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� sTATE' <br /> ID NUMBER 000000179800* <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> ( ) <br /> 01 NEW PERMIT ( ) 05 RENEWED.PERMIT ( ) 07 TANK CLOSED ( ) 09 DELETE FRO14> FILE (NO FEE) <br /> t ) 02 CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAME(CORPORATION,INDIVIDUAL, OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> LONE STAR INDUSTRIES, INC. t ) 01 FED ( l 02 STATE t ) 03 LOCAL <br /> STREET ADDRESS CITY STATE ZIP <br /> 11555 DUBLIN CANYON ROAD RLEASANTON CA 94566 <br /> If FACILITY <br /> FACILITY NAME DEALER/FOREMAN/SUPERVISOR <br /> KERLINGER ASPHALT PLANT L.W. JARVEY <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 30350 SOUTH TRACY BLVD. LINNE ROAD <br /> CITY COUNTY ZIP <br /> TRACY SAN JOAIN 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 ONLYTOWNSHIP [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 JARVEY: L.W. 209-835-0422 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. 4 ) 01 TANK (X) 04 OTHER: SUMP CONTAINER NUMBS <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: C. YEAR INSTALLED 1955 t ) UNKNOWN <br /> 0. CONTAINER CAPACITY: 1 000 GALLONS' ( ) UNKNOWN JE. DOES THE CONTAINER STORE: { ) 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 BbX,(E5): <br /> ( ) 01 UNLEADED ( ) 02 REGULAR ( ) 03 PREMIUM ( ) 04 DIESEL ( ) 05 WASTE OIL { D 06 OTHER <br /> V CONTAINER ;CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: 0.25 ( ) GAUGE (X) INCHES ( D CM { ) UNKNOWN <br /> S. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) ( ) 02 NON-VAULTED (X) 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED ( ) 02 SINGLE WAILED ( ) 03 LINED <br /> D. (X) 01 CARBON STEEL t ) 02 STAINLESS STEEL t ) 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE ( ) 05 CONCRETE <br /> ( ) 06 ALUMINUM t ) 07 STEEL CLAD ( ) 08 BRONZE ( ) 09 COMPOSITE t ) 10 NON-METALLIC <br /> t ) 12 'UNKNOWN E ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br />