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• N STATE ID NUMBER 00000049917003 <br /> _ APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> / <br /> (ZS1 O1 NEW PERMIT ( ) 05 RENEWED PERMIT ( ) 07 TANK CLOSED ( ) 09 DELETE FROM FILE (NO FEE) <br /> ( 1 02 CONDITIONAL PERMIT ( 1 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAME(CORPORATION.INDIVIOUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> GERALD FRANKEL ( ) 01 FED ( ) 02 STATE f ) 03 LOCAL <br /> STREET ADDRESS CITY STATE ZIP <br /> 814 MERCHANDISE MART CHICAGO IL 60654 <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREMAN/SUPERVISOR <br /> U.S. POSTAL SERVICE VMF P.M. SCHOLZEN <br /> STREET ADDRESS NEAREST CROSS STREET < <br /> 4245 WEST LANE SCPINE'*Ye- �nteirvs e- <br /> CITY COUNTY ZIP <br /> STOCKTON SAN JOAQUIN 95208 <br /> MAILING ADDRESS CITY f STATE ZIP <br /> 4245 WEST LANE 5,(ock 4✓\ SE'<A 95208 <br /> PHONE W/AREA CODE TYPE OF BUSINESS <br /> 209-946-6316 ( ) 01 GASOLINE STATION (X) 02 OTHER REPAIR FACILITY <br /> NUMBER OF CONTAINERS RURAL AREAS ONLY TOWNSHIP RANGE SECTION <br /> 3 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAME(LAST NAME FIRST) AND PHONE W/ARCA CODE NIGHTS: NAME( AST NAME FIRST) AND PHONE W/AREA CODE <br /> RU" SARY son2o9-�= ?$46-(o3 cave F(o �,�son �-Q/f s�/� <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( ) 04 OTHER: CONTAINER NUMBER 2 <br /> B. MANUFACTURER (IF APPROPRIATE): UNKNOWN YEAR MFG: I C. YEAR INSTALLED 1963 ( 1 UNKNOWN <br /> D. CONTAINER CAPACITY: 350 GALLONS ( l UNKNOWN E. DOES THE CONTAINER STORE: (X) 01 WASTE ( ) 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? (X) 01 YES ( ) 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br /> ( l <br /> 01 UNLEADED ( ) 02 REGULAR ( ) 03 PREMIUM ( 1 04 DIESEL (X) 05 WASTE OIL ( 1 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( ) GAUGE ( 1 INCHES ( ) CM (X) UNKNOWN <br /> B. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ( ) 03 UNKNOWN <br /> C. ( 1 01 DOUBLE WALLED ( 1 02 SINGLE WALLED ( ) 03 LINED <br /> 0. f ) 01 CARBON STEEL f 1 02 STAINLESS STEEL ( ] 03 FIBERGLASS ( 7 04 POLYVINYL CHLORIDE f 1 05 CONCRETE <br /> ( ) 06 ALUMINUM ( ) 07 STEEL CLAD f ) 08 BRONZE ( 1 09 COMPOSITE f 1 10 NON-METALLIC <br /> (X) 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/851 PAGE 1 <br />