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- 1 <br /> -�3 -7 <br /> STATE TD NUMBER 00000001795006 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> t ) 01 NEW PERMIT ( ) 05 RENEWED PERMIT ( ) 07 TANK CLOSED t 09 DELETE FROM FILE (NO FEE) <br /> ( ) 02 CONDITIONAL PERMIT t ) 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARG ) <br /> I OWNER <br /> NAME(CORPORATION,INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> LONE STAR INDUSTRIES, INC. t ) 01 FED ( ) 02 STATE t ) 03 LOCAL <br /> STREET ADDRESS C%TY STATE ZIP <br /> 11555 DUBLIN CANYON ROAD - PLEASANTON CA 94566 <br /> II FACILITY <br /> FACILITY NAME DEA-LER/FOREMAN/SUPERVISOR <br /> KERLINGER ASPHALT PLANT L.W. JARVEY <br /> TREET ADDRESS NEAREST CROSS STREET <br /> 30350 SOUTH TRACY BLVD. LINNE ROAD <br /> CITY COUNTY ZIP <br /> TRACY SAN JOAQUIN 95376 <br /> MAILING ADDRESS CITY STATE ZIP <br /> 30350 SOUTH TRACY BLVD. TRACY CA 95376 <br /> PHONE W/AREA CODE TYPE OF BUSINESS <br /> 209-835-1454 ( ) 01 GASOLINE STATION '(X) 02 'OTHER ROCK PLANT <br /> NUMBER OF CONTAINERS RURAL AREAS ONLY TOWNSHIP RANGE SECTION <br /> 7 <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 /> JARVEY, L.W. 209-835-1454 ARVEY, L.W. 209-835-0422 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( ) 04 OTHER; CONTAINER NUMBER <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: C. YEAR INSTALLED 1955 t ) UNKNOWN <br /> f0 ,506 <br /> D. CONTAINER CAPACITY - GALLONS t ) UNKNOWN E. Dt1ES THE CONTAINER STORE: t ) 01 WASTE (X) 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? ( ) 01 YES (X) 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br /> ( ) 01 UNLEADED ( ) 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 t ) GAUGE (X) INCHES E ) CM t ) UNKNOWN <br /> B. f ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) t D 02 NON-VAULTED (X) 03 UNKNOWN <br /> C. f ) 01 DOUBLE WALLED ( ) 02 SINGLE WALLED ( J 03 LINED <br /> D. (X) 01 CARBON STEEL t ) 02 STAINLESS STEEL t ) 03 FIBERGLASS ( `) 04 POLYVINYL CHLORIDE ( ) 05 CONCRETE <br /> ( ) 06 ALUMINUM 4 ) 07 STEEL CLAD t ) 08 BRONZE f ) 09 COMPOSITE ( l 10 NON-METALLIC <br /> t ) 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/'18/85) PAGE 1 <br />