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� ��� • STATE ID NUMBER 00000036259 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> 1 1 <br /> 01 NEW PERHIT ( ) 05 RENEWED PERMIT ( ) 07 TANK CLOSED <br /> ( 1 09 DELETE FROM FILE IND FEEL <br /> t ) 02 CONDITIONAL PERMIT [ ) 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> PUBLIC AGENCY ONLY <br /> NAME(COPFOPATION.INDIVIOUAL OR PUBLIC AGENCY) ( ) 01 FED 1 ) 02 STATE ( ) 03 LOCAL <br /> R&J DONDERO <br /> CITY STATE ZIP <br /> STREET ADOPESS LINDEN CA 95236 <br /> 16401 E HWY 26 <br /> II FACILITY <br /> DEALER/FOREMAN/SUPERVISOR <br /> FACILITY NAME AL SCHAEDE JR <br /> MID COUNTY FARM SERVICE <br /> NEAREST CROSS STREET <br /> STREET ADDRESS MURRAY <br /> 16401 E HWY 26 <br /> COUNTY ZIP <br /> CITY SAN JOAQUIN 95236 <br /> LINDEN <br /> STATE 22P <br /> CITY CA 95236 <br /> MAILING ACDP.ESS LINDEN <br /> P.O. BOX 659 <br /> PHONE ' 2395 CODE <br /> TYPE OF BUSINESS <br /> 209-9311-2395 t ) 01 GASOLINE STATION (X) 02 OTHER AG CHEM DEALER <br /> NUMBER OF CONTAINERS RURAL AREAS ONLY TOWNSHIP <br /> 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 /> SCHAEDE AL <br /> 209-887-3214 SAME <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> CONTAINER NUMBER 2 <br /> FD. CONTAINER <br /> 01 TANK [ l 04 OTHER: <br /> UFACTURER (IF APPROPRIATE):IATE I: YEAR MFG: C. YEAR INSTALLED (X) UNKNOWN <br /> CAPACITY: GALLONS (X) UNKNOWN E. DOES THE CONTAINER STORE: ( l O1 WASTE (X) 02 PRODUCT <br /> SOOTHUNLEAOEINER ST02ER MOTOR EGULARVEHICL03FUEL OR PREMIUM WASTE <br /> T) 04LOIESEL O( )E05 WASTE 20IOL (X) 06IF SOTHER K UNKNOWN <br /> IATE BOXf ES): <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( ) GAUGE ( ) INCHES ( ) CM (X) UNKNOWN. <br /> B. l ) O1 VAULTED (LOCATED IN AN UNDERGROUND VAULT) 1 ) 02 NON-VAULTED (X) 03 UNKNOWN <br /> C. ( 1 O1 DOUBLE WALLED ( ) 02 SINGLE WALLED ( ) 03 LINED <br /> D. ( )(O7 06ALUMINUM (()) STAINLESS <br /> STEEL 081 BRONZEFIBERG09SCOMPOSITE POLYVINYL <br /> NON-METALLIC05 CONCETE <br /> 03 IDE ( ) <br /> (X) 12 UNKNOWN f ) 13 OTHER: <br /> PAGE 1 <br /> HSC04-070185 (10/18/85) <br />