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t <br /> STATE ID NUMBER 00000011073004 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> J 01 NEW PEP,MIT ( 1 05 RENEWED PERMIT ( 1 07 TANK CLOSED ( 1 09 DELETE FROM FILE (NO FEE) <br /> } 02 CONDITIONAL PERMIT` ( 1 06 AMENDED PERMIT ( l 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER 111 <br /> NAME(CCRPC=ATION.:NDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> LONE STAR INDUSTRIES, INC. ( 1 01 FED ( 1 02 STATE ( ) 03 LOCAL <br /> STREET ADDRESS FPLEASANTON <br /> STATE ZIP <br /> 11555 DUBLIN CANYON ROAD CA 94566 <br /> II FACILITY <br /> FACILITY NAt..E DEALERiFOPEMAN/S PERVISOR7 <br /> KERLINGER PLANT 'q) r/ <br /> STREET LCDPESS NEAREST CROSS STREET <br /> 30350 SOUTH TRACY BLVD. LINNE ROAD <br /> CITY COUNTY ZIP <br /> TRACY SAN JOAQUIN 95376 <br /> MAILING ADDRESS CITY STATE ZZP <br /> 30350 SOUTH TRACY BLVD. TRACY CA 95376 <br /> PHONE W.,A:EA CODE T\'PE Of BUSINESS <br /> 209-835-1454 ( } O1 GASOLINE STATION (X) 02 OTHER ROCK PLANT <br /> r: MBEP 0' CONTAINERS RURAL AREAS ONLY TOWNSHIP RANGE SECTION <br /> -fy® <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAME(LAST NAME FIRST) AND PHONE W/APEA CODE NIGHTS: NAME(LAST NAME FIRST) AND PHONE W/APEA CODE <br /> J*RY : _ 209-835-0422 <br /> 1l1 w � J <br /> Ll <br /> COMPE4E THE FOLLOWING ON A SEPARATE FORM FOR E'CH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( l 04 OTHER: CONTAINER NUMBER - <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: 7CYEAR INSTALLED 1955 ( D UNKNOWN <br /> D. CONTAINER CAPACITY: GALLONS t D UNKNOWN E. OOES THE CONTAINER STORE: (A 01 WASTE (1) 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? (X) 0 YES ( ) 02 NO IF YES CHECK APPROPRIATE BOX(ESI: <br />`_( 1 01 UNLEADED ( l 02 REGULAR ( ) 03 PREMIUM t` 04 DIESEL ( ) 05 WASTE OIL t ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: 0.25 ( ) GAUGE (X) INCHES ( D CM ( ) UNKNOWN <br /> B. ( 1 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED t 1 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED ( l 02 SINGLE WALLED t ) 03 LINED <br /> D. (X) 01 CARBON STEEL ( i 02 STAINLESS STEEL ( ) 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE ( ) 05 CONCRETE <br /> ( ) 06 ALUMINUM ( 1 07 STEEL CLAD ( 1 08 BRONZE ( ) 09 COMPOSITE ( ) 10 NON-METALLIC <br /> ( 1 12 UNKNOWN ( ) 13 OTHER: <br /> SC04-070185 (10/18/85) PAGE 1 <br />