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STATE ID NUMBER 00000065875001 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> Flrl'jr�02 <br /> 1 NEW PERMIT ( 1 05 RENEWED PERMIT i 1 07 TANK CLOSED i 1 09 DELETE FROM FILE (NU FEE) <br /> CONDITIONAL PERMIT ( 1 06 AMENDED PERMIT ( 1 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAME(CORPORATION.INOIVIDUAL OR PUBLIC AGENCY) 7�JPUBLIC AGENCY ONLY <br /> SAN JOAQUIN COUNTY -POt?t 1 <br /> 01 FED ( ) 02 STATE ( 03 LOCAL <br /> FSTOMTON <br /> STATE ZIP <br /> STREET ADDRESS CA 452 <br /> POST-e -2 <br /> II <br /> r,(J�6er <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREMAN/SUPERVISOR <br /> sa( (sx San �ao� urn �a, Cour h��l s <br /> karmcLA..'Ce t vyn <br /> STREET ADDRESS NEAREST CROSS STREET, <br /> 222 E. WEBER <br /> COUNTY ZIP <br /> CITY 95202 <br /> STOCKTON SAN JOAQUIN <br /> MAILING ADDRESS CITY STATE ZIP <br /> P o ex I gvo STOCKTON CA 95201 <br /> PHONE W/AREA CODE TYPE OF BUSINESS <br /> 209-944-3737 ( 1 O1 GASOLINE STATION (X) 02 OTHER COUNTY COURTHOUSE <br /> _:� <br /> NUMBER OF CONTAINERS I URAL AREAS ONLY TOWNSHIP RANGE SECTION <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> F04YS: NAME(LAST NAME FIRST) AND PHONE 41/AREA CODE NIGHTS: TNAME"CHMA AST NAME FIRST) AND PHONE (J/A=COUF <br /> RAIS, NORMAN 204-944-3737 NIGHT WATCHMAN 209-944-2281 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( 1 04 OTHER: CONTAINER NUMBER le <br /> B. MANUFACTURER (IF APPROPRIATE); YEAR MFG= C. YEAR INSTALLED f} UNKNOWN <br /> 0. CONTAINER CAPACITY: 10000 GALLONS ( 1 UNKNOWN JE. DOES THE CONTAINER STORE:�O1 WASTE �02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? .L>d'01 YES ( ) 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br /> ( <� 01 UNLEADED ( ) 02 REGULAR ( ) 03 PREMIUM ( ) 04 DIESEL ( 1 05 WASTE OIL ( ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> ,r , , <br /> A. THICKNESS OF PRIMARY CONTAINMENT= A acs ( ) GAUGE oorIIINCHES emsM t ) UNKNOWN <br /> B. C 1 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) L>!1.02 NON-VAULTED i{'f_03 UNKNOWN <br /> C. l ) 01 DOUBLE WALLED X02 SINGLE WALLED ( ) 03 LIN€D <br /> D...LadL 01 CARBON STEEL ( ) 02 STAINLESS STEEL ( 1 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE ( ) 05 CONCRETE <br /> ) 06 ALUMINUM i 1 07 STEEL CLAD ( ) 08 BRONZE ( ) 09 COMPOSITE ( 3 10 NON-METALLIC <br /> .kd-12 UNKNOWN i 1 13 OTHER <br /> PAGE 1 <br /> HSC04-070185 (08/29/86) <br />