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r <br /> STATE IO NUMBER 00000054350001 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> ( 1 <br /> 01 NEW PERMIT ( 1 05 RENEWED PERMIT ( 1 07 TANK CLOSED 1 1 09 DELETE FROM FILE (NO FEE) <br /> ( 1 02 CONDITIONAL PERMIT ( 1 06 AMENDED PERMIT ( 1 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAME(COPPOFATION.INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> PASHA BROS. ( 1 01 FED ( ) 02 STATE 1 103 LOCAL <br /> STREET ADDFESS CITY STATE ZIP <br /> 113 NORTH WALNUT RIPON CA 95366 <br /> II FACILITY <br /> FACILITY NAME DEALER;FOREMAN/SUPERVISOR <br /> PASHA BROS. INC. ARNOLD PASMA <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 113 NORTH WALNUT MAIN ST. <br /> CITY COUNTY ZIP <br /> RIPON SAN JOAQUIN 95366 <br /> MAILING ADOPESS CITY STATE ZIP <br /> 113 NORTH WALNUT RIPON CA 95366 <br /> PHONE W'AREA CODE TYPE OF BUSINESS <br /> 209-599-3716 ( f ) 01 GASOLINE STATION (XI 02 OTHER BUSINESS <br /> RAL AREAS ONLY TOWNSHIP RANGE SECTION <br /> 2 NUMEER OF CONTAINERS PU <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAME(LAST NAME FIPST) AND PHONE W/AREA CODE NIGHTS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE <br /> PASNA, TOM 209-599-3716 PASHA, TOM 209-599-3450 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( 1 04 OTHER: CONTAINER NUMBER Al <br /> B. MANUFACTURER (IF APPROPRIATE): o gyp/ YEAR MFG: C. YEAR INSTALLED � (X) UNKNOWN <br /> 0. CONTAINER CAPACITY: 750 GALLONS f ) UNKNOWN E. DOES THE CONTAINER STORE: ( ) 01 WASTE (X) 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? ( ) 01 YES ( ) 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br /> f 1 <br /> 01 UNLEADED ( 1 02 REGULAR 1 1 03 PREMIUM ( ) 04 DIESEL l 1 05 WASTE OIL (X) 06 OTHER UNKNOWN <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( ) GAUGE ( 1 INCHES ( ) CM (X) UNKNOWN <br /> B. t 1 01 VAULTED (LOCATED SINN AN UNDERGROUND VAULT) ()K02 NON-VAULTED f ) 03 UNKNOWN <br /> C. I 1 01 DOUBLE WALLED ( 7 02 SINGLE WALLED 1 ) 03 LINED <br /> D. ( ) 01 CARBON STEEL f l 02 STAINLESS STEEL ( 1 03 FIBERGLASS l ) 04 POLYVINYL CHLORIDE f 1 05 CONCRETE <br /> l 1 06 ALUMINUM f ) 07 STEEL CLAD I ) 08 BRONZE f 1 09 COMPOSITE 1 1 10 NON-METALLIC <br /> (XI 12 UNKNOWN f 1 13 OTHER: <br /> SC04-070185 (10/18/85) PAGE 1 <br />