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STATE ID NUMBED 0000001124ZO02 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK f _J <br /> 1 O1 NE R IT ( 1 05 RENEWED PERMIT ( 1 07 TANK CLOSED C 1 09 DELETE FROM FILE (NO-FEED <br /> 2 GO110iTI0NAL PERMIT t 1 06 AMENDED PERMIT ( 108 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER --- <br /> NAME(COPPOPATION.INDIVIDUAL OR PUBLIC AGENCY) :U-5) <br /> IC AGENCY ONLY <br /> O1 FED ( i 02 STATE f ) 03 LOCAL <br /> E-Z SERVE, INC. --- <br /> STREET ADDP.ESS CITY PTX <br /> TE ZIP <br /> 901 SOUTH 1ST. ABTLENE 79602 <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREMAN/SUPERVISORf d "tl► <br /> E-Z FOOD Vl/J ( Vl rGL <br /> STREET AO7RESS NEARS T C OSS STREET <br /> 2537 WATERLOO ROAD <br /> CICOUNTY ZIP <br /> CITY TYON SAN JOAQUIN 45205 <br /> STOCKT <br /> STATE ZIP <br /> MAILING ADDRESS CITY q <br /> P.O. BOX '- �7 �11L ( EJ int l ��� <br /> PHo- <br /> 15 <br /> ONE W/AREA CC E TYPE OF BUSINESS <br /> 15- _ � (X) O1 GASOLINE STATION 1 1 02 OTHER <br /> NUMBER OF CCNTAINEPS PUPAL AREAS ONLY TOWNSHIP RANGE SECTION <br /> 3 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAME(LAST NAME FIRST) AND PHONE W/APEA CCCE NIGHTS: N.AME(LAST NAME FIRST) AND PHONE W/AREA CODE <br /> Wfk9ER�Y' �} <br /> COMPLET ON A SEPARATE R EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK f 104 OTHER: CONTAINER NUMBER 102 <br /> B. MANUFACTURER (IF APPROPRIATE)' JOOR YEAR MFG= C. YEAR INSTALLED 'r8 f } UNKNOWN <br /> 0. CONTAINER CAPACITY: 8101 GALLONS f ) UNKNOWN E. DOES THE CONTAINER STORE: ( ) 01 WASTE (X1 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? (X) 01 YES ( 1 02 NO IF YES CHECK APPROPRIATE BOX(ES)= <br /> f 1 01 UNLEADED (X) 02 REGULAR [ 1 03 PREMIUM f 1 04 DIESEL ( 1 05 WASTE OIL ( ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: f 1 GAUGE f 1 INCHES ( 1 CM (X1 UNKNOWN <br /> B. f 1 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ( 1 03 UNKNOWN^_ <br /> C. t ) 01 DOUBLE WALLED (X) 02 SINGLE WALLED ! ! 03 LINED <br /> D. (X) 01 CARBON STEEL C 1 02 STAINLESS STEEL t 1 03 FIBERGLASS 1 ) 04 POLYVINYL CHLORIDE i 1 05 CONCRETE <br /> ( ) 06 ALUMINUM ( 1 07 STEEL CLAD S 1 08 BRONZE ( 1 09 COMPOSITE ( ! 10 NON-METALLIC <br /> f 1 12 U,Kt?OWN ( 1 13 OTHER: <br /> -- - - - - — PAGE 1 <br /> HSC04-070185 (10/16/85) <br />