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STATE ID NUMBER 00000035811001 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> ( ) 01 NEW PERMIT ( 1 05 RENEWED PERMIT ( 1 07 TANK CLOSED ( 1 09 DELETE FROM FILE (NO FEE) <br /> ( ) 02 CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT ( 1 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAME(CCPP0PATION,INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> LINDEN UNIFIED SCHOOL DISTRICT ( ) 01 FED ( ) 02 STATE f ) 03 LOCAL <br /> STPEET ADOPESS CITY STATE T95236 <br /> IP <br /> 18527 EAST MAIN STREET :::� LINDEN CA <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREMAN/SUPEPVISOR <br /> BUS 'GARAGE MANUEL OLVERA <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 18351 EAST MAIN STREET DUNCAN ROAD <br /> CITY COUNTY ZIP <br /> LINDEN SAN JOAQUIN 95236 <br /> M.AIL2N3 ADQRESSq A CITY STATE ZIP <br /> . IV7 ' �/� �� LINDEN CA 95236 <br /> PHONE W."AREA CODE TT�PE OF BUSINESS <br /> 209--931-3160 1 01 GASOLINE STATION (X) 02 OTHER SCHOOL BUS TERMINAL <br /> NUMBER OF CCNTAIN=-P.S 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 /> sG}µERK+49.r 209-931-3160 ' <br /> f' jK <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. [X) 01 TANK ( ) 04 OTHER: CONTAINER 14UMBER 1 <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: C, YEAR INSTALLED lg71 flAl UNKNOWN <br /> 0. CONTAINER CAPACITY: 2000 GALLONS ( ) UNKNOWN E. DOES THE CONTAINER STORE: i ) 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 APPP.OPRIATE SOX(ES): <br /> 01 UNLEADED eitt 02 REGULAR ( ) 03 PREMIUM ( 1 04 DIESEL ( ) 05 WASTE OIL ( 1 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( 1 GAUGE ( ) INCHES I 1 CM (X) UNKNOWN <br /> B. t ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (yl 02 NON-VAULTED tXl 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED ( ) 02 SINGLE WALLED ( ) 03 LINED <br /> D. (X) 01 CARBON STEEL f ) 02 STAINLESS STEEL t l 03 FIBERGLASS ( l 04 POLYVINYL CHLORIDE [ ) 05 CONCRETE <br /> ( 1 06 ALUMINUM f ) 07 STEEL CLAD f 1 08 BRONZE f 1 09 COMPOSITE ( 1 10 NON-METALLIC <br /> ( 1 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br />