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APP L I G A T I O N F O R PERMIT T O O PSTATE ID NUMBER 00000009692003 <br /> O1 NEW PERMIT _ nl ROUND STORAGE TANK <br /> 02 COC�DITIONAL PERMIT ( ) 05 RENEWED PERMIT <br /> 07 <br /> ( } 06 AMENDED PERMIT TANK CLOSED ( ) 09 DELETE FROM FILE (NO FEE) <br /> OWNER <br /> ( ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I <br /> kAME(CCPPDPATICN.INOIVIDUAL <br /> OR PU3CiC A^uLNCY) n <br /> Y VVESlrr2AJ S70P4r2 { 1 <br /> 20 6v�c<<S 3-0C_ PUBLIC AGENCY ONLY <br /> STREET A7DPESs ( } 01 FED ( l 02 STATE �X 03 LOCAL <br /> Z-3—_5 �_. CITY <br /> 0*mpm," /y,od!5�7a STATE ZIP <br /> �"I 3J <br /> IT FACILITY CA <br /> F4CILI7Y NAME <br /> WSP-STOCKTON PLANT OEALEP/FOREM.AN/SUPERVISOR <br /> STPEET ADOPESS "ttTr- .-Tot-\ 13VC,k <br /> 711 S. MADISON NEAREST CROSS STREET <br /> CITY <br /> SCOTT <br /> STOCKTON COUNTY <br /> SAN JOAQUIN ZIP <br /> M-ILIhI3 -DDFESS 95201 <br /> P,O. BOX 387 CITY <br /> STOCKTON STATE ZIP <br /> PHONE W/ATEA cCDE CA 95201 <br /> 209-948-3311 TtiPE OF BUSINESS <br /> N;iaM5EP OF CONTAINERS ( ) 01 GASOLINE STATION (X) 02 OTHER CONCRETE <br /> PUPAL APEAS CNLY : TOWNSHIP <br /> RANGE <br /> SECTION <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE <br /> 209-948-3311 NIGHTS: NAME(LAST NAME FIRST) AND PHCNE W/AREA CCDE <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAI <br /> IV DESCRIPTION NER <br /> A. (X) 01 TANK ( ) 04 OTHER: <br /> CONTAINER NUMBER WS11 <br /> B. MANUFACTURER IIF APPROPRIATE): <br /> YEAR MFG: C. YEAR INSTALLED 1974 ( ) UNKNOWN <br /> D. CONTAINER CAPACITY: 500 GALLONS ( ) UNKNOWN E. DOES THE CONTAINER STORE: (X) 01 WASTE ( ) 02 PRODUCT <br /> F. DOES <br /> p1THE <br /> UNLEADEDCONTAINER STORE <br /> REGU�R4RVEHI;L03FPREMIEL OUMWASTE ©4 LDIE5EL O(XJE05 WASTE NO IF YES CHECK APPROPRIATE BOX(ES): <br /> OIL ( ) 06 OTHER <br /> -------------- <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( l GAUGE [ ) INCHES ( ) CM (X) UNKNOWN <br /> B. ( l 01 VAULTED (LOCATED IN AN UNOERGROUND VAULT) (X) 02 NON-VAULTED C ) 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED (X) 02 SINGLE WALLED ( ) 03 LINED <br />— —� <br /> 0. (X) 01 CARBON STEEL ( ) 02 STAINLESS STEEL ( ) 03 FIBERGLASS f ) 04 POLYVINYL CHLORIDE ( ] 05 CONCRETE <br /> ( ) 06 UNKNOWN <br /> NU1 ( ) 07 STEEL CLAD C ) 08 BRONZE ( ) { ) 10 NON-METALLIC <br /> ( 1 12 UNKNOWN,4{ f ) 13 OTHER: 09 COMPOSITE <br /> 3C04-070185 (10/18/85) <br /> PAGE 1 <br />