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STATE ID NUMBER <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> I 1 Ol NEW PERMIT ( ) 05 RENEWED PERMIT ( 1 07 TANK CLOSED 1 1 09 DELETE FROM FILE (NO FEET <br /> [ 1 02 COWITIONAL PERMIT C 1 06 AMENDED PERMIT 1 ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAME(COPPORATIONrINCIVIDUAL OR PUBLIC AOE CY) "��A Pl1RLIC AGENCY ONLY <br /> Union Oil Gamrnny of (�IliCbrnia dba !V �."' t i 01 FED 1 1 02 STATE ( 1 03 LOCAL <br /> 2i7 <br /> CITY STATE <br /> $TWEET LLA��DARl�SS } //�r3 i 1. Lgllorh� t�l (tti iv�O ZIP <br /> _-- Walnut Greek <br /> II FACILITY <br /> FACILITY NOME DEALER/FCPEMEN/SUPERVISOR <br /> STREET ADCPESS NEAREST CROSS STPEET <br /> CITY <br /> COUNTY ZIP <br /> MAILING ADDRESS CITY STATE ZIP <br /> PHONE WiAPEA CODE FYPOF BU'SINE;S i <br /> O1 GASOLINE STATION ( 1 02 OTHER <br /> NUMBER OF C9NTAINEfiS PUPAL AREA; ONLY : TOWYSMIP s RANGE SECTION <br /> 111 24 HOUR EMERGENCY CONTACT PERSON <br /> Lyas <br /> NAMEILAST NAME FIRST) AND PHONE W/AREA CODE NIGH7;; NAME(LAST NAME FIR;T) AND PHONE W/AREA CODE <br /> lfluLnc <br /> R. L . {4i>;� 945 -7Cv7Co - - <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. C 1 01 TANK ( i 02 OTHER: CONTAINER NUMBER <br /> B. MANUFACTURER IIF APPROPRIATE): YEAR MFG: C. YEAR INSTALLED I i UNKNOWN <br /> D. CONTAINER CAPACITY: GALLONS ( 1 UNKNOWN E. DOES THE CONTAINER STORE: f 1 01 WASTE 1 1 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ° [ ) 01 YES C 1 02 NO IF YES CHECK APPROPRIATE BOXIEST: <br /> t i 01 UNLEADED I i 02 REGULAR [ ) 03 PREMIUM t ) 04 DIESEL ( 1 05 WASTE OIL 1 1 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PPIMARY CONTAINMENT: ( i GAUGE ( 1 INCHES 1 i CM I 1 UNKNOWN <br /> Ol VAULTED (LOCATEO IN AN UNDERGROUND VAULTI t 1 02 NON-VAULTED f 1 03 U11KNO4N <br /> C. [ ) 01 .0OUBLE WALLED ( 1 02 SINGLE WALLED ( 1 03 LINED <br /> D. ( 1 01 CARBON STEEL ( 1 02 STAINLESS STEEL ( 1 03 FIBERGLASS 1 1 04 POLYVINYL CHLORIDE I 1 05 CONCRETE <br /> 1 ) 06 ALUMINUM l ) 07 STEEL CLAD ( 1 08 BRONZE ( 1 09 COMPOSITE I ) 10 NON-METALLIC <br /> ( 1 12 UNKNOWN [ 1 13 OTHER: <br /> 5004-070185 PAGE 1 <br />