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STATE ID NUMBER 00000063315001 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> ( l O1 NEW PERMIT ( ) 05 RENEWED PERMIT (' 07 TANK CLOSED (X1 09 DELETE FROM FILE (NO FEE) <br /> [ ) 02 CONDITIONAL PERMIT { ) 06 AMENDED PERMIT ) 08 MINOR CHANGE (NO SURCHARGE!)` <br /> I OWNER <br /> NAME(CORPORATION.INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> PACIFIC COAST FINANCE LTD. ( ) <br /> 01 FED ( ) 02 STATE { ) 03 LOCAL <br /> CITY STATE ZIP <br /> STREET ADDRESS SANTA CLARA CA 9505 <br /> 1601 CIVIC CENTER DR. <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREMAN/SUPERVISOR <br /> PACIFIC COAST PRODUCERS CAN DIA/ j td/ PAUL A. BROOKING <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 835 S. STOCKTC'N ST. VINE <br /> COUNTY ZIP <br /> CITY 95240 <br /> LODI SAN JOAQUIN <br /> CITY STATE ZIP <br /> MOILING ADDRESS15CA 9524 <br /> P.O. BOX 159 LflDI <br /> C) <br /> PHONEr!/.4PfA CODE =TYPEBUSINESS <br /> 209-334-4411 GASOLINE STATION (X) 02 OTHER CAN MFG, <br /> NUMBER OF CONTAINERS <br /> RURAL AREAS ONLY TOWNSHIP RANGE SECTION <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAY'S: NAME{LAST NA.'"� FIRST) AND PHONE WIAREA CODE NIGHTS: N,4MfiLAST NAME FIRST? AND RHONE W/AREA CODE <br /> BROOKING, PAUL A. 209-334-4411 BROOKING, PAUL A. 209-368-6328 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( ) 04 OTHER: CONTAINER NUMBER 1 <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG- 1980 C. YEAR INSTALLED 1930 t ) UNKNOWN <br /> D. CONTAINER CAPACITY: 8000 GALLONS ( ) UNKNOWNE. DOES THE CONTAINER STORE ( ) 01 WASTE (X) 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? ( ) 01 YES (X) 02 NO I YES CHECK APPROPRIATE BOX(ES)* <br /> !! ( 1 01 UNLEADED ( ) 02 REGULAR ( ) 03 PREMIUM ( ) 04 DIESEL ( ) 05 WASTE OIL 1 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: 1/4 ( ) GAUGE (X) INCHES ( 1 CM ( f UNKNOWN <br /> 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ( ) 03 UNKNOWN <br /> C. { ) 01 DOUBLE WALLED (X) 02 SINGLE WALLED f ) 03 LINED <br /> D. ( ) 01 CARBON STEEL (�.02 STAINLESS STEEL ( 1 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE t ) 05 CONCRETE <br /> ) 06 ALUMINUM (d 07 STEEL CLAD ( l 08 BRONZE ( 1 09 COMPOSITE { ) 10 NON-METALLIC <br /> ( l 12 UNKNCWN ( ) 13 OTHER: <br /> PAGE 1 <br /> HSC04-070185 (10/18/85) <br />