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STATE ID NUMBER 00000065642001 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> .,l )) 01 NEW PERMIT 1 ) 05 RENEWED PERMIT ( ) 07 TANK CLOSED ( ) 09 DELETE FROM FILE (NO FEE) <br /> ( 1 02 CONDITIONAL PERMIT t 106 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br /> z OWNER <br /> NAME(COP PORATION.INOIVIOVAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> INLAND P*rNT--£O—SNC. E , r . t [ l 01 FED f ) 02 STATE ( ) 03 LOCAL <br /> FCAA <br /> ZITY IP <br /> 117-W:-HARD ING-WAY ar TOCKTON7 95STREET ADDRESS C2 <br /> 04 <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREMAN/SUPERVISOR <br /> INLAND PAINT CO. LARRY L. WRAY <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 117 W. HARDING WAY PAC. AVE <br /> CITY COUNTY ZIP <br /> STOCKTON SAN JOAQUIN 95204 <br /> MAILING ADDRESS CITY STATE ZIP <br /> P.Q. BOX 4296 STOCKTON CA 95204 <br /> PHONE W/AREA CODE TYPE OF BUSINESS <br /> 209-466-0375 ( ) 01 GASOLINE STATION (X) 02 OTHER PAINT STORE <br /> NUMBER OF CONTAINERS RURAL AREAS ONLY TOWNSHIP RANGE SECTION <br /> 1 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE NIGHTS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE <br /> LARRY WRAY 209-466-0373 LEE CLUFF 209-477-0661 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( 1 04 OTHER: CONTAINER NUMBER 01 <br /> B. MANUFACTURER (IF APPROPRIATE): MODESTO WELDING YEAR MFG: 1964 C_ YEAR INSTALLED 1964 ( ) UNKNOWN <br /> D. CONTAINER CAPACITY: 1000 GALLONS ( ) UNKNOWN I E. DOES THE CONTAINER STORE= [ ) 01 WASTE (X) 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? [ ) 01 YES (X1 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br /> t ) 01 UNLEADED I 1 02 REGULAR ( ) 03 PREMIUM t 1 04 DIESEL ( ) 05 WASTE OIL ('() 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: [ ) GAUGE [ 3 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 [ ) 03 LINED <br /> 0. (X) 01 CARBON STEEL [ ) O2 STAINLESS STEEL ( ) D3 FIBERGLASS ( 1 04 POLYVINYL CHLORIDE ( ) OS CONCRETE <br /> [ 1 06 ALUMINUM t ) 07 STEEL CLAD t ) 08 BRONZE t ) 09 COMPOSITE ( ) 10 NON—METALLIC <br /> ( ) 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (05/05/86) PAGE I <br />