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j <br /> • STATE ID NUMBER 00000012531001 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> ( ) <br /> 01 NEW PERMIT ( ) 05 RENEWED PERMIT ( ) 07 TANK CLOSED l ) 09 DELETE FROM FILE (NO FEED <br /> ( ) 02 CONDITIONAL PERMIT ( 1 06 AMENDED PERMIT E ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> ��PUBLIC AGENCY ONLY <br /> NAME(COPFCP.ATION.INDIVIDUAL OR PUBLIC AGENCY) ) 01 FED i 1 02 STATE t ) 03 LOCAL <br /> FRANK SUNSERI & RONALD DANIEL <br /> CITY STATE ZIP <br /> STREET ADDRESS LODI CA 95240 <br /> 1210 TURNER RD <br /> II FACILITY <br /> FA.CIL'TY NAME DEALER/FOP.EM.AN/SUPERVISOR <br /> BOWLES SERVICE MIKE BOWLES <br /> STREET ADOPESS NEAREST CROSS STREET <br /> 1216 TURNER RD LOMA <br /> COUNTY ZIP <br /> CITY <br /> LORI SAN JOAQUIN 95240 <br /> CITY STATE ZIP <br /> MAILING ADDRESS CA 95240 <br /> 1210 TURNER RD LOOI <br /> PHONE W/AREA CODE TYPE OF BUSINESS <br /> 209-369-5314 ( ) 01 GASOLINE STATION (X) 02 OTHER <br /> NUMBER OF CONTAINERS RURAL AREAS ONLY : TOWNSHIP RANGE SECTION <br /> 4 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> FDAYS: NAME( LAST NAME FIRST) AND PHONE W/APFA CCCE <br /> FSUN <br /> TS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE <br /> RIf FRANK 209-369-5314 ERI, FRANK 209-369-5314 <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 MF6 C_ YEAR INSTALLED (X) UNKNOWN <br /> D. CONTAINER CAPACITY: 3500 GALLONS t ) UNKNOWN JE. DOES THE CONTAINER STORE: [ 1 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(ES): <br /> ( ) 01 UNLEADED (X) 02 REGULAR ( J 03 PREMIUM ( ) 04 DIESEL ( J 05 WASTE OIL ( l 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: 3/16 f ) GAUGE (X) I14CHES f ) CM ( ) UNKHOWN <br /> S. ( ) 01 VAULTED tLOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ( 1 03 UNKNOWN <br /> 01 DOUBLE WALLED (X) 02 SINGLE WALLED ( ) 03 LINED <br /> D. (X) 01 CARBON STEEL t 1 02 STAINLESS STEEL t ) 03 FIBERGLASS ( 1 04 POLYVINYL CHLORIDE [ ) 05 CONCRETE <br /> ) 06 ALUMINUM ( ) 07 STEEL CLAD ( 1 08 BRONZE ( ) 09 COMPOSITE ( 1 10 NON-METALLIC <br /> ( ) 12 UNKNOWN ( ) 13 OTHER: <br /> PAGE I <br /> HSC04-070185 (10/18/85) <br />