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STATE ID NUMBER 04000060780001 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANLOSED 11,11 1111111111111) K FILE (NO FEE) <br /> I O1 NEW PERMIT f ) 05 RENEWED PERMIT y 08 MINORTANK CCHANGE fNO 5URCHARG <br /> 02 CONDITIONAL PERMIT t l 46 AMENDED PERMIT <br /> I OWNER PUBLIC AGENCY ONLY <br /> ISDN IDUAL OR PUBLIC AGENCY) ( ) 01 FED l 1 0� STATE ( ) 03 LOCAL <br /> NAME(COP.POPATIO� ZIP <br /> j Jl+©6 STATE <br /> CA r <br /> STPEET ADDRESS <br /> II FACILITY <br /> DEALER/FOREMAN/SUPERVISOR <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 95205 <br /> SAN JOAQUIN <br /> CITY <br /> SSTATE ZIP <br /> TOCKTON <br /> czT &� 1,,I CA <br /> MAILING ADOPESS <br /> L TYPE OF BUSINESS <br /> PHONE W/.ARE.A CocE (Xl 01 GASOLINE STATION ( ) 02 OTHER <br /> 204-931-2524 RANGE SECTION <br /> PUPAL AREAS ONLY : TOWNSHIP <br /> NUMBER OF CONTAINERS <br /> 1 <br /> III 24 HOUR EMERGENCY CONTACT PERSON NIGHTS: N.4ME(LAs7 NAME FIRST) AND PHONE W/AREA CODE <br /> UNION OIL CO. <br /> 0.4YS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE <br /> JAURIGUIr L.J. <br /> COMPLETE THE FOLLOWING ON A SEPARATE FARM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> CONTAINER NUMBER 6071-10-1 <br /> A. ( l 01 TANK (X) 04 OTHER: SUMP <br /> YEAR MFG <br /> C. YEAR INSTALLED (X) UNKNOWN <br /> S. MANUFACTURER (IF APPROPRIATE): <br /> D. CONTAINER CAPACITY' GALLONS tXD UNKNOWN E. DOES THE CONTAINER STORE (X) 01 WASTE ( l 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL <br /> OR WASTE 04LDIE50 <br /> EL t IE 2 05 WASTENo OIL [I) 06SCHECK APPROPRIATE BOX(ES): <br /> OTH�ER <br /> t ) O1 UNLEADED ( ) 02 REGULAR ( <br /> v CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: 6 ( ) GAUGE (X) INCHES [ 1 CM ( ) UNKNOWN <br /> B. { l 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ( i 03 UNKNOWN <br /> C. { ) 01 DOUBLE WALLED (X) 02 SINGLE WALLED ( ) 03 LINED <br /> O1 CARSON STEEL ( )0725STAINLESS $[EEL08(BRONZEFIBERG09SS 04 C0MPOSITE POLYVINYL <br /> NON-METALLIC(Xl 45 CONCRETE <br /> i ) 06 ALUMINUM ( ) STEEL <br /> ( ) LAD <br /> 12 UNKNOWN ( ) 13 OTHER: PAGE 1 <br /> H5CO4-070165 (10/13/65) <br /> 0 <br /> k <br />