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• • STATE ID NUMBER 00000066039001 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> ( ) O02 1 NEW PERMIT ( ) 05 RENEWED PERMIT ( l 07 TANK CLOSED ( ) 09 DELETE FROM FILE (NO FEE) <br /> ( ) CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT t ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAME(CORPORATION,INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> ( ) <br /> 01 FED ( ) 02 STATE ( ) 03 LOCAL <br /> NAKATA NURSERY <br /> CITY STATE ZIP <br /> STREET ADDRESS MANTECA CA 95336 <br /> 1271 N. MAIN <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREMAN/SUPERVISOR <br /> N.AVLET'S INC. ANDREW CABALAR <br /> NEAREST CROSS STREET <br /> STREET ADDP.ESS <br /> LOUISE AVE. <br /> 1275 N. MAIN <br /> COUNTY ZIP <br /> CITY95336 <br /> MANTECA SAN JOAQUIN <br /> [MANTECA <br /> TY STATE ZIP <br /> MAILING ADDRESS CA 95336 <br /> 1275 N. MAIN <br /> PHONE W/AREA CODE TYPE OF BUSINESS <br /> 209-239-3445 ( l 01 GASOLINE STATION (X) 02 OTHER NURSERY GROWER <br /> NUMBER OF CONTAINERS <br /> RURAL AREAS ONLY : TOWNSHIP RANGE SECTION <br /> 1 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> [DAYS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE NIGHTS: NAME(LAST NAME FIRST) ANDPHONE W/APEA CODE <br /> AKATA, THOMAS 209-823-5407 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK [ ) 04 OTHER: CONTAINER NUMBER 1 <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: 1970 C. YEAR INSTALLED 1970 ( ) UNKNOWN <br /> D. CONTAINER CAPACITY: /500 GALLONS ( ) UNKNOWN <br /> _[DOES THE CONTAINER STORE: (X) 01 WASTE ( ) 02 PRODUCT <br /> F. GOES THE CONTAINER S ORE MOTOR VEHICLE FUEL OR WASTE OIL ? ( ) 01 YES ( ) 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br /> t ) <br /> 01 UNLEADED (� 02 REGULAR ( ) 03 PREMIUM ( ) 04 DIESEL ( ) 05 WASTE OIL ( ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: /8 2 ( ) GAUGE (X) INCHES ( ) CM ( ) UNKNOWN <br /> B. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ( ) 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED ( ) 02 SINGLE WALLED ( ) 03 LINED <br /> D. (X) 01 CARBON STEEL ( 1 02 STAINLESS STEEL ( ) 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE ( ) 05 CONCRETE <br /> ( ) 06 ALUMINUM ( ) 07 STEEL CLAD ( l 08 BRONZE ( l 09 COMPOSITE ( ) 10 NON-METALLIC <br /> ( ) 12 UNKNOWN ( ) 13 OTHER: <br /> PAGE 1 <br /> HSC04-070185 (08/29/86) <br />