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• STATE ID Ny DER <br /> '-APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE J ANK _1 <br /> ( 1 O1 NEW PERMIT ( 1 05 RENEWED PERMIT l ) 07 TANK CLOSED -- (. 1. 09 OE4E`TE .FROM FILE (NO FEE)_1 <br /> ( ) 02 CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) 11 <br /> I OWNER ' <br /> NAI:E(COPPORATION.INOIVIDUAI OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> _ Desert Petroleum l ) 01 FED ( ) 02 STATE . ( ) 03 LOCAI- <br /> STPEET AOORESSCITY STATE 'f7: ZIP• <br /> P.O. Bax 1601 Oxnard CA 93032 <br /> II FACILI,T..,Y �. .' <br /> FACILITY NAME OEALER/FOPEMEN!SUPERVISOR <br /> Gasco Station #787 i <br />, STREET ADOXESS NEAREST CROSS STREET <br /> 950 W. 11th CoQlid e <br />' CITY COUNTY ZIP <br /> Tracy Sin inqune : ; 95386 <br /> MAILINO AOOPESi CITYSTATE ZIP <br /> 950 W. 11th. Tracy -_ <br /> PHONE WfACCA CODE TYPE OF BUSINESS <br /> 209 836 99 ,0 r 91 01 GASOLINE STATION ( 1 02 OTHER <br /> NVM8ER OF CONTAINERSRURAI AREAS ONLY : TOWNSHIP RANGE S)CCTION <br /> One (1) <br /> III. 24 HOUR"EMERGENCY. CONTACT PERSON <br /> DAYS: NAr°Et LAST NAME FIPSTI AND PHONE W/AREA CODE NIGHTS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE <br /> John Rutherford 805-644-6784 jZg!ton �ngineG4;1�fig 200-845-0208 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FO'R ­EACH CONTAINER <br /> IV DESCR.IPT_I.ON — <br /> A. (X) 01 TAt)K C ) 02 OTHER: CONTAINER NUMBER <br /> B. MANUFACTURER CIF APPROPRIATE): 0 up YEAR MFG:' '88 C. YEAR INSTALLED 88 ( ) UNKNOWN <br /> 0. C014TAI14ER CAPACITY: 10.000 GALLONS ( 1 UNKNOWt( E. ODES THE CONTAINER STORE: ( 1 01 WASTE (X) 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? (x) 01 YES ( 1 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br /> ( 4 01 UNLEADED ( ) 02 REGULAR,. 'tj(1 03 PREHIUM ( 1 04 DIESEL ( 1 05 WASTE OIL ( 106 OTHER <br /> �A . <br /> V CONTAINER CONSTRUCTION . <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( I GAUGE ( 1 INCHES t 1 CM l ) U14KNOWN <br /> B. ( ) 01 VAULTED. (LOCATED IN AN UNDERGROUND VAULT) ( 02.NOH-VAULTED ( ) 03 UNKNOWN <br /> C. (X)01 DOUBLE WALLED ( ) 02 SINGLE WALL2b ( ) 03 LINED <br /> D. t 1 01,-CARBON:STEEL ( ) 02 STAINLESS STEEL (X) 03 FIBERGLASS ( 1 04 POLYVINYL CHLORIDE ( 1 05 CONCRETE . <br /> ( ) 06 ALUMINUM ( ) 07 STEEL CLAD ( 1 08 BRONZE ( ) 09 COMPOSITE ( ) 10 NON-METALLT u <br /> ( ) 12-UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 —� <br /> • 'PAGE 1 <br /> DR <br /> ENVIW%l,ENTAL HEALTH <br /> EER;JIIT/SERV4CES <br />