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%/ *400 STATE ID NUMBER 00000035577001 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> 11l] NEN PERMIT <br /> ( ) 05 RENEWED PERMIT ( ) 07 TANK CLOSED ( ) 09 DELETE FROM FILE (NO FEE) <br /> 02 <br /> �f]•7 02 CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT f 1 08 MINOR CHANGE fN0 SURCHARGE? <br /> I OWNER <br /> NAME( PUBLIC AGENCY ONLY <br /> HUSKY CRANE, ION,IND IVIDUAL OR PUBLIC AGENCY) ( ) 01 FED ( ) 02 STATE 03 LOCAL <br /> HUSKY CRANES INC <br /> CITY STATE .ZIP <br /> STREET ADDRESS STOCKTON CA 95205 <br /> 2373 MARIPOSA RD <br /> II FACILITY <br /> DEALER/FOREMAN/SUPERVISOR <br /> FACILITY NAM'- <br /> HUSKY CRANE, INC STEVE BOWMAN <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 2373 MARIPOSA RD 8TH STREET <br /> COUNTY IF <br /> CITY <br /> STOCKTON SAN JOAQUIN 95205 <br /> MAILING ADDRESS CITY STATE ZIP <br /> 2373 MARIPOSA RD STOCKTON CA 95205 <br /> PHONE W/AREA CODE TYPE OF BUSINESS <br /> 209-464-7635 ( 1 01 GASOLINE STATION (X) 02 OTHER CRANE RENTAL <br /> NUMBER OF CONTAINERS RURAL AREAS ONLY TOWNSHIP RANGE SECTION <br /> 2 <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 /> 209-464-7635 209-464-7635 <br /> A Gan^ TaN4NS <br /> f,ClMTr[T-Pe--TitE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( l 04 OTHER: CONTAINER NUMBER R10I <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: C. YEAR INSTALLED lX) UNKNOWN <br /> D. CONTAINER CAPACITY: 500 GALLONS ( ] UNKNOWN E. DOES THE CONTAINER STORE: l ) 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 SOX(ES): <br /> (X) 01 UNLEADED t ) 02 REGULAR ( ) 03 PREMIUM ( ) 04 DIESEL ( 1 05 WASTE OIL f ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( ) GAUGE ( ) INCHES ( ) CM (X) UNKNOWN <br /> B. f l 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) ( ) 02 NON-VAULTED (X) 03 UNKNOWN <br /> C. ( )7 01 DOUBLE WALLED ( 1 02 SINGLE WALLED ( 7 03 LINED <br /> D. W O1 CARBON STEEL f 1 02 STAINLESS STEEL ( 1 03 FIBERGLASS l ) 04 POLYVINYL CHLORIDE ( 7 05 CONCRETE <br /> 'A"T ) 06 ALUMINUM U 107 STEEL CLAD ( ) 08 BRONZE l 1 09 COMPOSITE l l 10 NON-METALLIC <br /> 4 1 ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br /> t/ lost <br /> '1 <br />