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0 STATE 11) <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGENTANK <br /> 00000024773002 <br /> (.� O1 NEW PERMIT f ) 05 RENEWED PERMIT f ) 07 TANK CLOSED <br /> f ) 02 CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br /> f ) 09 DELETE FROM FILE (NO FEE) <br /> I OWNER <br /> NAME(COFPOPATION�INDIVIDUAL OR PUBLIC AGENCY) <br /> PACIFIC GAS AND ELECTRIC COpPA PUBLIC AGENCYZ7i <br /> STREET ACDRESS <br /> ( ) O1 FED [ 7 03 LOCAL77 BEALE STREET CITYSAN FRANCISCO p <br /> 06 <br /> II FACILITY <br /> FACILITY NAME P Ell 7 <br /> •f,LS 7— ) DEALER/FOREMAN/SUPERVISOR <br /> GI S <br /> S TFEET c- (fO• WILLIAM J. FRAZIER <br /> ACC2ESS <br /> 4040 WEST LANE NEAREST CROSS STREET <br /> ALPINE <br /> CITY <br /> STOCKTON COUNTY <br /> SAN JOAQUIN ZIP <br /> MAILING ADDRESS 95204 <br /> P.O. BOX 930 carr <br /> STOCKTON STATE ZIP <br /> PHONE W/AREA CODE OA 95201 <br /> 209-465-3867 TYPE OF BUSINESS <br /> f 7 01 GASOLINE STATION (X) 02 OTHER PUBLIC UTILITY <br /> 7 <br /> NUMBER OF CONTAINERS RURAL AREpS ONLY TOWNSHIP <br /> RANGE SECTION <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE <br /> DIVISION OPERATOR 209-465-6947 NIGHTS: NAMEfIAST NAME FIRST) AND PHONE W/AREA CODE <br /> DIVISION OPERATOR 209-465-3867 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( 7 04 OTHER: <br /> CONTAINER NUMBER 2 <br /> B. MANUFACTURER (IF APPROPRIATE): <br /> YEAR MFG: 1957 C. YEAR INSTALLED 1957 ( l UNKNOWN <br /> D. CONTAINER CAPACITY: 5000 GALLONS f ) UNKNOWN E. DOES THE CONTAINER STORE: f ) 01 WASTE (X) 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? <br /> (XI 01 UNLEADED ( 7 02 REGULAR f 1 03 PREMIUM ( ) 04 DIESEL 0( )E05 WASTE OILL fS 02 No I) 06 OTHER <br /> K APPROPRIATE BOXf ES): <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( ) GAUGE f ) INCHES [ ) CM (X) UNKNOWN <br /> B. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUNDVAULT) (X) 02 NON-VAULTED ( 7 03 UNKNOWN <br /> C• ( 7 <br /> 01 DOUBLE WALLED (X) 02 SINGLE WALLED f 1 03 LINED <br />). (X) 01 CARBON STEEL ( ) 02 STAINLESS STEEL ( ) 03 FIBERGLASS ( 7 04 POLYVINYL CHLORIDE f ) 05 CONCRETE <br /> ( ) 06 ALUMINUM ( 7 07 STEEL CLAD f ) 08 BRONZE ( ) 09 COMPOSITE ( 7 10 NON-METALLIC <br /> ( 7 12 UNKNOWN ( ) 13 OTHER: <br />---------------- <br />;C04-070185 (.10/18/85) <br /> PAGE 1 <br />