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STATE ID NUMBER 00000014373001 <br /> APPLICATION FOR PERMIT TO (PERATE UNDERGROUND STORAGE TANK <br /> O1 NEW PERMIT ( 1 05 RENEWED PERMITTANK CLOSED ( ) 09 DELETE FROM FILE (NO FEE) <br /> 02 CONDITIONAL PERMIT ( 1 06 AMENDED PERMIT MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> PUBLIC AGENCY ONLY <br /> NAME(CORPCRATION,INDIVIDUAL OR PUBLIC AGENCY) ( ) 01 FED I ) 02 STATE ( 1 03 LOCAL <br /> KMART CORPORATION <br /> CITY STATE IIP <br /> STREET ADDRESS TROY MI 48084 <br /> P.O. BOX 3150 <br /> II FACILITY <br /> DEALER/FOREMAN/SUPERVISOR <br /> FACILITY NAME <br /> KMART ENTERPRISES <br /> NEAREST CROSS STREET <br /> STREET ADDRESS <br /> 2180 E. MARIPOSA RD. <br /> COUNTY IIP <br /> CITY <br /> YON SAN JOAQUIN 95206 <br /> STOCKTCITY STATE ZIP <br /> MAILING ADDRESS STOCKTON CA 95206 <br /> 2180 E. MARIPOSA RD. <br /> PHONE W/AREA CODEC6'LO TYPE OF BUSINESS <br /> 209-4404*114 C�Liq- ( 1 01 GASOLINE STATION (X) 02 OTHER AUTO REPAIR <br /> NUMBE P. OF CONTAINERS <br /> P.0 RAL AREAS ONLY : TOWNSHIP RANGE SECTION <br /> 1 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE NIGHTS: NAME(LAST NAME FIRST)-AND_PHONE W/AREA CODE <br /> 209-948-1474 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. fX) 01 TANK ( ) 04 OTHER: CONTAINER NUMBER 3174 <br /> B. MANUFACTURER (IF APPROPRIATE): KENNETY TANK YEAR MFG: 1974 C. YEAR INSTALLED 1974 ( ) UNKNOWN <br /> D. CONTAINER CAPACITY: 500 GALLONS f 1 UNKNOWN E. DOES THE CONTAINER STORE: (X) 01 WASTE ( ) 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? (X) 01 YES ( 102 NO IF YES CHECK APPROPRIATE BOX(ESI: <br /> ( ) 01 UNLEADED f ) 02 REGULAR ( 1 03 PREMIUM f 1 04 DIESEL (X) 05 WASTE OIL f ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> r(X) <br /> ESS OF PRIMARY CONTAINMENT: 3/16 ( ) GAUGE (X) INCHES ( ) CM f ) UNKNOWN <br /> VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ( ) 03 UNKNOWN <br /> DOUBLE WALLED (X) 02 SINGLE WALLED f 1 03 LINED <br /> CARBON <br /> ALUMINUML (( ))072STEELNLESS CLAD SiEEL08( 03 BRONZEFIBERG095S 04 COMPOSITE POLIVINYL CHLORIDE10 NON-METALLIC( ) 05 CONCRETE <br /> UNKNOWN ( ) 13 OTHER: <br /> PAGE 1 <br /> HSC04-070185 (10/18/85) <br /> 0 <br />