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• • STATE 10 NUMBER 00000030803001 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> Ol NEW PERMIT ( 1 05 RENEWED PERMIT ( ) 07 TANK CLOSED ( ) 09 DELETE FROM FILE (NO FEE) <br /> 02 CONDITIONAL PERMIT ( l 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAME(COP.POP.ATIODIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> ( ] 01 FED ( 1 02 STATE ( 1 03 LOCAL <br /> STREET ADDRESS CITY � � r STATE ZIP <br /> CTA <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREMAN/SUPERVISOR <br /> UNION OIL SS #6071 WILBUR T. HALL <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 4170 EAST WATERLOO RD. HWY 99 <br /> CITY COUNTY ZIP <br /> STOCKTON SAN JOAQUIN 95205 <br /> MAILING ADDRESS ''// CITY STATE ZIP <br /> 4 7 /fir DA 9 SIE <br /> PHONE W/AP.EA CODE TYPE OF BUSINESS <br /> 209-931-2524 (Xl O1 GASOLINE STATION ( ) 02 OTHER <br /> NUMBER OF CONTAINERS RURAL AREAS ONLY : TOWNSHIP RANGE SECTION <br /> 3 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> FDAYS: NAMQc�s!�a ET NAME FIRST) AND PHONE W/AREA CODE NIGHTS: NAME(LAST NAME FIRST) AND PHONE W/AREAYCODE <br /> JAURIGUI, L.J. 415-956-}688• UNION OIL CO. 415-66k�97YP 7b <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( ) 04 OTHER: CONTAINER NUMBER 8943-3�3 <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: 1968 C. YEAR INSTALLED 1968 ( l UNKNOWN <br /> D. CONTAINER CAPACITY: 3•BfCOw8 GALLONS ( ) UNKNOWN E. DOES THE CONTAINER STORE: ( ) O1 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 ( ) 03 PREMIUM ( ) 04 DIESEL ( ) 05 WASTE OIL f ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> D <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( ) GAUGE ( ) INCHES ( ) CM (X) UNKNOWN <br /> B. ( 1 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ( ) 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED (X) 02 SINGLE WALLED ( ) 03 LINED <br /> D. (X) 01 CARBON STEEL f ) 02 STAINLESS STEEL ( ) 03 FIBERGLASS f 104 POLYVINYL CHLORIDE f 1 05 CONCRETE <br /> ( ) 06 ALUMINUM ( ) 07 STEEL CLAD f ] 08 BRONZE ( ) 09 COMPOSITE ( ) 10 NON-METALLIC <br /> ' ( ) 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br />