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0, t STATE ID NUMBER 00000024890001 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> NEW PERMIT { ) 05 RENEWED PERMIT (�I 07 TANK CLOSED ��) 09�_DELET���� <br /> 2 CONDITIONAL PERMIT ( l 06 AMENDED PERMIT t ) 08 MINOR CHANGE�(NIOSU�RCIHARdtt <br /> I OWNER <br /> NAME(CORPORATION,INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> PACIFIC GAS & ELECTRIC COMPANY f ( l O1 FE�D�y( ) 02 STATE t ) 03 LOCAL <br /> STREET ADDRESS - CITYI/U/Lh/�r STATE ZIP <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREMAN/SUPERVISOR <br /> TRACY STATION L.L. BEAGLE <br /> STREET ADDRESS NEAREST CROSS STREET <br /> PATTERSON PASS RD. HWY 205 <br /> COUNTY ZIP <br /> CITY 95376 <br /> TRACY SAN JOAQUIN <br /> CITY STATE ZIP <br /> MAILING ADDRESS ICA 95376 <br /> P.O. BOX 270 TRACY <br /> PHONE W/AREA CODE TYPE OF BUSINESS <br /> 209-835-1983 ( ) 01 GASOLINE STATION (X) 02 OTHER UTILITY <br /> MUM9ER OF ONTAINERS RURAL AREAS ONLY : TOWNSHIP RANGE SECTION <br /> NUMBIZ2 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> LAYS: NAME(LAST NAME EIRSTI AND PHONE WfAREA GOOE NIG <br /> HTS: NAME(LAST NAME FIRST) AND PHONE W/APEA CODE <br /> BRENTWOOD TERMINAL 415-634-3101 SAME <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION _ <br /> A. (X) 01 TANK ( ) 04 OTHER =CONTAINERNUMEER T-1 <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: C. YEAR INSTALL€D (X) UNKNOWN <br /> 0. CONTAINER CAPACITY: GALLONS (X) UNKNOWN E. DOES THE CONTAINER STORE: ( ) 01 WASTE (X) 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? ( ) 01 YES (X) 02 NO IF YES CHECK APPROPRIATE BOX(ES)- <br /> ( ) 01 UNLEADED ( ) 02 REGULAR ( ) 03 PREMIUM ( ) 04 DIESEL ( ) 05 WASTE OIL ( } 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( ) GAUGE t ) INCHES t ) CM (X) UNKNOWN <br /> B. t 1 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) ( ) 02 NON-VAULTED (X) 03 UNKNOWN <br /> C. { 1 01 DOUBLE WALLED ( ) 02 SINGLE WALLED ( } 03 LINED <br /> D. (X) 01 CARBON STEEL [ 1 02 STAINLESS STEEL ( ) 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE ( ) 05 CONCRETE <br /> ( ) 06 ALUMINUM ( ) 07 STEEL CLAD ( } 08 BRONZE ( ) 09 COMPOSITE ( } 10 NON-METALLIC <br /> ( 1 12 UNKNOWN ( 1 13 OTHER: <br /> PAGE 1 <br /> HSC04-070185 (10/18/85) <br />