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0 0 STATE ID NUMBER 00000035811004 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> ( ) 01 NEW PERMIT f ) 05 RENEWED PERMIT ( ) 07 TANK CLOSED [ T 09 DELETE FROM FILE (NO FEE) <br /> ( ) 02 CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT ( ) 05 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAME(COPPOP.ATICN.INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> LINDEN UNIFIED SCHOOL DISTRICT ( ) 01 FED C l 02 STATE ( ) 03 LOCAL <br /> STPEET ADDRESS CITY STATE F95236 <br /> 18527 EAST MAIN STREET LINDEN CA <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREMAN/SUPERVISOR <br /> BUS GARAGE MANUEL OLVERA <br /> STPEET ADDRESS NEAREST CROSS STREET <br /> 18351 EAST MAIN STREET DUNCAN ROAD <br /> CITY COUNTY ZIP <br /> LINDEN SAN JOAQUIN 95236 <br /> MAILING ADDRESS CITY STATE ZIP <br /> Auk �-rr LINDEN CA 95236 <br /> PHONE W/LPEA CODE TYPE OF BUSINESS <br /> 209-931-3160 ( ) 01 GASOLINE STATION (X) 02 OTHER SCHOOL BUS TERMINAL <br /> NUMBER OF CONTAINERS RURAL AREAS ONLY TOWNSHIP RANGE SECTION <br /> 4 <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 /> 209-931-3160 � V �j7- f0� <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK i T 04 OTHER: [CONTAINER NUMBER 4 <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: C. YEAR INSTALLED (7?( (--X' UNKNOWN <br /> 0. CONTAINER CAPACITY: 550 GALLONS f ) UNKNOWN JE. DOES THE CONTAINER STORE: (X) 01 WASTE ( T 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 f ) 03 PREMIUM [ 1 04 DIESEL (X) 05 WASTE OIL ( 1 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICK,IESS OF PRIMARY CONTAINMENT: i ) GAUGE ( } INCHES ( } CM (X) UNKNOWN <br /> B. [ 1 01 'VAULTED (LOCATED IN AN UNDERGROUND VAULT) 110 02 NON-VAULTED NO-03 UNKNOWN <br /> C. ( T 01 DOUBLE WALLED ( ) 02 SINGLE WALLED t ! 03 LINED <br /> D. (X} 01 CARBON STEEL ( ) 02 STAINLESS STEEL f ) 03 FIBERGLASS ( } 04 POLYVINYL CHLORIDE f 1 05 CONCRETE <br /> ( ) 06 ALUMINUM t 1 07 STEEL CLAD E 1 08 BRONZE ( ) 09 COMPOSITE f ) 10 NON-METALLIC <br /> ( 1 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br />