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STATE ID NUZ13ER 00000005986002 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK_ _ <br /> =) 01PERMIT ( ) 05 RENEWED PERMIT ( ) 07 TANK CLOSED49 DELETE FROrt FILE (NO PEE) <br /> ITIOPiAL PERMIT ( ) 06 AMENDED PERMIT ( ) 48 MINOR CHANGE (N0 SURCHARGE) <br /> I OWNER I <br /> PUBLIC AGENCY ONLY <br /> NAME(CCPPCPe.TICN.INOIVIDUAL OR PUBLIC AGENCY) ( ) O1 FED t J 02 STATE ( 03 LOCAL <br /> �r CITY STATE ZIP <br /> STREET ADDPESS� =�: STOCKTON CA 95205 <br /> 4040 E. MAIN STR. <br /> II FACILITY <br /> DEALER/FOREM.ANiSUPERVISOR <br /> FACILITY NAME ABDUL GHAFOOR <br /> *WPW BLUE STAR <br /> NEAREST CROSS STREET <br /> STREET ADDRESS ORO <br /> 4040 E. MAIN STR. <br /> ZIP <br /> COUNTY 95205 <br /> CITY SAN JOAQUIN <br /> STOCKTON <br /> STATE ZIP <br /> CITY CA 95205 <br /> MAILING ADDRESS STOCKTON <br /> 4040 E. MAIN STR. <br /> TYPE OF BUSINESS <br /> PHONE 'W/ApEA coDc (X) 01 GASOLINE STATION ( ) 02 OTHER <br /> 209-462-0124 <br /> RURAL AREAS ONLY TOWNSHIP RANGE <br /> RASECTION <br /> NUM3ER OF CONTAINERS <br /> 3 <br /> III 2G HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAME(LAST NAME FIRST) AND PHONE W/APER COOS �CHATRATH <br /> TS: NAMEiLAST NAME FIRST) AND PHONE W/AREA CODE <br /> 209-462-0124 <br /> S. JAGJIT 209-462-0124 <br /> CCOAp; TE gHEl­FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION - - <br /> CONTAINER NUMBER 2 <br /> A. (X) OI TANK ( ) 04 OTHER <br /> B. MANUFACTURER (IF APPROPRIATE): <br /> YEAR MFG: C. YEAR INSTALLED (X) UNKNOWN <br /> D. CONTAINER CAPACITY 12000 GALLONS C 1 UNKNOWN E. DOES THE CONTAINER STORE= E 1 O1 WASTE (XI 02 PRODUCT <br /> F. DOES THE CONTAINERSTOREMOTOARVEHICL03FUEL <br /> PREMOR WASTE) OILDIESEX) <br /> ©1 Y <br /> ( )E05 WASTE 2OIL (I1 ObSDTHERK APPROPRIATE BOX(ES): <br /> ( 1 O1 UNLEAD <br /> V CONTAINER CONSTRUCTION q <br /> A. THICKNESS OF PRIMARY CONTAINMENT: 1/4 t 1 GAUGE (X) INCHES ( l CM ( ) UNKNOWN <br /> B. ( ) 41 VAULTED (LOCATED IN AN UNDERGROUND VAULT) ( ) 02 NON-VAULTED (X) 03 UNKNOWN <br /> C. ( 1 01 DOUBLE WALLED (X) 02 SINGLE WALLED ( ) 03 LINED <br /> 04 D. (X) 01 CARBON STEEL ( ) 02 08BRONZE <br /> STAINLESS S(E)L ( 0FIBERGLASS STEEL <br /> D. <br /> POL)V10YNON-METALLIC CHLORIDE5 CONCRETE <br /> ( 1 <br /> ( 1 06 ALUMINUM l ) 07 S <br /> ( ) 12 UNKt;oWN ( ) 13 OTHER: <br /> PAGE I <br /> HSC04-070185 (10/18/85) <br /> 1 <br />