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+,. STATE ID NUMBER 00000008201002 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> (k) 01 NEW PERMIT ( 1 05 RENEWED PERMIT ( ) 07 TANK CLOSED ( ) 09 DELETE FROM FILE (NO FEE) <br /> 1 C2 CONDITIONAL PERMIT ( 1 06 AMENDED PERMIT ( ) OB MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAMEICCRPO,ATION,INDrvxDUAL CR PUBLIC ADEN / � PUBLIC AGENCY ONLY <br /> l/.�•dA 01 FED ( ] 02 STATE ( ) 03. LOCAL <br /> STREET ADDRESS CITY STATE ZIP <br /> , B FBexFeN 9sivT <br /> II FACILITY <br /> FACILITY NAME DEALER/f OREMAN/ UPERVISOR <br /> STOCKTON ASSEMBLY SITE e.-W,-GRE88RzF— <br /> STP.EET ADDRESS NEAREST CROSS STREET <br /> 2894 MONTE DIABLO I-5 <br /> CITY COUNTY ZIP <br /> STOCKTON 7L, SAN JOAQUIN 95203 <br /> M4ILING ADDRESS Nlz CO CITY CRATE ZIP <br /> PHONE W/APEA CODE TYPEOF BUSINESS <br /> 209-941-8261 ( ) 01 GASOLINE STATION (X) 02 OTHER CONSTRUCTION YARD <br /> NUMBER OF CONTAINERS RURAL AREAS ONLY TOWNSHIP RANGE SECTION <br /> 2 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAME(L ST NAME FIRST) AND PHONE WIAREA CODE NIGHTS: NAME(pLASTp.NAME FIRST) AND PHONE `,ARE CODE <br /> �.u' ,R8seR1� t', _Ff'l4i�So <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( ) 04 OTHER: CONTAINER NUMBER 2 <br /> B. MANUFACTURER (IF APPROPRIATE): UNKNOWN YEAR MFG 1982 C. YEAR INSTALLED 1982 ( 1 UNKNOWN <br /> D. CONTAINER CAPACITY: 10000 GALLONS ( ) UNKNOWN E. DOES THE CONTAINER STORE: ( ) 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 BOX(ES): <br /> ( 1 01 UNLEADED ( 1 02 REGULAR ( 1 03 PREMIUM (X1 04 DIESEL ( ) 05 WASTE OIL ( ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: f ) GAUGE ( ) INCHES l ) CM (X) UNKNOWN <br /> B. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ( ) 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED (X) 02 SINGLE WALLED ( 103 LINED <br /> D. (X) 01 CARBON STEEL ( 1 02 STAINLESS STEEL f 1 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE f 1 05 CONCRETE <br /> ( ) 06 ALUMINUM ( ) 07 STEEL CLAD ( 1 08 BRONZE f 1 09 COMPOSITE ( l 10 NON-METALLIC <br /> f ) 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br />