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STATE ID NUMBER 00000006823001 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> [ 1 <br /> 01 NEW PERMIT ( 1 05 RENEWED PERMIT tw JANK CLOSED ( ) 09 DELETE FROM FILE (NO FEE) 1 <br /> ( 1 02 CONDITIONAL PERMIT t ) 06 AMENDED PERMIT 08 (NO SURCHARGE) Jb <br /> I OWNER <br /> NAME(COPPOP.ATION.INDIVIOUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> DOUGLAS J. TROTTER ( ) 01 FED ( 1 02 STATE ( ) 03 LOCAL <br /> STPEET ADDRESS CITY STATE ZIP <br /> 125 SO. SUTTER STREET STOCKTON CA 95202 <br /> II FACILITY <br /> FtCILITY NAME DEALER/FOREMAN/SUPERVISOR <br /> CLAP.K GARAGE DOUGLAS J. TROTTER <br /> STREET ADDPESS NEAREST CROSS STREET <br /> 125 SO. SUTTER STREET WASHINGTON ST. <br /> CITY COUNTY ZIP <br /> STOCKTON SAN JOAQUIN 95202 <br /> MAILING ADDPESS CITY STATE ZIP <br /> 125 SO. SUTTER STREET STOCKTON CA 95202 <br /> PHONE W/ARRA CODE. TYPE OF BUS'-NESS <br /> 209-946-9183 t ) 01 GASOLINE STATION (X) 02 OTHER GARAGE <br /> NXIBER OF CONTAINERS PUPAL AREAS ONLY TOWNSHIP RANGE SECTION <br /> 2 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NA.ME(LAST NAME FIRST) AND PHONE W/APE.A CCDE NIGHTS: N.AME(LAST NAME FIRST) AND PHONE W/AP.EA CODE <br /> TROTTER, DOUGLAS 209-946-9183 TROTTER, DOUGLAS 209-477-7855 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( ) 04 OTHER: CONTAINER NUMBER ONE <br /> B. MANUFACTURER (IF A.PPROPRIATE): YEAR MFG: 1947 C. YEAR INSTALLED 1947 ( ) U14KN0WN <br /> D. CONTAINER CAPACITY: 500 GALLONS ( ) UNKNOWN E. DOES THE CONTAINER STORE: [ 1 01 WASTE tX) 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 (X) 02 REGULAR { ) 03 PREMIUM { ) 04 DIESEL ( ) 05 WASTE OIL [ 1 06 OTHER <br /> V CONTAINER CONSTRUCTION q <br /> A. THICKNESS OF PRIMARY CONTAINMENT: 1/2 ( 1 GAUGE (X1 INCHES ( 1 CM [ 1 UNKNOWN <br /> B. (X) 01 VAULTED (LOCATED IM AN UNDERGROUND VAULT) i 1 02 NON—VAULTED ( 1 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED (X) 02 SINGLE WALLED ( ) 03 LINED <br /> D., (X) 01 CARBON STEEL ( ) 02 STAINLESS STEEL ( 1 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE ( 1 05 CONCRETE <br /> ( ) 06 ALUMINUM ( 1 07 STEEL CLAD ( ) 08 BRONZE [ 1 09 COMPOSITE ( 1 10 NON—METALLIC <br /> ( 1 12 UNKNOWN i ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE I <br />