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STATE ID NUMBER 00000012531004 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> ( 1 01 NEW PERMIT C ) 05 RENEWED PERMIT ( ) 07 TANK CLOSED ( 7 09 DELETE FROM FILE (NO FEE) <br /> i ] 02 CONDITIONAL PERMIT ( 1 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAME(COP.PORATION.INDIVIDUAL OR PUBLIC AGENCY) TPUBLIC AGENCY OL <br /> FRANK SUNSERI & RONALD DANIEL 01 FED ( 1 N.Y2 STATE t 1 03 LOCAL <br /> STPIET ADDPESS CITY STATE ZIP <br /> 1210 TURNER RD LODI CA 95240 <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREMAN/SUPERVISOR <br /> BOWLES SERVICE MIKE BOWLES <br /> STREET .AODPESS NEAREST CROSS STREET <br /> 1216 TURNER RD LOMA <br /> CITY COUNTY T95240 <br /> LODI SAN JOAQUIN <br /> MAILING ADOPESS CITY STZIP <br /> 1210 TURNER RD LODI CA 95240 <br /> PHONE W;APEA CODE TYPE OF BUSINESS <br /> 209-369-5314 f ) 01 GASOLINE STATION (X) 02 OTHER <br /> NUMBER. OF CONTAINEPS RURAL AREAS ONLY' TOWNSHIP RANGE SECTION <br /> 4 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAME(LAST NAME FIRST) AND PHONE W/APE.A CODE NIGHTS: NAME(LAST NAME FIRST? ?ND PHONE W/AREA CODE <br /> SUNSERI, FRANK 209-369-5314 SUNSERI. FRANK 209-369-5314 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( 1 04 OTHER: CONTAINER NUMBER 4 <br /> B. MANUFACTURER CIF APPROPRIATE): YEAR MFG: C. YEAR INSTALLED (X) UNKNOWN <br /> D. CONTAINER CAPACITY: 500 GALLONS ( 1 UNKNOWN E. DOES THE CONTAINER STORE: (X) 01 WASTE ( ) 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 /> t 1 <br /> 01 UNLEADED C ) 02 REGULAR C ) 03 PREMIUM f l 04 DIESEL (X) 05 WASTE OIL ( ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: 10 (X) GAUGE ( ) INCHES f ? CM ( ) UNKNOWN <br /> B. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ( l 03 UNKNOWN <br /> C. f ) 01 DOUBLE WALLED (X) 02 SINGLE WALLED C 1 03 LINED <br /> D. (X) 01 CARBON STEEL [ } 02 STAINLESS STEEL i 1 03 FIBERGLASS ( 1 04 POLYVINYL CHLORIDE f l 05 CONCRETE <br /> ( ) 06 ALUMINUM C ) 07 STEEL CLAD C 1 08 BRONZE ( l 09 COMPOSITE E ) 10 NON-METALLIC <br /> t ) 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br />