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STATE ID NUMBER 00000036048004 <br /> APPLICATION FOR PERMIT TO OPERATE NDERGROUND STORAGE TANK <br /> ( ) 01 NEW PERMIT ( ) 05 RENEWED PERMIT C '1 07 TANK CLOSED E 1 09 DELETE FROM FILE (NO FEE) <br /> { ) 02 CONDITIONAL PERMIT E ) 06 AMENDED PERMIT i 1 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAME(COPPORATION,INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> CHASE CHEVROLET CO. ( ) 01 FED ( 1 02 STATE ( ) 03 LOCAL <br /> STREET ADOP.ESS CITY STATE ZIP <br /> 423 N MADISON STOCKTON CA 95201 <br /> 7:_jII FACILITY <br /> FACILITY NAME DEALEP/FCREMAN/SUPERVISOR <br /> CHASE CHEVROLET CO BILL CHASE GREG CAMPIGLI <br /> STREET AODPESS NEAREST CROSS STREET <br /> 423 N MADISON FREMONT <br /> CITY COUNTY ZIP <br /> STOCKTON SAN JOAQUIN 95201 <br /> MAILING ADORESS CITY STATE ZIP <br /> P.O. BOX1969 STOCKTON CA 95201 <br /> PHONE W./APEA CODE T)PE OF BUSINESS <br /> 209-948-4444 ( 1 01 GASOLINE STATION 1X1 02 OTHER DEALERSHIP <br /> NUMBEP. OF CONTAINERS RURAL AREAS ONLY TOWNSHIP RANGE SECTION <br /> 6 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS:. NAME(LAST NAME FIRST) AND PHONE W/AREA CODE NIGHTS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE <br /> CAMPIGLI GREG 209-948-4444 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 06127 <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: C. YEAR INSTALLED (X) UNKNOWN <br /> D. CONTAINER CAPACITY 6bVDGALLONS (X) 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 /> (X) 01 UNLEADED ( ) 02 REGULAR ( ) 03 PREMIUM ( ) 04 DIESEL ( ) 05 WASTE OIL ( ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( ) GAUGE ( ) INCHES ( ) CM (X) UNKNOWN <br /> B. ( 1 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) t ) 02 NON-VAULTED (X) 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED ( ) 02 SINGLE WALLED ( l 03 LINED <br /> D. ( ) 01 CARBON STEEL { 1 02 STAINLESS STEEL ( ) 03 FIBERGLASS [ 1 04 POLYVINYL CHLORIDE f l 05 CONCRETE <br /> ) 06 ALUMINUM ( ) 07 STEEL CLAD ( ) 08 BRONZE [ l 09 COMPOSITE ( l 10 NON-METALLIC <br /> (X) 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br />