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STATE ID NUMBER 00000011278001 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> (,'01 NEW PERMIT ( ) 05 RENEWED PERMIT ( ) 07 TANK CLOSED ( J 09 DELETE FROM FILE (NO FEE) <br /> 7T 02 CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> 4NAME(COPPOPA7I0N,INDIVIDUAL OR PUBLIC AGENCY) :71:L <br /> IC AGENCY ONLY <br /> CITY OF STOCKTON 01 FED ( ) 02 STATE iY03 LOCAL <br /> STPEET CITY STATE ZIP <br /> 425 N. EL DORADO STOCKTON CA 85202 <br /> II FACILITY J <br /> FACILITY NAME c{� B� 5�-or -4-0).-N E-V\C)�l(� . (� DEALER/FOREMAN/SUPERVISOR <br /> / MPANY OFFICERS <br /> STPEET .ADDRESS NEAREST CROSS STREET <br /> 2903 W. MARCH LANE FEATHER RIVER <br /> CITY COUNTY ZIP <br /> STOCKTON SAN JOAQUIN 95207 <br /> MAILING ADDPESS CITY STATE ZIP <br /> 2903 W. MARCH LANE STOCKTON CA 95.522 <br /> 07 <br /> PHONE W!AREa. CODE =TYPE BUSINESS <br /> 209-951-8303 GASOLINE STATION (X) 02 OTHER FIRE STATION <br /> NUMBER OF CONTAINERSRURAL AREAS ONLY : TOWNSHIP FANGE SECTION <br /> 1 N/A N/A N/A <br /> III 24 TOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAME(LAST NAME FIRST) AND PHO 'E WIAREA CODE NIGHTS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE <br /> sE �Q,s` �JU�- rIG 5'0 s L"er X04 —y <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( ) 04 OTHER: CONTAINER NUMBER,lB— <br /> B. MANUFACTURER (IF APPROPRIATE): ADVANCE TANK YEAR MFG= C. �YEAR (J5TALL�1980�( UNKNOWN <br /> D. CONTAINER CAPACITY: 550 GALLONS ( ) UNKNOWN E. DOES THE CONTAINER STORE: { ) 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 APPROPRIATE BOX(ES): <br /> ( ) 01 UNLEADED ( l 02 REGULAR ( ) 03 PREMIUM (X) 04 DIESEL ( ) 05 WASTE OIL i ) 06 OTHER <br /> of CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( ) GAUGE i ] INCHES ( ] CM (X) UNKNOWN <br /> B. f 1 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON—VAULTED { 1 03 UNKNOWN <br /> C. C ) 01 DOUBLE WALLED (ki _02 SINGLE WALLED ( ) 03 LINED <br /> D. ( l 01 CARBON STEEL ( ] 02 STAINLESS STEEL f ) 03 FIBERGLASS f ] 04 POLYVINYL CHLORIDE 1 } 05 CONCRETE <br /> C ) 06 ALUMINUM ( ) 07 STEEL CLAD ( } 08 BRONZE ( 1 09 COMPOSITE ( ) 10 NON—METALLIC <br /> (X) 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 {10/18/85) <br /> PAGE 1 <br />