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STATE ID NUMBER 00000064782001 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> ( 1 01 NEW PERMIT [ ) 05 RENEWED PERMIT ( 1 07 TANK CLOSED ( 1 09 DELETE FROM FILE (NO FEE) <br /> 02 CC <br /> PERMIT ( l 06 AMENDED PERMIT ( ) OB MINOR CHANGE (NO SURCHARGE) <br /> z OWNER <br /> N.AME(COPPOPATICN.INOIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> GENERAL MILLS INC. ( 1 01 FED ( ) 02 STATE ( ) 03 LOCAL <br /> STREET ADCPESS CITY STATE ZIP <br /> 9200 WAYZATA BLVD. MINNEAPOLIS MN 55246 <br /> II FACILITY <br /> FACILITY NAME DEALER/FCREMAN/SUPERVISOR <br /> GENERAL MILLS INC. LODI PLANT J. MARTIN MAINT. MGR. <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 2000 W. TURNER ROAD MILLS AVENUE <br /> CITY COUNTY ZIP <br /> LODI SAN JOAQUIN 952413s— <br /> MAILING ADDRESS CITY STATE ZIP <br /> P.Q. BOX 3002 LODI CA 95241 <br /> PHONE W/AREA CODE TYPE OF BUSINESS <br /> 209-369-3541 ( ) 01 GASOLINE STATION (X) 02 OTHER MANUFACTURING <br /> NUMBER OF CONTAINERS PUPAL AREAS ONLY TOWNSHIP RANGE SECTION <br /> 6 <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 /> J. MARTIN 209-334-7025 SECURITY 209-334-7039 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER. <br /> IV DESCRIPTION <br /> A. (XS 01 TANK ( ) 04 OTHER: CONTAINER NUMBER.,6-- a <br /> B. MANUFACTURER (IF APPROPRIATE): WESTERN WATER SERVICE YEAR MFG: 1981 C. YEAR INSTALLED 1981 f ) UNKNOWN <br /> D. CONTAINER CAPACITY: 550 GALLONS ( i UNKNOWN E. DOES THE CONTAINER STORE: ( ) 01 WASTE (X) 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL 2 (X) 01 YES ( ) 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br /> 4 ) 01 UNLEADED f ) 02 REGULAR ( ) 03 PREMIUM (X) 04 DIESEL ( ) 05 WASTE OIL ( ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: 1/4 ( 1 GAUGE (X) INCHES ( 1 CM ( ) UNKNOWN <br /> B. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON—VAULTED ( ) 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED fXl 02 SINGLE WALLED ( ) 03 LINED <br /> D. (X) 01 CARBON STEEL f ) 02 STAINLESS STEEL ( l 03 FIBERGLASS ( 1 04 POLYVINYL CHLORIDE ( ) 05 CONCRETE <br /> ( 1 06 ALUMINUM ( ) 07 STEEL CLAD ( ) 08 BRONZE ( ) 09 COMPOSITE ( ) 10 NON—METALLIC <br /> ( ) 12 UNKNOWN ( ) 13 OTHER* <br /> HSC04-070185 (10/18/85) PAGE 1 <br /> 0 <br />