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STATE ID NUMBER 00000058690008 <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 /> ( ) 02 CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAME(COPPORATION,INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> STOCKTON UNIFIED SCHOOL DISTRIC t ( ) 01 FED ( ) 02 STATE (A3± 03 LOCAL <br /> STPEET ACDPESS CITY STATE ZiP <br /> 701 NORTH MADISON ST. STOCKTON CA 95202 <br /> II FACILITY <br /> FACILITY NAME 5QSV— corporation Yard DE.ALEP/FOREMANiSUPERVISOR 1/� <br /> IKORRORI=)XXL BILL RUSSELL, DIRECTOR Qt Y-(O•IlA�ll0.KC� <br /> STPEET ACOPESS NEAREST CROSS STREET <br /> 1932 EL PINAL ALPINE <br /> CITY COUNTY ZIP <br /> STOCKTON SAN JOAQUIN 95205 <br /> MAILING ADDRESS CITY STATE ZIP <br /> 1932 EL PINAL STOCKTON CA 95205 <br /> PHONE W/AREA CODE TYPE OFBUSINESS <br /> 209-944-4078 ( l 01 GASOLINE STATION (X) 02 OTHER Cir` ya.r <br /> NUM3EP OF CONTAINEPS PUPAL APEAS ONLY TOWNSHIP RANGE SECTION <br /> 9 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: N.AME(LAST NAME FIRST) AND PHONE W/AREA CODE NIGHTS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE <br /> RUSSELL, B. 209-944-4078 SAME 20,9-944-4078 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( l 04 OTHER: CONTAINER NUMBER 8 <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG:7C. YEAR INSTALLED 1980 ( l UNKNOWN <br /> D. CONTAINER CAPACITY: 12000 GALLONS ( l UNKNOWN JE. 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 ( l 02 REGULAR ( ) 03 PREMIUM (X) 04 DIESEL ( ) 05 WASTE OIL ( ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( l 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 (X) 02 SINGLE WALLED ( l 03 LINED <br /> D. (X) 01 CARBON STEEL ( ) 02 STAINLESS STEEL ( ) 03 FIBERGLASS t l 04 POLYVINYL CHLORIDE ( ) 05 CONCRETE <br /> ( ) 06 ALUMINUM ( l 07 STEEL CLAD [ ) 08 BRONZE ( ) 09 COMPOSITE ( ) 10 NON-METALLIC <br /> ( l 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br />