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APPLICATION FOR MIT <br /> 1 01 NEW PERMILPERll 5 t3 <br /> 02 CONDITIQNS <br /> TA <br /> T <br /> E <br /> IDNUMBER00000060095001 <br /> T ( D5 RENEWED p O OPER <br /> R T f UND RGROUND <br /> PERMIT STORAGE TANK <br /> ( O6 At1ENDED PERMIT ( 087 MINOR CCHANGE [NO SURCHARGE) <br />� I OWNER <br /> ( 7 09 DELETE FROM FILE (NO FEE) <br /> NAME(CORPORATION,INDIVIDUAL OR PUBLIC AGENCY) <br /> UNIVERSAL TRANSPORT SYSTEM, IN <br /> STREET ADDRESS <br /> PUBLIC AGENCY ONLY <br /> ( 7 03( ) <br /> 4303 S. MCKINLET AVE. carr 01 FED ) 02 STATE ( LOCAL <br /> STOCKTON STATE ZIP <br /> II FACILITY CA 95206 <br /> FACILITY NAME <br /> UNIVERSAL TRANSPORT SY5TEN), IN DEALER/FOREMAN/SUPE <br /> ITREET ADDRESS RVISOR <br /> MR. CHUCK RONGE-FOREMAN <br /> 303 S. MCKINLEY AVE. NEAREST CROSS STREET <br /> ITY <br /> INDUSTRIAL RD. <br /> TOCKTON COUNTY <br /> SAN JOAQUIN ZIP <br /> AILINO ADDRESS <br />.0. BOX 6888 CITY 95206 <br /> STOCKTON STATE ZIP <br />)ONE W/AREA CODE TYPE OF BUSINESS CA 95206 <br /> 19-982-1495 ( ) 01 GASOLINE STATION (X) 02 OTHER <br /> MAINTENANCE FACILITY <br /> MBER Of CONTAINERS RURAL AREAS ONLY <br /> 1 TOWNSHIP RANGE <br /> SECTION <br /> I 24 HOUR EMERGENCY CONTACT PERSON <br /> YS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE NIGHTS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE <br /> G _ ROBERTS, GEORGE <br /> / 209-334-0136 <br /> COMP ETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> DESCRIPTION <br /> lX) 01 TANK ( ) 04 OTHER: <br /> CONTAINER NUMBER I <br /> IANUFACTURER (IF APPROPRIATE): <br /> YEAR MFG: C. YEAR INSTALLED 1979 ( ) UNKNOWN <br />)NTAINER CAPACITY: 500 GALLONS ( ) UNKNOWN E. DOES THE CONTAINER STORE: (X) 01 WASTE ( 7 02 PRODUCT <br /> UEL <br /> IES <br /> 01HUNLEADEDCONTAINER STOOZEREGULARVEHICLE <br /> 0iFPPRREMIR WASTE �4 LDIESEL 0(X)E05 WgSTE20IOL (I1 YES <br /> SOCHERK APPROPRIATE BOX(ES): <br /> 06 <br /> CONTAINER CONSTRUCTION <br /> ICKNESS OF PRIMARY CONTAINMENT: ( ) GAUGE ( ) INCHES ( ) CM (X) UNKNOWN <br /> 1 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ( ) 03 UNKNOWN <br /> 01 DOUBLE WALLED (X1 02 SINGLE WALLED [ ) 03 LINED <br /> 01 CARBON STEEL ( ) 02 STAINLESS STEEL f 1 03 FIBERGLASS f ) 04 POLYVINYL CHLORIDE ( ) 05 CONCRETE <br /> l 1 06 ALUMINUM t 1 07 STEEL CLAD ( ) 08 BRONZE l ) 09 COMPOSITE ( ) 10 NON-METALLIC <br /> 12 UNKNOWN ( ) 13 OTHER: <br /> 70185 (10/18185) <br /> PAGE 1 <br />