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STATE ID NUMBER 00000044352004 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> ( 1 01 NEW PERMIT ( ) 05 RENEWED PERMIT ( ) 07 TANK CLOSED (,K)" 09 DELETE FROM FILE (NO FEE) <br /> ( 1 02 CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAM!(COP.POPATION,INDIVIOUAL OR PUBLIC AGENCY) AGENCY ONLY <br /> BLIC AGE <br /> RAYMOND INVESTMENT CORPORATION ( ) O1 AGEFED ( ) 02 STATE ( ) 03 LOCAL <br /> STREET ADDRESS <br /> 817 S. CENTER ST. CITY STATE ZIP <br /> S CKT CA 95206 <br /> II FACILITY <br /> FACILITY NAME O LER/FOREMAN/SUPERV 0 <br /> PROPERTY HELD FOR RENTAL <br /> STREET ADDRESS NEAREST ROSSE T ` <br /> 145 N. GRANT ST. WEBER A <br /> CITY <br /> STOCKTON 9 NTY I L. ZIP <br /> 95202 <br /> MAILING ADDRESS <br /> ITY <br /> P.O. BOX 567 STATE ZIP0 T CA 95201 <br /> PHONE W/AREA CODE YPE OF BUSIN SS'-, <br /> 209-466-8604 ( ) 01 GASOL NES' ATION (X) 02 OTHER <br /> NUMSER1AL CONTAINERS L APEAS ONLY : TOWNSHIP RANGE SECTION <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 /> RAYMOND, W.V. 209-466-8604 RAYMOND, W.V. 209-951-7792 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( ) 04 OTHER: CONTAINER NUMBER #9 <br /> B. MANUFACTURER (IF APPROPRIATE): UNKNOWN YEAR MFG: C. YEAR INSTALLED (X) UNKNOWN <br /> 6OC', <br /> D. CONTAINER CAPACITY: 5090 GALLONS ( ) UNKNOWN E. DOES THE CONTAINER STORE: ( 1 01 WASTE (X) 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 (X) 02 REGULAR ( ) 03 PREMIUM ( 1 04 DIESEL ( ) 05 WASTE OIL ( 1 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> F( ) <br /> ESS OF PRIMARY CONTAINMENT: ( ) GAUGE ( ) INCHES ( ) CM (X) UNKNOWN <br /> VAULTED (LOCATED IN AN UNDERGROUND VAULT) ( ) 02 NON-VAULTED (X) 03 UNKNOWN <br /> DOUBLE WALLED ( ) 02 SINGLE WALLED ( 1 03 LINED <br /> CARBON STEEL ( 1 02 STAINLESS STEEL ( ) 03 FIBERGLASS f 1 04 POLYVINYL CHLORIDE ( 1 05 CONCRETE <br /> 06 ALUMINUM ( ) 07 STEEL CLAD ( ) 08 BRONZE ( ) 09 COMPOSITE f ) 10 NON-METALLIC <br /> UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) <br /> PAGE 1 <br /> r <br />