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kr� STATE ID NUMBER 00000042163: <br /> oov <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGP,OUND STORAGE TANK <br /> �01NEW PERMIT ( ) 05 RENEWED PERMIT <br /> DITIONAL PERMIT ( ) 06 AMENDED PERMIT ( ) 07 TANK CLOSED ( ) 09 DELETE FROM FILE (ND F <br /> ( ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> N4�!E(C0=PC:ATICN,INDIVIDUAL <br /> OR P c <br /> FIGPE DEVELOPMENT UBLIC AGENCY) <br /> PUBLIC AGENCY ONLY <br /> ST%EE' A:DCESS ( ) O1 FED ( I 02 STATE fj�) 03 LO': <br /> 2001 N. 'AIN ST. CITY — <br /> MANTECA STATE zI= <br /> ICA 95336 <br /> II FACILITY <br /> FACILITY NA7;E <br /> CENTER PLUMBING LEASE SPACE DEALER./FOP.EMAN/SUPERVISOR. <br /> FRANK J. FIORE <br /> STREET ADDRESS <br /> 2001 N. MAIN ST. NEAREST CROSS STREET <br /> LATHROP RD. <br /> CITY <br /> MANTECA COUNTY <br /> SAN JOAQUIN F95336 <br /> MAILING ACDPESS <br /> 2001 N. MAIN ST. CITY <br /> MANTECA STATE ZIP <br /> PHONE W/AFEA CCDE ::=CA T195336 <br /> 209-823-7681 TYPE OF BUSINESS <br /> NU:'3E: OF CONTAINERS ( ) 01 GASOLINE STATION (X) 02 OTHER PLUMBING <br /> 1 PUPAL AREAS ONLY TOWNSHIP <br /> RANGE SECTION <br /> — ] <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAME(LAST NA"".E FIRST) AND PHONE W/AREA CODE <br /> FIORE, FRANK. J. 209-823-7681 NIGHTS: N4ME(LAST NAME FIRST) AND PHONE W/APEA CODE <br /> FIORE, FRANK J. 209-239-3696 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> �A. <br /> IV DESCRIPTION <br /> (X) 01 TANK ( ) 04 OTHER: <br /> CONTAINER NUMBER 1 <br /> B. MANUFACTURER (IF APPROPRIATE): <br /> YEAR MFG: 1979 C. YEAR INSTALLED 1979 ( ) UNKN <br /> ) <br /> D. CONTAINER CAPACITY: 10000 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 BOY (� <br /> (X) 01 UNLEADED ( ) 02 REGULAR ( ) 03 PREMIUM ( ) 04 DIESEL ( ) 05 WASTE OIL ( ) 06 OTHER <br /> CONTAINER CONSTRUCTION <br /> �. THICKNESS OF PRIMARY CONTAINMENT: 1/4 ( ) GAUGE (X) INCHES ( ) CM ( ) UNKNOWN <br /> t <br /> -�• ( ) <br /> 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ( ) 03 UNKNOWN 1 <br /> ( ) 01 DOUBLE WALLED (X) 02 SINGLE WALLED ( ) 03 LINED / <br /> (X) 01 CARBON STEEL ( ) 02 STAINLESS STEEL ( ) 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE ( ) 05 CONC <br /> ( ) 06 ALUMINUM ( ) 07 STEEL CLAD ( ) 08 BRONZE ( ) 09 COMPOSITE ( ) 10 NON-METALLIC <br /> ( ) 12 UNKNOWN ( ) 13 OTHER: <br /> :04-070185 (10/18/85) <br /> t00FS <br />