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• STATE ID NUMBER 00000012531002 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> i ) 01 NEW PERMIT [ ) 05 RENEWED PERMIT C ) 07 TANK CLOSED [ l 09 DELETE FROM FILE (NO FEE) <br /> ( ) 02 CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT t ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> N.AME(COP.POPATION,INDIVIDUAL OR PUBLIC AGENCY) PUBLICAGENCY ONLY <br /> FRANK SUNSERI & RONALD DANIEL ( ) 01 FED ( ) 02 STATE f ) 03 LOCAL <br /> STREET ADDPESS _ CITY STATE ZIP <br /> 1210 TURNER RD LORI CA 95240 <br /> II FACILITY <br /> FACILITY NAME DEALER:FOREMAN/SUPERVISOR <br /> BOWLES SERVICE MIKE BOWLES <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 1216 TURNER RD LOMA <br /> CITY COUNTY ZIP <br /> LODI SAN JOAQUIN 95240 <br /> MAILING ADDRESS =- CLOI <br /> Y STA7E ZIP <br /> 1210 TURNER RD I CA 95240 <br /> PHONE W/AREA CODE TYPE OF BUSINESS <br /> 209-369-5314 t ] 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 /> [DAYS: NAMESLAST NAME FIRST) AND PHONE W/AREA CCDE NIGHTS, NAME(LAST NAME FIRST) AND PHONE WtAREA CODE <br /> RI, FRANK 209-369-5314 SUNSERI FRANK 209-369-5314 <br /> COMPLETE THE FOLL014ING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK f ) 04 OTHER CONTAINER NUMBER 1 <br /> B. MANUFACTURER (IF APPROPRIATE)' YEAR MFG: C. YEAR INSTALLED (X) UNKNOWN <br /> 0. CONTAINER CAPACITY: 2000 GALLONS f ) UNKNOWN JE. DOES THE CONTAINER STOPEt [ ) 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 /> (X) 01 UNLEADED { ) 02 REGULAR ( ) 03 PREMIUM { ) 04 DIESEL ( ) 05 WASTE OIL ( ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: 3/16 l ) GAUGE (X) INCHES f ) CM ( ) UNKNOWN <br /> B. { ) 01 VAULTED ( LOCATED IN A)J UNDERGROUND VAULT) (X) 02 NON-VAULTED ( ) 03 UNKNOWN <br /> C. ( l 01 DOUBLE WALLED (X) 02 SINGLE WALLED [ l 03 LINED <br /> D. (X) 01 CARBON STEEL ( ) 02 STAINLESS STEEL ( ) 03 FIBERGLASS i ) 04 POLYVINYL CHLORIDE t ) 05 CONCRETE <br /> ( ) 06 ALUMINUM [ ) 07 STEEL CLAD f l 09 BRONZE ( ) 09 COMPOSITE ( ) 10 NON-METALLIC <br /> { ) 12 UNKNOWN ( ) 13 OTHER- <br /> HSC04-070185 (10/18/85) PAGE 1 <br />