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%.e 1—/ 4( 0'9 <br /> I0 NUMBER 00000014943002 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUNDGE TANK <br /> ( ) <br /> 01 NEW PERMIT f 1 05 RENEWED PERMIT �.07 TANK CLOSED DELETE FROM FILE (NO FEEL <br /> ( ) 02 CONDITIONAL PERMIT f 1 06 AMENDED PERMIT [ 1 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAME(CORPORATION.ZNDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> U.S. ARMY CORP OF ENGINEERS t�O1 FED ( 1 02 STATE ( ) 03 LOCAL <br /> STREET ADDRESS CITY STATE ZIP <br /> 650 CAPITOL MALL SACRAMENTO CA 95814 <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREMAN/SUPERVISOR <br /> DEFENSE DEPOT TRACY COLONEL C.L. STONER <br /> STPEET ADOPESS NEAREST CROSS STREET <br /> 26500 CHRISMAN ROAD SHULTE RD <br /> CITY COUNTY ZIP <br /> TRACY SAN JOAQUIN 95376 <br /> MAILING ADDRESS CITY STATE ZIP <br /> DEFENSE DEPOT TRACY TRACY CA 95376 <br /> PHONE W/AREA CODE TYPE OF BUSINESS <br /> 209-M9535 ( ) 01 GASOLINE STATION (X) 02 OTHER STORAGE DEPOT <br /> NUMBER OF CONTAINERS RURAL AREAS ONLY TOWNSHIP RANGESECTION <br /> 29 2S 5E 35 <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 /> HAINES, ABEL W. 209-4679535 STAFF DUTY OFFICER 209-40-9180 <br /> eft <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): YEAR MFG: C. YEAR INSTALLED 1942 t Y UNKNOWN <br /> 0. CONTAINER CAPACITY: 12000 GALLONS ( 1 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 ( ) 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br /> ( ) 01 UNLEADED (X) 02 REGULAR ( ) 03 PREMIUM ( 1 04 DIESEL ( 1 05 WASTE OIL f 1 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: 10 (X) GAUGE f 1 INCHES f ) CM ( ] UNKNOWN <br /> B. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) ( ) 02 NON-VAULTED (X) 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED ( ) 02 SINGLE WALLED ( l 03 LINED <br /> 0. (X) 01 CARBON STEEL ( 1 02 STAINLESS STEEL ( ) 03 FIBERGLASS f 1 04 POLYVINYL CHLORIDE ( ) 05 CONCRETE <br /> f ) 06 ALUMINUM ( ) 07 STEEL CLAD ( 1 08 BRONZE ( l 09 COMPOSITE ( ] 10 NON-METALLIC <br /> f 7 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br />