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STATE IO NUMBER 00000021915001 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> IX LETE FP,OM FILE [NO�FEE) <br /> 01 NEW PERMIT F 1 45 RENEWED HERMIT t 47 TANGL4E )�1111�11ARGII�02 C01401TIONAL PERMIT t 1 06 AMENDED PERMIT ( 1 OS MINOR CHANGE ( <br /> I OWNER <br /> NAME(CORPOPATION,INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> ( ) 01 FED ( ) 02 STATE f 1 03 LOCAL <br /> ENRICH BROTHERS — <br /> CITY STATE ZIP <br /> STREET ADDRESS Cp, 95205 <br /> 101E WILSON WAY STOCKTON <br /> II FACILITY <br /> FACILITY NAME DEALER/FCREMAN/SUPERVISOR° <br /> E1(B�Id�$RO$..�"LEXACO <br /> STREET ADDRESSNEAREST CROSS STREET <br /> 101 S. WILSON WAY - -- <br /> COUNTYCITY <br /> ZIP <br /> STOCKTON SAN JOAQUIN 95205 <br /> =cs <br /> STATE ZIP <br /> MAILING ADDRESS KTON CA 95205 <br /> 101 S. WILSON WAY <br /> PHONE WIAP.EA CCC LTY=PEOFBUSINESSC-1 -. jGASOLINE STATION ( 1 02 OTHER <br /> NUMBER. OF CONTAINERS { <br /> PUPAL AP.EAS ONLY TOWNSHIP RANGE SECTION <br /> 4 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAMEILAST NAME FIRST) AND PHONE / REA -COE NIGHTS; NAME(LAST NAME FIRST)-A INE W/AREA CODE <br /> COMPLETE THE FALL©WING ON A SEPARATE FORM FOR EACH CONTAINER ___ <br /> IV DESCRIPTION <br /> A. (X) 01 TANK f ) 04 OTHER CONTAINER NUMBER ONE <br /> B. MANUFACTURER iIF APPROPRIATE) YEAR MFG: C. YEAR INSTALLED (XI UNKNOWN <br /> D. CONTAINER CAPACITY= 550 GALLONS f 1 UNKNOWN E. DOES THE CONTAINER STORE: f ) 01 WASTE (X) 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ". (X) 01 YES ( ) 02 NO IF YES CHECK APPROPRIATE SOX(ES)- <br /> t 1 01 UNLEADED ( ) 02 REGULAR (X) 03 PREMIUM ( ) 04 DIESEL C ) 05 WASTE OIL ( ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT= ( 1 GAUGE t 1 INCHES [ 1 CM. (X) UNKNOWN <br /> B. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) ( ) 02 NON-VAULTED (X) 03 UNKNOWN <br /> C. C ) 01 DOUBLE WALLED ( 1 02 SINGLE WALLED ( 1 03 LINED <br /> 0. (X) 01 CARBON STEEL ( 1 02 STAINLESS STEEL { 1 03 FIBERGLASS ( ➢ 04 POLYVINYL CHLORIDE ( 1 05 CONCRETE <br /> f ) 06 ALUMINUM { 1 07 STEEL CLAD f 1 48 BRONZE ( ) 09 COMPOSITE t 1 10 NON-METALLIC <br /> f ) 12 UNKNOWN ( i 13 OTHER: <br /> PAGE 1 <br /> HSC04-070185 (10/18/85) <br />