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STATE ID NUMBER 00000021915002 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> Ll0 EW PERMIT t 1 05 RENEWED PERMIT ( 1 07 TANK CLOSED ( ) 09 DELETE FROM FILE (NO FEE) <br /> ( ) CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT ( } 08 MINOR CHANGE (NO SURCHARGE) <br /> I <br /> 0 W N E R <br /> NAME(COP,PORATION,INDIVIDUAL OR PUBLIC AGENCY) �PUBLIC AGENCY ONLY <br /> ENDICH BROTHERS ) <br /> 01 FED ( ) 02 STATE ( l 03 LOCAL <br /> STPELT ADDRESS CITY STATE ZIP <br /> 101 S. WILSON WAY STOCKTON CA 95205 <br /> II FACILITY <br /> FACILITY NAME DEALER/F REMAN,SUPERVISbR <br /> ENDICH BROS. TEXACO o, <br /> STREET ADDRESS NEAREST CROSS STP. ET <br /> 101 S. WILSON WAY 0104__rgA7 <br /> CITY COUNTY ZIP <br /> STOCKTON SAN JOAQUIN 95205 <br /> MAILING ADDRESS CITY STATE ZIP <br /> 101 S. WILSON WAY STOCKTON CA 95205 <br /> PONE W/AREA CODE TYPE OF BUSINESS <br /> f,-%,nc� (03 -7 (X) 01 GASOLINE STATION ( ) 02 OTHER <br /> NUMBER OF CONTAINERS PUPAL AREAS ONLY TOWNSHIP RANGE SECTION <br /> 4 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAME(_LA.ST NAME FIRST) AND PHONE W/AREA CODE N1 HTS, NAME(LAST NAME FIRST) No PKONE W/ARE.A ODE <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. iX) 01 TANK C ) C4 OTHER: CONTAINER NUMBER TWO <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: C. YEAR INSTALLED (X) UNKNOWN <br /> D. CONTAINER CAPACITY: 4000 GALLONS ( ) UNDOES THE CONTAINER STORE: i 1 01 WASTE (X) 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? (X) 01 YES l 1 02 NO IF YES CHECK APPROPRIATE BOX(E5): <br /> ( J 01 UNLEADED (X) 02 REGULAR ( ) 03 PREMIUM C ) 04 DIESEL ( ) 05 WASTE OIL [ } 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( ) GAUGE l 1 INCHES ( 1 CM (X) UNKNOWN <br /> B. t 1 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) ( 1 02 NON-VAULTED (X) 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED ( 1 02 SINGLE WALLED [ 1 03 LINED <br /> 0. (X) 01 CARBON STEEL ( l 02 STAINLESS STEEL i ) 03 FIBERGLASS ( 1 04 POLYVINYL CHLORIDE ( } 05 CONCRETE <br /> t ) 06 ALUMINUM [ ) 07 STEEL CLAD ( ) 08 BRONZE ( ) 09 COMPOSITE C 1 10 NON-METALLIC <br /> ( l 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br />