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STATE ID NUMBER 00000030803003 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> ( 1 NEW pERMiT ( ) 05 RENEWED PERMIT f ] 07 TANK CLOSED <br /> ( ) 09 DELETE FROM FILE (NO FEE <br /> 1 02 CONDITIONAL PERMIT 1 06 AMENDED PERMIT ( ] 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> PUBLICAGENCY ONLY <br /> NkMEiGORPOPATION, NDIVIDLSAL OR PU3LTC AGENGYI ( ) 01 FED I ) 02 STATE i ) 03 LOCAL <br /> CITY .{,tj� STATE ZIP P� ?r/5 <br /> STREET ADDRESS + L') ['7�$AN- AN��S'� CA x /77( <br /> Y � <br /> II FACILITY <br /> DEALER/FOREMAN/SUPERWISO <br /> FACILITY NAME WILBUR T. HALL <br /> UNION OIL SS #6071 <br /> NEAREST CROSS STREET <br /> STREET ADDRESS HWY 99 <br /> 4170 EAST WATERLOO RD. ZIP <br /> COUNTY 95,205 <br /> CITY SAN JOAQUIN _ <br /> STOCKTON <br /> STATE ZIP Gy(��-gyp <br /> CITY / CA �' 0 (T 7l <br /> ;TAILING ADDRESS �r �- <br /> (Tr CtEo�. <br /> TYPE OF BUSINESS <br /> PHONEW/AREA. CODE (X) 41 GASOLINE STATION t 3 02 OTHER <br /> 209-931-2524 <br /> RAL AREAS ONLY <br /> RANGE SECTION <br /> NUMBER OF CONTAINERS TOWNSHIP <br /> 3 [RU <br /> III 24 'HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAME(Lp.ST NAME FIRST? :AND PHONE W/APEA CODE NIGHTS: NAME{LAST NAME FIRST) AND PHONE W%AREA CODE <br /> 1PHONE <br /> W/L�fj`- UNION OIL CO. 415 M 76 b <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION _�— <br /> CONTAINER NUMBER647+-4-+ <br /> [DCONTAINER <br /> 01 TANK t ) 04 OTHER: <br /> YEAR MFG: C. YEAR INSTALLED (X) UNKNOWN <br /> NUFACTURER (IF APPROPRIATE): <br /> CAPACITY: 550 GALLONS f ] UNKNOWN E. DOES THE CONTAINER STORE: fX) 01 WASTE ( ) 02 PRODUCT <br /> ES THE CONTAINER STORE MOTOARVEfI]LE F EL OR MWASTE O4LpiE5EL O(X)E05 WASTE2OIOL tI� 06SOTHERKAPPROPRIATE SOX(ES):) O1 UNLEADED ( ) 02 RE <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( ] GAUGE [ ] INCHES ( ) CM (X) UNKNOWN <br /> B. t ) O1 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ( ) 03 UNKNOWN <br /> C. ( ) O1 DOUBLE WALLED (X) 02 SINGLE WALLED ( ] 03 LINED <br /> D. (X) O1 CARBON L STAINLESS <br /> STEEL <br /> 08( 03 BRONZEFIBERGQ9SCOMPOSITE POLYVINYL <br /> NON-METALLICf ] 05 CONCRETE <br /> ( ) d6 ALUMINUM <br /> ( ] 12 UNKNOWN ( ) 13 OTHER: <br /> PAGE 1 <br /> HSC04-070185 (10/18/85) <br />