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V <br /> STATE 1D NUMBER 00000011182002 <br /> APPLICATION FOR 40RMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> f O1 PERMXT ( } 05 RENEWED PERMIT f 1 07 TANK CLOSED ( ) 09 DELETE FROM FILE (NO FEE1 <br /> ( 1 02 CONDITIONAL PERMIT ( 1 06 AMENDED PERMIT ( 1 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> N-ME(COPPOPATION,INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> E—Z SERVE, INC. ( ! 01 FED d 1 02 STATE l ! 03 LOCAL <br /> STPEET ADDP`—SS FASI:LEN:E <br /> STATE ZI.P <br /> 901 SOUTH 1ST. TX 79602 <br /> II FACILITY 1 <br /> FACILITY NAME LC DEALER/FOPEMAN/SUPERVISOR <br /> / v�ar a�orl <br /> Cm-a_r- <br /> STPE`—T ADDPESS NEAT CRO S STREET <br /> RE <br /> 952 SOUTH WILSON WAY or- �,� <br /> CITY COUNTY ZIP <br /> STOCKTON SAN JOAQUIN 95205 <br /> MLILING ADDPESS CITY STATE ZIP G� <br /> P.O. 6 r1 Tc",rf U Gam-- �'7 1 <br /> FHCNE W'!APEA C^ E TYPEOF BUSINESS <br /> (X) 01 GASOLINE STATION ( 1 02 OTHER <br /> N::.".3EP OF CONTAINEPS PUPAL APE.AS ONLYTOWNSHIP PANGE SECT—TON <br /> 3 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS; NAME(LAST NAME FIFST) AND PHONE W/ATEA CODE NIGHTS: NAME(LAST NAME FIPSTI AND PHONE W/AREA CCD! <br /> id' i 1h4'f L•.1-7�I <br /> MPLETE THE FOLLOWING ON A S R <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( ) 04 OTHER: CONTAINER NUMBER 59 <br /> B. MANUFACTURER (IF APPROPRIATE): R & R YEAR MFG: C. YEAR INSTALLED 78 ( ) UNKH04N <br /> 0. CONTAINER CAPACITY: 7896 GALLONS d I UNKNOWN JE. DOES THE CONTAINER STORE: d ) 01 WASTE (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{E5): <br /> (X) 01 UNLEADED ( ) 02 REGULAR ( ) 03 PREMIUM ( 1 04 DIESEL ( 1 05 WASTE OIL { ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: 1 ) GAUGE 1 ) INCHES ( I CM (XI UNKNOWN <br /> B. ( 1 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ( 103 UNKNOWN <br /> C. 1 ) 01 DOUBLE WALLED (X) 02 SINGLE WALLED I 1 03 LINED <br /> D. )X) 01 CARBON STEEL 1 1 02 STAINLESS STEEL ( 1 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE ( ) 05 CONCRETE <br /> I ) 06 ALUMINUM [ ! 07 STEEL CLAD ( 1 08 BRONZE ( 1 09 COMPOSITE ( 110 NON-METALLIC <br /> I } 12 UNKNOWN [ 1 13 OTHER: <br /> HSC04-070185 (10/18/851 PAGE 1 <br />