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• ��� STATE ID NUMBER 00000018590001 <br /> APPLICATION FOR PERMIT TO OPE 2�HtJDERGROUND STORAGE TANK <br /> ( 1 O1 NEW PERMIT ( ) 05 RENEWED PERMIT fl� TANK CLOSED [ 1 09 DELETE FROM FILE (NO FEE) <br /> f ) 02 CONDITIONAL PERMIT f ) 06 AMENDED PERMIT f ) OB MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAME!CORPORATION,INDIVIDUAL OR PUBLIC AGENCY) <br /> KAYO OIL COMPANY PUBLIC AGENCY ONLY <br /> ( 1 OL FED ( ) 02 STATE f ) 03 LOCAL <br /> STREET ADDRESS <br /> 1221 E. MAIN STREET CITY STATE ZIP <br /> CHATTANOOGA TN 37408 <br /> II FACILITY <br /> FAOINAME <br /> ECONO DEALER/FOREMAN/SUPERVISOR <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 4325 E. WASHINGTON ST. <br /> CITY <br /> STOCKTON COUNTY ZIP <br /> SAN JOAQUIN 95205 <br /> MAILING ADDRESS CITY <br /> 4325 E. WASHINGTON ST. STATE ZIP <br /> STOCKTON CA 95205 <br /> PHONE W/AREA CODE TYPE OF BUSINESS <br /> 209-946-9474 (X) 01 GASOLINE STATION ( ) 02 OTHER <br /> NUMBER OF CONTAINERS RURAL AREAS ONLY : TOWNSHIP RANGE <br /> 3 SECTION <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: N.4ME(LAST NAME FIRST) AND PHONE W/AREA CODE NIGHTS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE <br /> HARTNEY, JOE 509-926-1927 SAME 509-926-1927 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( ) 04 OTHER: CONTAINER NUMBER 3 <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: C. YEAR INSTALLED (X) UNKNOWN <br /> D. CONTAINER CAPACITY: 7500 GALLONS ( ) UNKNOWN E. DOES THE CONTAINER STORE: l ) 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 /> ( 1 01 UNLEADED (X) 02 REGULAR f ) 03 PREMIUM ( ) 04 DIESEL ( 1 05 WASTE OIL f 1 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( ) GAUGE ( ) INCHES ( ) CM (X) UNKNOWN <br /> B. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ( ) 03 UNKNOWN <br /> C. f ) 01 DOUBLE WALLED (X) 02 SINGLE WALLED ( ) 03 LINED <br /> D. (X) 01 CARBON STEEL ( ) 02 STAINLESS STEEL ( ) 03 FIBERGLASS f 1 04 POLYVINYL CHLORIDE f ) 05 CONCRETE <br /> ( ) 06 ALUMINUM ( ) 07 STEEL CLAD ( ) 08 BRONZE ( ) 09 COMPOSITE ( ) 10 NON-METALLIC <br /> ( 1 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) <br /> PAGE I <br />