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M% STATE ID NUMBER 00000001734003 <br />APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br />01 NEW PERMIT ( ) 05 RENEWED PERMIT ( ) 07 TANK CLOSED ( ) 09 DELETE FROM FILE (NO FEE) <br />( ) 02 CONDITIONAL PERMIT ( l 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br />I OWNER <br />NAME(CORPOP.ATION, NOIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br />UWICpL-Oak-eO- U,( ) 01 FED ( l 02 STATE ( ) 03 LOCAL <br />STREET ADDRESS CITY ((� STATE ZIP <br />ca 94th' <br />1 <br />II FACILITY <br />FACILITY NAME <br />THICKNESS OF PRIMARY <br />CONTAINMENT: <br />( ) GAUGE ( ) INCHES ( <br />DEALER/FOREMAN/SUPERVISOR <br />UNION OIL SS# 5886 <br />( ) 01 <br />VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON -VAULTED ( <br />) 03 UNKNOWN <br />DARRELL EPPLER <br />STREET ADDRESS <br />DOUBLE WALLED <br />(X) 02 SINGLE WALLED ( <br />) 03 LINED <br />NEAREST CROSS STREET <br />2701 WEST MARCH LANE <br />( ) 01 <br />( ) <br />( ) 12 <br />CARBON STEEL <br />06 ALUMINUM <br />UNKNOWN ( ) <br />( l 02 STAINLESS STEEL <br />( ) 07 STEEL CLAD ( 1 08 <br />13 OTHER: <br />(X) 03 FIBERGLASS ( ) 04 <br />BRONZE ( l 09 COMPOSITE <br />CITY <br />COUNTY <br />ZIP <br />STOCKTON <br />SAN JOAQUIN <br />95207 <br />MAILING ADDRESS <br />�l F <br />CITY <br />STATE <br />ZIP <br />7 L. <br />l Y <br />SIOCK40+ <br />CA <br />PHONE W/AP.EA CODE <br />TYPE <br />OF BUSINESS <br />209-473-7337 <br />(X) <br />01 GASOLINE <br />STATION ( ) 02 OTHER <br />NUMBER OF CONTAINERSRURAL <br />AREAS <br />ONLY <br />TOWNSHIP <br />RANGE <br />SECTION <br />3 <br />IIII 24 HOUR EMERGENCY CONTACT PERSON <br />DAYS: N.AME(L.AST NAME FIRST) AND PHONE W/AREA CODE NIGHTS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE <br />JAURIGUI, L.J. 415-956-4.6." s UNION OIL CO. 415-5vi- <br />COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br />IV DESCRIPTION <br />A. (X) 01 TANK ( ) 04 OTHER: CONTAINER NUMBER 588br3@3- <br />B. MANUFACTURER (IF APPROPRIATE): YEAR MFG 1982 C. YEAR INSTALLED 1982 ( ) UNKNOWN <br />D. CONTAINER CAPACITY: 12000 GALLONS ( 1 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 BOX(ES): <br />( ) 01 UNLEADED ( ) 02 REGULAR ( ) 03 PREMIUM (X) 04 DIESEL ( ) 05 WASTE OI -L ( ) 06 OTHER <br />V CONTAINER CONSTRUCTION <br />A. <br />THICKNESS OF PRIMARY <br />CONTAINMENT: <br />( ) GAUGE ( ) INCHES ( <br />) CM (X) UNKNOWN <br />B. <br />( ) 01 <br />VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON -VAULTED ( <br />) 03 UNKNOWN <br />C. <br />( ) 01 <br />DOUBLE WALLED <br />(X) 02 SINGLE WALLED ( <br />) 03 LINED <br />D. <br />( ) 01 <br />( ) <br />( ) 12 <br />CARBON STEEL <br />06 ALUMINUM <br />UNKNOWN ( ) <br />( l 02 STAINLESS STEEL <br />( ) 07 STEEL CLAD ( 1 08 <br />13 OTHER: <br />(X) 03 FIBERGLASS ( ) 04 <br />BRONZE ( l 09 COMPOSITE <br />POLYVINYL CHLORIDE t l 05 CONCRETE <br />( ) 10 NON-METALLIC <br />6 HSC04-070185 (10/18/85) <br />16 0 <br />PAGE 1 <br />