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STATE ID NUMBER 00000058690004 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> _��01 NEW PERMIT ( ) 05 RENEWED PERMIT ( l 07 TANK CLOSED ( ) 09 DELETE FROM FILE (NO FEE) <br /> ( ) 02 CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT ( l 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> N.A'lE(CCPPOP=TICN.:NOIVIDU.AL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> STOCKTON UNIFIED SCHOOL DISTtI r' ( ) 01 FED ( ) 02 STATE jyX03 LOCAL <br /> STPEET ADDRESS CITYSTATE ZIP <br /> 701 NORTH MADISON ST. STOCKTON CA 95202 <br /> II FACILITY <br /> FACILITY NAt'E DEALEPiFOPEM.AN/SUPERVISOR <br /> (XRWR4TTWX'%RlX BILL RUSSELL, DIRECTOR Of Maintenance <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 1932 EL FINAL ALPINE <br /> CITY COUNTY ZIP <br /> STOCKTON SAN JOAQUIN 95205 <br /> MAILING A-DORESS CITY STATE ZIP <br /> 1932 EL PINAL STOCKTON CA 95205 <br /> PHONE WiAP.EA CODE TYPE OF BUSINESS <br /> 209-944-4078 ( ) 01 GASOLINE STATION (70 02 OTHER �Of P• (a ' <br /> NUY,BEP OF CONTAINERS PUPAL AREAS ONLY TOWNSHIP RANGESECT ION <br /> 9 7 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> 04`"S: NAME!LAST N,A"E F_P.ST) AND PHONE W/.AZEA CODE NIGHTS: NAME(LAST NAME FIRST) .AND PHONE W/AREA CODE <br /> RUSSELL, B. 209-944-4078 SAME 209 94-4 4078 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( ) 04 OTHER: CONTAINER NUMBER 4 <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: Tc. EAR INSTALLED 1953 ( ) UNKNOWN <br /> D. CONTAINER CAPACITY: 500 GALLONS ( ) UNKNOWN E. DOES THE CONTAINER STORE: ( ) 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 f ) 02 REGULAR ( ) 03 PREMIUM (X) 04 DIESEL ( ) 05 WASTE OIL ( ) 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 ( l 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED (X) 02 SINGLE WALLED ( ) 03 LINED <br /> D. (X) 01 CARBON STEEL ( l 02 STAINLESS STEEL ( ) 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE f ) 05 CONCRETE <br /> ( ) 06 ALUMINUM f ) 07 STEEL CLAD ( ) 08 BRONZE ( 1 09 COMPOSITE ( l 10 NON-METALLIC <br /> ( l 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br />