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STATE ID NUMBER 00000011236004 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> (X) 01 NEW PERMIT i ) 05 RENEWED PERMIT ( ] 07 TANK CLOSED ( ) 09 DELETE FROM FILE (NO FEE) <br /> ' T�) 02 CONDITIONAL PERMIT i ) 06 AMENDED PERMIT t 1 08 MINOR CHANGE {NO SURCHARGE) <br /> I OWNER <br /> NAME(CCPPOPATION}INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> HAYRE'S EGG PRODUCERS'.` l 1 01 FED ( ) 02 STATE ( ) 03 LOCAL <br /> STREET ApQRE55 CITY <br /> JS�TATE ZIP. MANTHEY ROAD LATHROP A 95'x30 <br /> II FACILITY <br /> FACILITY NAME DEALEP!FOREMAN/SUPERVISOR <br /> HAYRE'S EGG PRODUCERS TU,avt L+� L'l kwb <br /> STREET ADCPESS NEAREST CROSS STREET <br /> 12565 S. MANTHEY ROAD LATHROP ROAD <br /> TY COUNTY ZIP <br /> CITHROP SAN JOAQUIN 95330 <br /> MOILING ADDRESS CITY STATE ZIP <br /> 12565 S. MANTHEY ROAD LATHROP CA 95330 <br /> PHONE W/A-EA CODE TYPE OF BUSINESS <br /> 209-982-1154 f l 01 GASOLINE STATION (X) 02 OTHER EGG PRODUCERS <br /> NUMBER OF CONTAINERS RURAL AREAS ONLY TOWNSHIP PANGE SECTION <br /> 4 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> FHAYRE'S <br /> NAME(LAST NAME FIRST) AND PHONE W/AREA CODE NIGHTS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE <br /> EGG PRODUCERS 209-982-1154 CHARLIE'S DAY & NITE SECU 209-465-5661 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (XI 01 TANK ( ] 04 OTHER: CONTAINER NUMBER 4 <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: C. YEAR INSTALLED (X) UNKNOWN <br /> D. CONTAINER CAPACITY: 10000 GALLONS ( ] UNKNOWN E. DOES THE CONTAINER STOP£ ( ) 01 WASTE (X) 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? {X) 01 YES t ) 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br /> t ) 01 UNLEADED (X) 02 REGULAR. ( ) 03 PREMIUM ( 1 04 DIESEL ( ) 05 WASTE OIL i ) 06 OTHER <br /> W CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( ) GAUGE [ ) INCHES ( ) CM (X) UNKNOWN <br /> B. ( ] 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED { l 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED (X) 02 SINGLE WALLED f ) 03 LINED <br /> D. ( ) 01 CARBON STEEL ( ) 02 STAINLESS STEEL ( ) 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE ( l 05 CONCRETE <br /> [ ) 06 ALUMINUM (X) 07 STEEL CLAD ( 1 08 BRONZE ( 1 09 COMPOSITE ( ] 10 NDN-METALLIC <br /> { ) 12 UNKNOWN ( ) 13 OTHER: <br /> PAGE 1 <br /> HSC04-070185 (10/18/85) <br />