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• 0 <br /> STATE ID NUMBER 00000064782005 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK f <br /> ( O1 NEW PERMIT ( 1 05 RENEWED PERMIT ( ) 07 TANK CLOSED ( 1 09 DELETE FROM FILE (NO FEE) I <br /> ) 02 CONDITIONAL PERMIT ( J 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) `[ <br /> I CWNER <br /> NAME(CCP.PCFATION.INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> GENERAL MILLS INC. ( 1 01 FED ( ) 02 STATE { ) 03 LOCAL <br /> STREET ADDRESS CITY STATE 2IP <br /> 9200 WAYZATA BLVD. MINNEAPOLIS MN 55246 <br /> II FACILITY <br /> FACILITY N4ME DEALER/FOPEMAN/SUPERVISOR <br /> GENERAL MILLS INC. LODI PLANT J. MARTIN MAINT. MGR. <br /> STPEET ADDRESS NEAREST CROSS STREET <br /> 2000 W. TURNER ROAD MILLS AVENUE <br /> CITY COUNTY ZIP <br /> LODI SAN JOAgUIN 952411046. <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 ( 1 01 GASOLINE STATION (X) 02 OTHER MANUFACTURING <br /> NUMBER CF CONTAINERS RURAL AREAS ONLY : TOWNSHIP RANGE SECTION <br /> 6 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAM€(LAST NAME FIRST) AND PHONE W/APE.A CODE NIGHTS: NAME(L.AST 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. (X) 01 TANK t J 04 OTHER: CONTAINER NUMBERy- <br /> B. MANUFACTURER (IF APPROPRIATE): MODESTO WELDING YEAR MFG: 1967 C. YEAR INSTALLED 1967 ( ) UNKNOWN <br /> D. CONTAINER CAPACITY: 12000 GALLONS ( ) UNKNOWN E. DOES THE CONTAINER STORE: ( ) 01 WASTE (X) 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? f ) 01 YES (X) 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br /> ( ) 01 UNLEADED ( ) 02 REGULAR ( ) 03 PREMIUM ( 1 04 DIESEL ( 1 05 WASTE OIL ( ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: 1/4 t ) GAUGE (X) INCHES ( ) CM f 1 UNKNOWN <br /> B. ( 1 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) tX) 02 NON-VAULTED { ) 03 UNKNOWN <br /> C. ( 1 01 DOUBLE WALLED (X) 02 SINGLE WALLED [ 1 03 LINED <br /> D. (X) 01 CARBON STEEL ( 1 02 STAINLESS STEEL ( 1 03 FIBERGLASS f 1 04 POLYVINYL CHLORIDE ( l 05 CONCRETE <br /> ( ) 06 ALUMINUM ( ) 07 STEEL CLAD ( 1 08 BRONZE C 1 09 COMPOSITE ( ) 10 NON-METALLIC <br /> { 1 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br />