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646 <br /> STATE ID NUMBER 00000036259002 <br /> FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> f 1 <br /> 01 NEW PERMIT l 1 05 RENEWED PERMIT ( ) 07 TANK CLOSED ( ) 09 DELETE FROM FILE (NO FEE) ' <br /> ( ) 02 CONDITIONAL PERMIT ( 1 06 AMENDED PERMIT f ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAY.E(COP.PORATION.:.NDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> R&J DONDERO ( ) 01 FED ( 1 02 STATE f ) 03 LOCAL <br /> STREET ADDPESS CITY STATE ZIP <br /> 16401 E HWY 26 LINDEN CA 95236 <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREMAN/SUPERVISOR <br /> MID COUNTY FARM SERVICE AL SCHAEDE JR <br />[16401 <br /> TREET ADDRESS NEAREST CROSS STREET <br /> E HWY 26 MURRAY <br /> ITY COUNTY Zip <br /> INDEN SAN JOAQUIN 95236 <br /> MA:LING ADDRESS CITY STATE Zip <br /> P.O. BOX 659 LINDEN CA 95236 <br /> PHONE W/AREA CODE TYPE OF BUSINESS <br /> 209-931-2395 1 <br /> i ( ) 01 GASOLINE STATION (X) 02 OTHER AG CHEM DEALER <br /> NUMBER OF CONTAINERS RURAL AREAS ONLY TOWNSHIP RANGE SECTION <br /> 2 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAPS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE NIG NTS: NAME(LAST NAME FIRST) AND PHONE W/APIA CODE <br /> SCHAEDE AL 209-887-3214 SAME - - <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: C. YEAR INSTALLED ( ) UNKNOWN <br /> D. CONTAINER CAPACITY: GALLONS (X) UNKNOWN E. DOES THE CONTAINER STORE: f ) 01 WASTE ( 102 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? ( ) 01 YES ( ) 02 NO IF YES CHECK APPROPRIATE SOX(ES): <br /> ( ) 01 UNLEADED ( ) 02 REGULAR ( ) 03 PREMIUM ( ) 04 DIESEL l ) 05 WASTE OIL f ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( ) GAUGE ( 1 INCHES f ) CM IX) UNKNOWN <br /> B. ( l 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) ( ) 02 NON-VAULTED (X) 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED ( 1 02 SINGLE WALLED f 1 03 LINED <br /> 0. l 1 01 CARBON STEEL ( ) 02 STAINLESS STEEL f l 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE ( ) 05 CONCRETE <br /> ( ) 06 ALUMINUM ( ) 07 STEEL CLAD f ) 08 BRONZE ( ) 09 COMPOSITE f 1 10 NON-METALLIC <br /> (X) 12 UNKNOWN ( ) 13 OTHER: <br /> SC04-070185 (10/18/85) PAGE 1 <br />