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l <br /> STATE ID NUMBER 00000036048006 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> ( D 01 NEW PERMIT ( } 05 RENEWED PERMIT ( l 07 TANK CLOSED ( ) 09 DELETE FROM FILE (NO FEE) <br /> ( ) 02 C0140ITIONAL PERMIT t 1 06 AMENDED PERMIT t } 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAME(CORPORATION.IND:VIOUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> CHASE CHEVROLET CO. ( ) 01 FED ( ) 02 STATE i ) 03 LOCAL <br /> ___J <br /> STREET ADDRESS CITY STATE ZIP <br /> 423 N MADISON STOCKTON CA 95201 <br /> II 'FACILITY <br /> FAC'LITY NAME DEALER/FCREMAN/SUPERVISOR <br /> CHASE CHEVROLET CO BILL CHASE GREG CAMPIGLI <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 423 N MADISON FREMONT <br /> CITY COUNTY ZIP <br /> STOCKTON SAN ,JOAQUIN 95201 <br /> MAILING ADDRESS CITY STATE 2IP <br /> P.D. BOX1969 STOCKTON CA 95201 <br /> fl <br /> PHONE W/AREA CODE TYPE OF BUSINESS <br /> 209-948-4444 ( ) 01 GASOLINE STATION (X) 02 OTHER DEALERSHIP <br /> NUMBER OF CONTAINERS RURAL AREAS CNLY TOWNSHIP RANGE SECTION <br /> 6 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE I- NIGHTS: N.AME(LAST NAME FIRST) AND PHONE W/AREA CODE <br /> CAMPIGLI GREG 204-4irB"4�44? �f?� � {� BOB PERALTA 209-474-7552 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( ) 04 OTHER: CONTAINER NUMBER 06124 <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: C. YEAR INSTALLED (X) UNKNOWN <br /> D. CONTAINER CAPACITY: 2000 GALLONS ( ) UNKNOWN E. DOES THE CONTAINER STORE: [ 1 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 BOXES): <br /> (X) 01 UNLEADED f ) 02 REGULAR ( l 03 PREMIUM f } 04 DIESEL ( ) 05 WASTE OIL [ ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: f ) GAUGE ( } INCHES ( 1 CM (X) UNKNOWN <br /> B. ( 1 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) [ D 02 NON-VAULTED (X) 03 UNKNOWN <br /> C. f ) 01 DOUBLE WALLED f ] 02 SINGLE WALLED t ) 03 LINED <br /> 0. ( ) 01 CARBON STEEL f 1 02 STAINLESS STEEL ( D 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE ( } 05 CONCRETE <br /> ( ) 06 ALUMINUM f ) 07 STEEL CLAD ( 1 08 BRONZE ( ) 09 COMPOSITE ( ) 10 NON-METALLIC <br /> (X) 12 UNKNOWN ( ) 13 OTHER: <br /> KSC04-070185 (10/18/85) PAGE 1 <br />