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STATE ID NUMBER 00000006996001 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> ( 101 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,INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> VITO BEVARO ( 1 01 FED ( ) 02 STATE f ) 03 LOCAL <br /> STREET ADDRESS CITY STATE IIP <br /> WALNUT ESCALON CA 95320 <br /> II FACILITY <br /> FACILITY NAM! DEALER/FOPEMAN/SUPERVISOR <br /> VITO BAVARO <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 1641 WALNUT 1ST STREET <br /> CITY COUNTY IIP <br /> ESCALON SAN JOAQUIN 95320 <br /> MAILING ADDRESS CITYSTATE ZIP <br /> PO BOX 41 ESCOLON CA 95320 <br /> PHONE W/AREA CODE TYPE OF BUSINESS <br /> 209-838-1318 ( ) 01 GASOLINE STATION (X) 02 OTHER RESIDENCE <br /> NUMBER OF CONTAINERS RURAL AREAS ONLY TOWNSHIP RANGE SECTION <br /> 1 2S 9E 5 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAMEfLAST NAME FIRST) AND PHONE W/APEA CODE NIGHTS: NAME(LAST NAME FIRST) AND PHONE W/ARCA CODE <br /> BAVARO VI LO 209-838-1318 BAVARO VITO 209-838-1318 <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)* MOWELCO YEAR MFG: 1981 C. YEAR INSTALLED 1981 ( ) UNKNOWN <br /> 0. CONTAINER CAPACITY: 500 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 /> f ) 01 UNLEADED (X) 02 REGULAR ( ) 03 PREMIUM ( 1 04 DIESEL ( 1 05 WASTE OIL ( 1 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: 12 fX) GAUGE ( l INCHES ( ) CM l ) 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 ( 1 03 LINED <br /> D. (X) 01 CARBON STEEL ( ) 02 STAINLESS STEEL ( 1 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE [ ) 05 CONCRETE <br /> f ) 06 ALUMINUM [ 1 07 STEEL CLAD ( 1 08 BRONZE ( 1 09 COMPOSITE [ 1 10 NON-METALLIC <br /> t 1 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br />