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I (f ) <br /> STATE IO NUMBER <br /> 00000005987001FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANKAPPLICATION 0 <br /> 01 NEW PERMIT 05 RENEWED PERMITl02 CONDITIONAL PERMIT 07 TANK CLOSED 09 DELETE FROM FILE 06 AMENDED PERMIT 08 MINOR CHANGE (No SURCHARGE) <br /> (NO FEE) <br /> GNAMErPION.iNDIVIOUAL OR PUBLIC A'OENCY)� <br /> STREET ADDRESS Q �? PUBLIC AGENCY ONLY <br /> 2460 E. MAIN STA. ( J 01 FED d ) 02 STATE (. S 03 LOCAL <br /> CITY <br /> STOCKTON STATE ZIP <br /> ii FACILITY cA <br /> 95205 <br /> FACILITY NAME <br /> GOLDEN STAR LIQUORS <br /> DEALER/FOREMAN/SUPERVISOR <br /> STREET ADDRESS ABDUL GHAFOOR <br /> 2460 EAST MAIN STR <br /> CITY <br /> NEAREST CROSS STREET <br /> FILBERT <br /> STOCKTON <br /> COUNTY <br /> MAILING, ADDRESS SAN JOAQUIN ZIP <br /> 2460 E. MAIN STR. CITY 95205 <br /> PHONE W/AREA CODE STOCKTON STATE ZIP <br /> 209-463-5149 TYPE OF BUSINESS CA 95205 <br /> NUMBER OF CONTAINERS (X) Ol GASOLINE STATION ( ) 02 OTHER <br /> 2 RURAL AREAS ONLY : TOWNSHIP <br /> RANGE <br /> SECTION <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE <br /> GARCHA S. SURINDER 209-463-5149 NIGHTS: NA, <br /> NAME FIRST) AND PHONE WlAREA CODE <br /> JAcJTT zas=�62-0.124 <br /> COMPLETE THE FOLLOWING ON A SEPARATE <br /> IV DESCRIPTION `'�M POR EACH CONTAINER <br /> d. (X) 01 TANK ( } 04 OTHER: -- <br /> CONTAINER NUMBER 2 <br /> 1. MANUFACTURER (IF APPROPRIATE): <br /> C? 00 YEAR MFG: C. YEAR. INSTALLED <br /> CONTAINER CkRACITY: (X) UNKNOWN <br /> G { ) UNKNOWN E• DOES THE CONTAINER STORE: [ l 01 WASTE (X) 02 PRODUCT <br />. <br /> DOES <br /> OIHUNLEADEDCONTAINER XST02EREGU�ARVEHI7L�3FUEL <br /> PREhfQUMWASTE 04LDIESEL [ ) 05 <br /> fEL 01 TES ( l 02 NO IF YES CHECK APPROPRIATE BOX(ES), <br /> WASTE OIL t J Ob OTHER <br /> CONTAINER CONSTRUCTION <br /> THICKNESS OF PRIMARY CONTAINMENT: 1/4 d } GAUGE (X) INCHES [ ) CM { 1 UNKNOWN <br /> ( ] DI VAULTED (LOCATED IN AN UNDERGROUND VAULT) ( ) 02 NON-VAULTED (X) 03 UNKNOWN <br /> 01 DOUBLE WALLED (X) 02 SINGLE WALLED ( ) 03 LINED <br />(X) 01 CARBON STEEL ( 1 02 STAINLESS STEEL ( l 03 FIBERGLASS f ) 04 POLYVINYL CHLORIDE ( ) 05 <br /> t ) 06 ALUMINUM i l 07 STEEL CLAD ( ) 08 BRONZE ( ) 09 COMPOSITE ( ) 10 NON-METALLIC <br />( } I2 UNKNOWN ( ) 13 OTHER: CONCRETE <br /> 4-070185 (10/18/85) <br /> PAGE 1 <br />