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• STATE ID NUMBER 00000021890001 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> L4)_O1 NEW PERMIT f 1 05 RENEWED PERMIT ( 1 07 TANK CLOSED ( ) 09 DELETE FROM FILE (NO FEE) <br /> ( ) 02 CONDITIONAL PERMIT ( 7 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAME(CCRFORATION,INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> JOHN PHILLIPS ( ) 01 FED f ) 02 STATE 1 ) 03 LOCAL <br /> STREET AODPESS CITY STATE IIP <br /> P.O. BOX 6463 STOCKTON CA 95206 <br /> II FACILITY <br /> FACILITY NAME '-'T7'-' *4 / DEALER/FOREMAN/S PERVISOR <br /> L1 RCc JdG SWAN <br /> STREET AODRESS NEAREST CROSS STREET <br /> 1137 SOUTH STOCKTON STREET S. RIVER RD. <br /> CITY COUNTY ZIP <br /> STOCKTON SAN JOAQUIN 95206 <br /> CITY �,j�����(/r STATE ZIP y <br /> MAILING ADORE��ry «��� 5_raL j� CA 458w r. <br /> P.O. BOX a1.1• `l. '(" :5� <br /> PHONE W/AREA CODE TYPE OF BUSINESS <br /> 209-948-ISU 01 GASOLINE STATION (X) 02 OTHER MAINTENANCE FACILITY <br /> NUMSER OF CONTAINERS RURAL AREAS ONLY TOWNSHIP RANGE SECTION <br /> 4 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAME(LAS NAM' FIRST) AND PHONE W/A �P�. _CODE NIGHTS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE <br /> - L 209-%4'8�Y508-� `�t9 tee - 209-"rye-n:&=q'�Z/tS/vp LB <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. tX) 01 TANK ( ) 04 OTHER: CONTAINER NUMBER 1 <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: C. YEAR INSTALLED 1979 f ] UNKNOWN <br /> D. CONTAINER CAPACITY: 12000 GALLONS ( ) UNKNOWN E. DOES THE CONTAINER STORE: ( ) 01 WASTE (X) 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? (X) 01 YES ( ) 02 NO IF YES CHECK APPROPRIATE BOX(ES1* <br /> ( ) 01 UNLEADED f ) 02 REGULAR ( ) 03 PREMIUM (X) 04 DIESEL f ) 05 WASTE OIL ( ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: f ) GAUGE ( l INCHES ( ) CM (X) UNKNOWN <br /> B. ( 7 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED f ) 03 UNKNOWN <br /> C. ( 1 01 ROUBLE WALLED ( ) 02 SINGLE WALLED ( ) 03 LINED <br /> D. 1( 0 01 CARBON STEEL ( 1 02 STAINLESS STEEL ( l 03 FIBERGLASS f ) 04 POLYVINYL CHLORIDE f ) 05 CONCRETE <br /> ( ) 06 ALUMINUM ( 1 07 STEEL CLAD ( ) 08 BRONZE ( l 09 COMPOSITE ( ) 10 NON-METALLIC <br /> t'6) 12 UNKNOWN ( l 13 OTHER: <br /> PAGE 1 <br /> HSC04-070185 (10/18/85) <br /> 0 i <br />