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1 <br /> STATE IO NUMBER 000000114951: <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> (XJ 01 NEW PERMIT ( ) 05 RENEWED PERMIT f ) 07 TANK CLOSED ( 1 09 DELETE FROM FILE {NO F <br /> ( ) 02 CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT f J 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> 1 NAME(COP-OPATION,INDIVIDUAL OR PUQLIC AGENCY) PUBLIC AGENCY ONLY <br /> CALIFORNIA FUELS t ) 01 FED ( 1 02 STATE ( 1 03 LO( <br /> l <br /> STREET ADDFgSS CITY FCAA <br /> TE ZIP <br /> 3005 NAVY DR ISTOCKTON 95203 <br /> 1 <br /> II FACILITY <br /> FACILITY NAPE DEALER/FOREMAN/SUPERVISOR <br /> ESCALON BEACON DAVID ATWATER <br /> STPRET ACDPKSS NEAREST CROSS STREET <br /> 1305 ESCALON AVE ESCALON-SELOTA RD <br /> CITY COUNTY IIP <br /> ESCALON SAN .JOAWIN 95320 <br /> r'AZLSN:, ADDOESS CITY STATE ZIP <br /> 1305 ESCALON AVE SAME CA 9532Q <br /> PHCNE W/AREA CODE TYPE OF9USINESS <br /> 209-538-4964 (X) 01 GASOLINE STATION t ) 02 OTHER <br /> NUMB!P OF cONTAINE4t5 RURAL AREAS ONiYTdWN$HIP RANGE ]SECTXOS <br /> 4 <br /> II 24 HOUR EMERGENCY CONTACT PERSON <br /> PAYS "14MEtLAST NAME 1I4ST) AND PHONE W/APEA CODE NIGHTS NAME( LAST NAME FIRST) AND PMONE W/AREA CODE <br /> ' ATW0.TER, OAVIO 209-466-5921 ATWATER, DAVID - 209-957_2298 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A (X) 01 TANK { J 04 OTHER CONTAINER NUMBER 1 <br /> B MANUFACTURER (IF APPROPRIATE) YEAR MFG 1964 C YEAR INSTALLED 1964 [ 1 UNKNOWN <br /> 0 CONTAINER CAPACITY 10,000 GALLONS t 1 UNKNOWN E DOES THE CONTAINER STORE' t 1 01 WASTE (X) 02 PRODUCT <br /> 1�_:t <br /> OE_S0 <br /> THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? (XI 01 YES ( ) 02 NO IF YES CHECK APPROPRIATE BOX(CS) <br /> 1 O1 UNLEADED (X) 02 REGULAR f ) 03 PREMIUM 1 } 04 DIESEL t 1 05 WASTE OIL E ) 06 OTHER <br /> tCONTAINER CONSTRUCTION <br /> THICKNESS OF PRIMARY CONTAINMENT 1/4 ( ) GAUGE (X) INCHES ( ) CM [ l UNKNOWN <br /> 8 ( 101 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ( ) 03 UNKNOWN <br /> ( J <br /> 01 DOUBLE WALLED (Xl 02 SINGLE WALLED ( J 03 LINED <br /> X) O1 CARBON STEEL t ) 02 STAINLESS STEEL ( ) 03 FIBERGLASS ( 1 04 POLYVINYL CHLORIDE ( J 05 CONCRETE <br /> ( ) 06 ALUMINUM ( ) 07 STEEL CLAD ( ) 08 BRONZE ( l 09 COMPOSITE { ) 10 NON--METALLIC <br /> ( 1 12 UNKNOWN ( 1 13 OTHER' <br /> ISC04-070185 {10/18/851 PAGE I <br />