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• • STATE ID NUMBER 00000031605001 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> 06 01 NEW PERMIT ( 1 05 RENEWED PERMIT ( 1 07 TANK CLOSED ( ) 09 DELETE FROM FILE (NO FEE) <br /> ( 1 02 CONDITIONAL PERMIT f 1 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAME(CORPORATION.INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY rN <br /> CITY OF MANTECA ( ) 01 FED ( ) 02 STATE 41 03 LOCAL <br /> STREET AD RESS CITY STATE ZIP <br /> 1001 WESCENTER ST. MANTECA CA 95336 <br /> II FACILITY <br /> FACILITY NAME 6� V d CU� /co-J G2 <br /> � DEALER/FOREMAN/SUPERVISOR <br /> WASTE WATER TiiEATM'e:ii i0iei'.T.-�.-� Il �hCfdj D MANUEL OLIVEIRA <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 3350 EAST HIGHWAY 120 AIRPORT ROAD <br /> CITY COUNTY ZIP <br /> MANTECA - SAN JOAQUIN 95336 <br /> MAILING ADDRESS CITY STATE ZIP <br /> �Q, 9000 MANTECA CA 95336 <br /> PHONE W/AP.'-A CODE TYPE OF BUSINESS <br /> 209-239-95d '74139 ( ) 01 GASOLINE STATION (X) 02 OTHER CITY <br /> NUMBER OF CONTAINERSRVRAL AREAS ONLY TOWNSHIP RANGE SECTION <br /> 1 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAM E(LAST NAME FIRST) AND PHONE W/AREA CODE NIGHTS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE <br /> yi�HffPlSt DAVID 209-239-953r $`1400 JINKENS, DAVID 209-239-9511 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( ) 04 OTHER: CONTAINER NUMBER WW-10D <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: C. YEAR INSTALLED 1972 ( 1 UNKNOWN <br /> D. CONTAINER CAPACITY: 2000 GALLONS f 1 UNKNOWN E. DOES THE CONTAINER STORE: ( ) 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 BOX(ES): <br /> ( ) 01 UNLEADED ( ) 02 REGULAR ( ) 03 PREMIUM (X) 04 DIESEL ( 1 05 WASTE OIL ( ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: 1/4 ( ) GAUGE (X) INCHES 1 l CM f 1 UNKNOWN <br /> B. ( 1 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) 4X) 02 NON-VAULTED ( 1 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED (X1 02 SINGLE WALLED ( ) 03 LINED <br /> 0. (X) 01 CARBON STEEL ( ) 02 STAINLESS STEEL f ) 03 FIBERGLASS ( 1 04 POLYVINYL CHLORIDE ( ) 05 CONCRETE <br /> ( ) 06 ALUMINUM ( 1 07 STEEL CLAD ( 1 08 BRONZE ( ) 09 COMPOSITE f 110 NON-METALLIC <br /> ( ) 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br />