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•• STATE ID NUMBER 00000021465001 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> ( ) O1 NEW PERMIT f 1 05 RENEWED PERMIT ( ) 07 TANK CLOSED <br /> ( ) 09 DELETE FROM FILE (NO FEE) <br /> ( ) 02 CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> N.4ME(CORPORATI04,INPUBLIC AGENCY ONLY <br /> OIVIDUAI OR PUBLIC AGENCY) ( ) 01 FED ( ) 02 STATE ( ) 03 LOCAL <br /> SIMPSON PAPER COMPANY <br /> CITY STATE ZIP <br /> STREET ADDRESS SAN FRANCISCO CA 94104 <br /> 1 POST STREET <br /> II FACILITY <br /> DEALER/FOREMAN/SUPERVISOR <br /> FACILITY NAME <br /> SIMPSON PAPER COMPANY J.I. EISENMAN <br /> STREET ADDRESS NEAREST CROSS STREET <br /> SOUTH STOCKTON STREET 1ST AVENUE <br /> COUNTY <br /> _4 <br /> RIPON CITY SAN JOAQUIN 95366 <br /> CITY STATE ZIP <br /> M4ILIN3 ADDRESS RIPON CA 95366 <br /> BOX 757 <br /> PNONE W/AREA CODE TYPE OF BUSINESS <br /> 209-599-4241 ( 1 01 GASOLINE STATION (X) 02 OTHER PAPER MFG. <br /> NUMBER OF CONTAINERS <br /> RURAL AREAS ONLY TOWNSHIP RANGE SECTION <br /> 2 <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 /> ABRAHAMSON, DENNIS 209-599-4241 ABRAHAMSON, DENNIS 209-529-3267 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( ) 04 OTHER: CONTAINER NUMBER 2 <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: 1982 C. YEAR INSTALLED 1982 ( ) UNKNOWN <br /> 0. CONTAINER CAPACITY: 300 GALLONS ( ] UNKNOWN E. DOES THE CONTAINER STORE: ( ) 01 WASTE (X) 02 PRODUCT <br /> NO <br /> F. DOES01UNLEADEDX) 02REGULAR03PREMIUM <br /> HNEREMOTOR VEHICLF WASTE I 04LDIESEL 0( )E05 WASTE20ILL (I1 06SOTHERK APPROPRIATE BOX(ES): <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( ) GAUGE ( ) INCHES ( ) CM (X) UNKNOWN <br /> S. ( ) OL VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ( ) 03 UNKNOWN <br /> C. ( ) O1 DOUBLE WALLED (X) 02 SINGLE WALLED ( 1 03 LINED <br /> D. (X)(0; CARBON <br /> (( 1)072STEELNCLAD STEEL 08( 03 BRONZEFIBERG095COMPOSITE POLYVINYL <br /> 05 CONCRETE <br /> NON-METALLIC( 1 <br /> ( 1 12 UNKNOWN ( ) 13 OTHER: <br /> PAGE 1 <br /> HSC04-070185 (10/18/85) <br />