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STATE ID NUMBER 00000013101004 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> ( 1 <br /> 01 NEW PERMIT f l 05 RENEWED PERMIT ( ) 07 TANK CLOSED ( ) 09 DELETE FROM FILE (NO FEE) <br /> ONDITIONAL PERMIT ( ) 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAN,E(CORRORATION.:ND IVIDVAL OR PUBLIC A NDY_� PUBLIC AGENCY ONLY <br /> Q TN Gf'/Ci ///��s ( 1 01 FED ( 1 02 STATE ( 7 03 LOCAL <br /> STPEET ADDRESS CITY STATE ZIP <br /> efoca �G �� n9B MANTECA CA 95336 <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREMAN/SUPERVISOR <br /> MOUNTAIN VALLEY EXPRESS CO INC CHARLES GILES <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 1299 VANDERBILT CIRCLE INDUSTRIAL PARK OR <br /> CITY COUNTY ZIP <br /> MANTECA SAN JOAQUIN 95336 <br /> MAILING ADDRESS CITY STATE ZIP <br /> 1299 VANDERBILT CIRCLE MANTECA CA 95336 <br /> PHONE W/APEA CODE TYPE OF BUSINESS <br /> 209-823-2168 ( ) 01 GASOLINE STATION (X) 02 OTHER TRUCKING <br /> NU.-BEP OF CONTAINERS PUPAL AREAS ONLY TOWNSHIP PANG'_ SECTION <br /> 4 <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 i <br /> GILES CHARLES 209-823-2168 GILES CHARLES 209-239-3377 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( ) 04 OTHER: CONTAINER NUMBER 1 <br /> B. MANUFACTURER (IF APPROPRIATE): STKN MFG YEAR MFG: 1980 C. YEAR INSTALLED 1980 ( 7 UNKNOWN <br /> 10 000 <br /> D. CONTAINER CAPACITY: GALLONS f 1 UNKNOWN E. DOES THE CONTAINER STORE: [ 7 01 WASTE (X) 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? (X) 01 YES ( 7 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br /> ( ) 01 UNLEADED f ) 02 REGULAR ( ] 03 PREMIUM (X) 04 DIESEL f ) 05 WASTE OIL ( ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: 1/4 ( ) GAUGE (X) INCHES ( ) CM ( ) UNKNOWN <br /> B. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ( ) 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED (X) 02 SINGLE WALLED ( ] 03 LINED <br /> 0. (X) 01 CARBON STEEL ( ) 02 STAINLESS STEEL ( 1 03 FIBERGLASS ( 7 04 POLYVINYL CHLORIDE ( ) 05 CONCRETE <br /> ( ) C6 ALUMINUM [ 1 07 STEEL CLAD ( 1 08 BRONZE [ ) 09 COMPOSITE f ) 10 NON-METALLIC <br /> ( ) 12 UNKNOWN ( ) 13 OTHER: <br /> MSC04-070185 (10/18/85) PAGE 1 <br />