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0 *STATE ID NUMBER 00000031688003 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> (_y 01 NEW PERMIT ( ) 05 RENEWED PERMIT ( 1 07 TANK CLOSED ( ) 09 DELETE FROM FILE (NO FEE) <br /> ( ) 02 CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT t ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I <br /> I OWNER <br /> NAMEfCORPOPATION,INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> " ■' ��. �- ( 1 01 FED ( } 02 STATE [ l 03 LOCAL <br /> STPEET ADDRESS - � , ! � CITY STATE ZIP <br /> CA <br /> •II FACILITY <br /> FACILITY NAME C€ALER/FOREMAN/SJPERVISOR <br /> UNION OIL SS# 0187 .ru r r-+A,rrn <br /> STPEET ADDRESS NEAREST CROSS STREET <br /> 437 EAST MINER AVE. CALIFORNIA <br /> CITY COUNTY ZIP <br /> STOCKTON SAN JOAQUIN 95202 <br /> MAILING ADDRESS - CITY STATE ZIP <br /> S I UCKTUN ICA <br /> PHONE W%L_-Ek CCDE TYPE CF dUSINESS <br /> 209-463--1-3.94•/eg& (X) 01 GASOLINE STATION C l 02 OTHER <br /> NUMBER OF CONTAINERS Rup <br /> AL AREAS ONLY TdWNSHIP RANGE SECTION <br /> a <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAME(LAST NAME FIRST) AND PHCNE W/AREA CCDE NIGHTS: NAME( LAST NAME FIRST) AND PHONE W/AREA CODE <br /> JAURIGUI, L.J. 415-95�6�(Ec)`� /�� UNION OIL <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK t ) 04 OTHER: CCNTAINER NUMBER ,0l-&7-4-1 <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: 1967 C. YEAR. INSTALLED 1967 ( 1 UNKNOWN <br /> 0. CONTAINER CAPACITY: 280 GALLONS C l UNKNOWN JE. DOES THE CONTAINER STORE: (X) 01 WASTE i ) 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? (X) 01 YES ( 1 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br /> ( ) 01 UNLEADED C ) 02 REGULAR ( ) 03 PREMIUM ( ) 04 DIESEL (X) 05 WASTE OIL t 1 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( ) GAUGE ( ) INCHES ( 1 CM (X) UNKNOWN <br /> B. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) tX) 02 NON-VAULTED i ) 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED (X) 02 SINGLE WALLED ( ) 03 LINED <br /> 0. (X) 01 CARBON STEEL ( ) 02 STAINLESS STEEL [ 1 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE ( ) 05 CONCRETE <br /> i ) 06 ALUMINUM [ 1 07 STEEL CLAD C ) 08 BRONZE [ ) 09 COMPOSITE ( ) 10 NON-METALLIC <br /> t } 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br /> 0 <br />