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• � �°U '53b 0 <br /> STATE 10 NUMBER 00000056420004 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> (IA 09 DELETE FROM FILE (NO FEES <br /> ( ] O1 NEW PERMIT ( 1 05 RENEWED PERMIT 1 07 MINORCHkNGE (NO SURCHARG <br /> ( ) 02 CONDITIONAL PERMIT ( 1 06 AMENDED PERMIT <br /> I OWNER <br /> .PUBLIC AGENCY ONLY <br /> g:r <br /> D ZVIDUAL OR PUBLIC AGENCY) ( 1 01 FED ( ) 02 STATE f ) 03 LOCAL <br /> STATE ZIP <br /> CITY CA 95205 <br /> STOCKTON <br /> II FACILITY <br /> DEALER/FOREMAN/SUPERVISOR <br /> FACILITY NAME J.W. FRAZIER <br /> JAY'S MOTORS <br /> NEAREST CROSS STREET <br /> STREET ADDRESS ORO <br /> 4126 E. MAIN ZIP <br /> COUNTY 95205 <br /> CITY SAN JOAQUIN <br /> STOCKTON STATE ZIP <br /> CITY CA 95205 <br /> MAILING ADDRESS STOCKTON <br /> 920 S. A14TEROS <br /> PHONE W/AREA cone TYPE OF BUSINESS(X) 01 GA50LINE STATION 1 1 02 OTHER <br /> 209-465-4703 <br /> RANGE SECTION <br /> NUMBER OF CONTAINERS RURAL AREAS ONLY TOWNSHIP <br /> 4 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> NIGHTS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE <br /> DAYS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE <br /> FRAZIER J.W. <br /> 209-465-4703 SAME <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> CONTAINER NUMBER #4 <br /> A. (X) 01 TANK ( ) 04 OTHER: <br /> YEAR MFG: C. YEAR INSTALLED (X) UNKNOWN <br /> B. MANUFACTURER (IF APPROPRIATE): <br /> D. CONTAINER CAPACITY: GALLONS (X) UNKNOWN E. DOES THE CONTAINER STORE: (X) 01 WASTE ( 1 02 PRODUCT <br /> F. DOESOTHE CONTAINER STORE <br /> RMOTOR <br /> VEHICLE <br /> FUEL <br /> PREMIUMWASTE 04LDIESEL 01(X1 05 WASTE 2OIL fIl 06S OTHER APPROPRIATE BOX[E51: <br /> LEADED <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( 1 GAUGE ( ) INCHES ( ) CM (X) UNKNOWN <br /> S. ( 1 O1 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X1 02 NON-VAULTED ( ) 03 UNKNOWN <br /> C. f ) O1 DOUBLE WALLED ( 1 02 SINGLE WALLED ( 1 03 LINED <br /> D f )(Ol CARBON STEEL (f ])0025 STAINLESS STEELOBf BRONZE FIBERGLASS <br /> 06 <br /> POLYVINYL <br /> NONHMETADLLICf ) 05 CONCRETE <br /> TEEL <br /> LAD <br /> (X] 12 UNKNOWN ( ) 13 OTHER: PAGE <br /> HSC04-070185 (10/18/85) <br />