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STATE ID NUMBER 00000011082001 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK ' <br /> NEW ( ) 05 RENEWED PERMIT ( ) 07 TANK CLOSED f L 09 DELETE FROM FILE (NO FEE) <br /> TI0 AL PERMIT ( ) 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAME(CORPOP.ATION,INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> WM H. RAMSEY ( ) 01 FED ( ) 02 STATE t ) 03 LOCAL <br /> STREET ADDRESS CITY STATE Zip <br /> 10501-E KIMBERLY MANTECA CA 95336 <br /> 'II FACILITY <br /> FACILITY NAME DEALER/FOREMAN/SUPERVISOR <br /> FRANK'S EXXON #3 FRANK GUINTA <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 4022 HWY 120 AIRPORT <br /> ` CITY COUNTY ZIP <br /> MANTECA SAN JOAQUIN 95336 <br /> MAILING ADDRESS CITY STATE 22R <br /> 4022 HWY 120 ]MANTECA CA 95336 <br /> PHONE W/APER CODE TYPE OF BUSINESS <br /> 209-239-9575 (X) 01 GASOLINE STATION d ) 02 OTHER <br /> NUMBER OF CONTAINERS RURAL AREAS ONLY , TOWNSHIP RANGE SECTION <br /> ell <br /> I11 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 /> W.H. RAMSEY 209-239-9571 RAMSEY, W.H. 209-823-1884 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAIN<ER <br /> IW DESCRIPTION <br /> A. (X) 01 TANK ( ) 04 OTHER: CONTAINER NUMBER 1 <br /> B. MANUFACTURER (IF APPROPRIATE): PERKINS YEAR MFG: 1979 C. YEAR INSTALLED 1979 t ) UNKNOWN <br /> D. CONTAINER CAPACITY: 10000 GALLONS t ) UNKNOWN E. DOES THE CONTAINER STORE: t ) 01 WASTE (X) 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? ( ) 01 YES ( ) 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br /> (X) 01 UNLEADED ( ) 02 REGULAR ( ) 03 PREMIUM ( ) 04 DIESEL C ) 05 WASTE OIL ( ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: 1/4 t ) GAUGE (X) INCHES ( l CM t ) UNKNOWN <br /> B.-(' ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 MON-VAULTED ( ) 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED (X) 02 SINGLE WALLED { ) 03 LINED <br /> D. (X) 01 CARBON STEEL ( ) 02 STAINLESS STEEL t ) 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE t 105 CONCRETE <br /> ( ) 06ALUMINUMt ) 07 STEEL CLAD ( ) 08 BRONZE t ) 09 COMPOSITE ( ) 10 NON-METALLIC <br /> i ) 12 UNKNOWN ( ) 13 OTHER <br /> HSC04-070185 (10/18/8S) PAGE 1 <br />