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STATE ID NUMBER 00000024755001 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> (4..01 NEW PERMIT ( ) 05 RENEWED PERMIT ( ) 07 TANK CLOSED ( ) 09 DELETE FROM FILE (NO FEE) <br /> ( ) 02 CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAME(CORPORATION,INDIVZDVAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> PACIFIC GAS AND ELECTRIC COWIC ( 1 01 FED f ' ) 02 STATE ( ) 03 LOCAL <br /> STREET ADDRESS CITY STATE IIP <br /> 77 BEALE STREET SAN FRANCISCO CA 94106 <br /> II FACILITY <br /> FACILITY NAMEDEALER/FOREMAN/SUPEP.VISCR <br /> D. GRIMES <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 9575 EAST VICTOR ROAD BRUELLA ROAD <br /> CITY COUNTY ZIP <br /> VICTOR SAN JOAQUIN 95253 <br /> MAILING ACDPESS CITYSTATE ZIP <br /> P.O. BOX 930 STOCKTON CA 95201 <br /> PHONE W/AREA CODE TYPE OF BUSINESS <br /> 209-369-7829 ( ) 01 GASOLINE STATION (X) 02 OTHER PUBLIC UTILITY <br /> NUMBER OF CONTAINERS RURAL AREAS ONLY TOWNSHIP RANGE SECTION <br /> 1 <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 /> DIVISION OPERATOR 209-Obi-b947 DIVISION OPERATOR 209-465-3867 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( ) 04 OTHER: CONTAINER NUMBER 11 <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: C. YEAR INSTALLED 1956 ( ) UNKNOWN <br /> 0. CONTAINER CAPACITY: 3000 GALLONS ( 1 UNKNOWN E. DOES THE CONTAINER STORE: ( ) 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 f ) 03 PREMIUM ( ) 04 DIESEL f 1 05 WASTE OIL f ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: 3/16 ( ) 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 f 1 03 LINED <br /> D. (X) 01 CARBON STEEL f ) 02 STAINLESS STEEL ( ) 03 FIBERGLASS t ) 04 POLYVINYL CHLORIDE ( ) 05 CONCRETE <br /> ( ) 06 ALUMINUM f 1 07 STEEL CLAD ( 1 08 BRONZE ( l 09 COMPOSITE f ) 10 NON-METALLIC <br /> ( 7 12 UNKNOWN ( 113 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br /> I'-N-T-LV4"KC-M'ViIYVi I V J'L "VTR'.) - <br /> ADMINISTRATING AGENCY J' . CITY CODE COUNTY CODE <br /> ')ah J o4 L.0caL I,4\ J' <br /> CONTACT PERSON PHONE W/AREA CODE <br /> DATE OF!LAST INSPECTION IN COMPLIANCE PERMIT APPROVAL DATE TRANSACTION DATE LOCAL PERMIT ID A <br /> _S_ig_6 ( ) O1 YES ( ) 02 NO <br /> HSC04-070185 (10/18/85) PAGE 2 <br />