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I/ STATE ID NUMBER 00000054749001 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> ( ) <br /> 01 NEW PERMIT ( ) 05 RENEWED PERMIT .—ZAh:. cLasEO �� ( ) 09 DELETE FROM FILE (NO FEE) <br /> ( 1 02 CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT ) 00 MINOR CHANGE lNO SURCHARGE) <br /> OWNER <br /> JAM,E(COR PORATION,INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br />;UH-DIAMOND GROWERS OF CALIFOR f I 01 FED ( ) 02 STATE ( 1 03 LOCAL <br /> ST PEST ADDRESS CITY STATE ZIP <br /> LO50 SOUTH DIAMOND STREET STOCKTON CA 95205 <br /> fI FACILITY <br />•AGILITY NAME DEALER/FOREMAN/SUPERVISOR <br />)IAMOND WALNUT GROWERS, INC. IIDME9ft <br /> STPEET ADDRESS NEAREST CROSS STREET <br /> 1050 SOUTH DIAMOND STREET CHARTER WAY <br /> CITY COUNTY ZIP <br /> STOCKTON SAN JOAQUIN 95205 <br /> MAILING ADDRESS CITY STATE ZIP <br /> POST OFFICE BOX 1727 STOCKTON CA 95201 <br /> PHONE W/APEA CODE TYPEOF BUSINESS <br /> 209-467-6000 ( ) 01 GASOLINE STATION (X) 02 OTHER FOOD PROCESSING <br /> NUMBER OF CONTAINERS RURAL AREAS ONLY TOWNSHIP RANGESECTION <br /> 12 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> OATS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE NIGHTS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE <br /> COYtEIzhW_*SAM 209-467-6000 _ 209-467-6000 <br /> rffMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. 1X1 01 TANK ( ) 04 OTHER: CONTAINER NUMBER 4 <br /> S. MANUFACTURER (IF APPROPRIATE): YEAR MFG: C. YEAR INSTALLED 1956 ( 1 UNKNOWN <br /> 0. CONTAINER CAPACITY: 125 GALLONS f ) 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 /> 1 1 01 UNLEADED (X) 02 REGULAR ( ) 03 PREMIUM ( 104 DIESEL ( ) 05 WASTE OIL f 1 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: l 1 GAUGE f ) INCHES t ) CM 1X1 UNKNOWN <br /> B. ( l 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ( ) 03 UNKNOWN <br /> C. ( 101 DOUBLE WALLED ( ) 02 SINGLE WALLED t ) 03 LINED <br /> D. f 1 01 CARBON STEEL t 1 02 STAINLESS STEEL f 1 03 FIBERGLASS ( 1 04 POLYVINTL CHLORIDE f ) 05 CONCRETE <br /> f ) 06 ALUMINUM f ) 07 STEEL CLAD ( ) OB BRONZE 1 ) 09 COMPOSITE I ) 10 NON-METALLIC <br /> (X) 12 UNKNOWN 1 1 13 OTHER: <br /> ISC04-070165 110/18/BS) PAGE 1 <br />