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• <br /> STATE ID NUMBER 00000024773007 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> A�) 01 NEW PERMIT f } 05 RENEWED PERMIT L-4 07 TANK CLOSED ( ) 09 DELETE FROM FILE (NO FEE) <br /> ( i 02 CONDITIONAL PERMIT ( i 06 AMENDED PERMIT ( 1 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> N4ME(CORPOPATION,IN0IVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> PACIFIC GAS AND ELECTRIC comm ( ) 01 FED f ) 02 STATE ( 1 03 LOCAL <br /> STFEET D:=ESS CITY STATE ZIP <br /> 77 BEALE STREET SAN FRANCISCO CA 94106 <br /> Ii FACILITY C cam, <br /> FACILITY NAME — 5fdCki OVA 5e`rV4¢ <br /> (,e� DEALER/FOREMAN/SUPERVISOR <br /> v%L__r�nissn.fTrr rrNTra Co. WILLIAM J. FRAZIER <br /> STREET ADOPESS NEAREST CROSS STREET <br /> 4040 WEST LANE ALPINE <br /> CITY COUNTY ZIF <br /> STOCKTON SAN JOAQUIN 95204 <br /> MAILING ADDFESS CITY STATE )ZIP <br /> P.O. BOX 930 STOCKTON CA 95201 <br /> PHCNE W/APE.A CODE TYPE OF BUSINESS <br /> 209-465-3867 ( ) 01 GASOLINE STATION (X) 02 OTHER. PUBLIC UTILITY <br /> NiNSEP OF CONTAINERS RURAL AREAS CNLYTOWNSHIP FsNGE SECTION <br /> 7 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: N.A"7EtLAST NAME FIRST) AND PHONE W/AREA CODE NIGHTS: N.AME(LAST NAME FIEST) AND PHONE W/AREA CODE <br /> DIVISION OPERATOR 209-465-6947 DIVISION OPERATOR 209-465-3867 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( 1 04 OTHER: CONTAINER NUMBER SEVEN 7 <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: C. YEAR INSTALLED 1965 ( 1 UNKNOWN <br /> p000 <br /> 0. CONTAINER CAPACITY: r� GALLONS ( I UNKNOWN E. DOES THE CONTAINER STORE: LXI 01 WASTE A(X<02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? (X) 01 YES [ 1 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br /> ( 1 01 UNLEADED ( l 02 REGULAR ( 1 03 PREMIUM ( 1 04 DIESEL f D 05 WASTE OIL (X) 06 OTHER INSULATING OIL <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( ) GAUGE ( l INCHES f ) CM (X) UNKNOWN <br /> B. ( l 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) ( l 02 NON-VAULTED (X) 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED t ) 02 SINGLE WALLED ( } 03 LINED <br /> D. ( 1 01 CARBON STEEL ( ) 02 STAINLESS STEEL f ) 03 FIBERGLASS f 1 04 POLYVINYL CHLORIDE ( ) 05 CONCRETE <br /> ( ) 06 ALUMINUM ( 1 07 STEEL CLAD ( l 08 BRONZE ( } 09 COMPOSITE ( ) 10 NON-METALLIC <br /> (X) 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br />