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STATE I0 NUMBER 00000020038001 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> (1C1--01 NEW PERMIT ( ) 05 RENEWED PERMIT C ) 07 TANK CLOSED ( ) 09 DELETE FROM FILE (NO FEE) <br /> ( A 02 CONDITIONAL PERMIT i 1 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE] <br /> I OWNER <br /> NAM](CORPORATION,INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> VALLEY CRETE INC. i ) 01 FED ( ) 02 STATE i ) 03 LOCAL <br /> T <br /> ATE <br /> 9ZIP <br /> STREET ADDF„SS 52 <br /> STOCKTON <br /> 06 <br /> 802 SO. AMERICAN <br /> II FACILITY <br /> FACILITY NAME DE.ALEP./FOREMAN/SUPERVISOR <br /> VALLEY CRETE INC. LARRY O'BOSKY <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 802 S0. AMERICAN WORTH <br /> CITY COUNTY ZIP <br /> STOCKTON SAN JOAQUIN 95206 <br /> 1?AILI6w -`D7FcSS [STOCKTON <br /> TY STATE ZIP <br /> P.O. BOX 747 CA 95201 <br /> PHONE W/AREA CODE TYPE OF BUSINESS <br /> 209-466-3156 ( ) 01 GASOLINE STATION (X) 02 OTHER <br /> NUMBER OF CONTAINERS RURAL AREAS ONLY . TOWNSHIPPANGE SECTION <br /> 1 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: N.AME(LAST NAME FIRST) AND PHONE W/.AREA CODE NIGHTS,. NAME(LAST NAME FIRST) AND PHONE W/AREA CODE <br /> LARRY O'BOSKY 205-466-3156 'LARRY O'BOSKY 209-��vs'—^v"�'`d .4-72�- <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK [ 1 04 OTHER' CONTAINER NUMBER I <br /> B. MANUFACTURER (IF APPROPRIATE)= YEAR MFG: 1981 C. YEAR INSTALLED 1981 ( ) UNKNOWN <br /> D. CONTAINER CAPACITY 2000 GALLONS ( ) UNKNOWN E. DOES THE CONTAINER STORE: ( ) 01 WASTE (XI 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 /> ( ) 01 UNLEADED ( ) 02 REGULAR t ) 03 PREMIUM (X) 04 DIESEL i ) 05 WASTE OIL t ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( ) GAUGE ( ) INCHES ( l CM (X) UNKNOWN <br /> B. [ ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ( 1 03 UNKNOWN <br /> C. t ) 01 DOUBLE WALLED ( ) 02 SINGLE WALLED ( ) 03 LINED <br /> 0. C ) 01 CARBON STEEL C ) 02 STAINLESS STEEL ( ) 03 FIBERGLASS ( 1 04 POLYVINYL CHLORIDE ( ) 05 CONCRETE <br /> ( ) 06 ALUMINUM ( 1 07 STEEL CLAD ( ) 08 BRONZE ( ) 09 COMPOSITE ( ) 10 NON-METALLIC <br /> (X) 12 UNKNOWN f l 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE I <br />