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..i <br /> STATE ID NUMBER 00000014943026 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> I ) 01 NEW PERMIT ( ) 05 RENEWED PERMIT ( ) 07 TANK CLOSED RGE DELETE FROM FILE (NO FEE) <br /> f ) 02 CONDITIONAL PERMIT f 1 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHA 1 <br /> I OWNER <br /> NAME(CORPORATION.INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> U.S. ARMY CORP OF E14GINEER4 O1 FED ( ) 02 STATE ( 7 03 LOCAL <br /> STPEET 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 /> STREET ADDRESS NEAREST CROSS STREET <br /> 26500 CHRISMAN ROAD SHULTE RD <br /> CITY COUNTY ZIP <br /> TRACY SAN JOAQUIN 95376 <br /> MAIL_N3 ADCPESS CITYSTATE ZIP <br /> DEFENSE DEPOT TRACY TRACY CA 95376 <br /> PHONE W/AREA CODE TYPE OF BUSINESS <br /> 209 -9535 ( 1 01 GASOLINE STATION (X) 02 OTHER STORAGE DEPOT <br /> NUMBER OF CONTAINERS RURAL AREAS ONLY TOWNSHIP RANGESECTION <br /> 29 25 5E 35 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAME(LAST NAME FIRST) AND PHONE W/ARCA CODE NIGHTS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE <br /> HAINES, ABEL W. 209Af1Y--9535 STAFF DUTY OFFICER 209 -9180 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. a!iL.01 TANK -+,\-r04 OTHER: CONTAINER NUMBER 36 <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: C. YEAR INSTALLED 1975 ( 7 UNKNOWN <br /> 0. CONTAINER CAPACITY: 1000 GALLONS ( l UNKNOWN E. DOES THE CONTAINER STORE: (X) 01 WASTE ( ) 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 ( ) 02 REGULAR ( ) 03 PREMIUM ( 1 04 DIESEL (X) OS WASTE OIL ( ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: 10 (X) GAUGE [ 1 INCHES ( ) CM ( ) UNKNOWN <br /> B. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) ( ) 02 NON-VAULTED (X) 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED (X) 02 SINGLE WALLED [ 1 03 LINED <br /> D. (X) 01 CARBON STEEL ( 7 02 STAINLESS STEEL ( 1 03 FIBERGLASS ( 1 04 POLYVINYL CHLORIDE ( 1 05 CONCRETE <br /> ( 1 06 ALUMINUM ( 1 07 STEEL CLAD ( ) 08 BRONZE l ) 09 COMPOSITE 1 ) 10 NON-METALLIC <br /> ( ) 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 110/18/85) PAGE 1 <br />