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rwy �� STATEEwwD vvNU"MBER 00000008286001 <br /> 1 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> ( ) 01 NEW PERMIT ( ) 05 RENEWED PERMIT ( ) 07 TANK CLOSED ( ) 09 DELETE FROM FILE (NO FEE) <br /> ( l 02 CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAME(CORPORATICN.INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> WESTERN LUMBER SALES OF STOCKY ( ) 01 FED ( ) 02 STATE ( l 03 LOCAL <br /> STREET ADDRESS CITY STATEZIR <br /> 3422 S. EL DORADO-PO BOX 1848 STOCKTON CA 95201 <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREMAN/SUPERVISOR JF&m <br /> WESTERN LUMBER SALES RON KOROCK - 6"?fli 4811145111 <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 3422 S. EL DORADO MC KINLEY <br /> C:TY COUNTY ZIP <br /> STOCKTON SAN JOAQUIN 95206 <br /> MAILING .ADDRESS CITY STATE ZIP <br /> P.O. BOX 1848 STOCKTON CA 95201 <br /> PHCNE W/AREA CCDE TYPE OF BUSINESS <br /> 209-982-4477 ( ) 01 GASOLINE STATION (X) 02 OTHER LUMBER CO. <br /> NUMBER, CF CONTAINERS RURAL AREAS ONLY TOWNSHIP RANGE SECTION <br /> 1 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAME(LA.ST NAME FIRST) AND PHONE W/AREA CODE NIGHTS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE <br /> KOROCK, RON 209-982-4477 KOROCK, RON 209-951-4759 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( ) 04 OTHER: CONTAINER NUMBER W-1 <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG= C. YEAR INSTALLED (X) UNKNOWN <br /> 0. CONTAINER. CAPACITY: 2000 GALLONS ( ) UNKNOWN I E. DOES THE CONTAINER STORE: ! ) 01 WASTE (X) 02 PRODUCT <br /> IF. 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 IW04 DIESEL ( ) 05 WASTE OIL ( l 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( ) GAUGE ! ) INCHES ( ) CM (X) UNKNOWN <br /> B. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ( ) 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED (Xl 02 SINGLE WALLED ( ) 03 LINED <br /> 10. (X) 01 CARBON STEEL ( ) 02 STAINLESS STEEL ( 1 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE ( ) 05 CONCRETE <br /> ( ) 06 ALUMINUM ( ) 07 STEEL CLAD ( ) 08 BRONZE ( l 09 COMPOSITE ( l 10 NON-METALLIC <br /> ( 1 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br />