) 04 DIESEL ( ) 05 WASTE OIL ( ) 06 OTHER <br /> V CONTAINER. CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( 1 GAUGE f ) INCHES ( ) CM (X) UNKNOWN <br /> B. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) ( 102 NON-VAULTED (X) 03 UNKNOWN <br /> G. ( ) 01 DOUBLE WALLED ( 02 SINGLE WALLED ( ) 03 LINED <br /> D. ( ) 01 CARBON STEEL ( l 02 STAINLESS STEEL ( 1 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE { 1 05 CONCRETE <br /> ( ) 06 ALUMINUM C ) 07 STEEL CLAD ( 1 08 BRONZE C ) 09 COMPOSITE ( 9 10 NON-METALLIC <br /> (X) 12 UNKNOWN C ) 13 OTHER: <br /> HSC04-070185 (10/18/85) <br />