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STATE ID NUMBER 00000011082006 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANG <br /> W ( ) 05 RENEWED PERMIT ( ) 07 TANK CLOSED ( ) 09 DELETE FROM FILE (NO FEE) <br /> t 02 CONDITIONAL PERMIT t ) 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAM8(COR'FORATION,INDTVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> WM H. RAMSEY t D 01 FED t ) 02 STATE ( J 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 ZIP <br /> 4022 HWY 1207 MANTECA CA 95336 <br /> ' PHONE W/AREA CODE TYPE OF BUSINESS <br /> 209-239-9575 (X) 01 GASOLINE STATION t ) 02 OTHER <br /> NUMBER OF CONTAINERS RURAL AREAS ONLY 1TOWNSHTP -RANGE SECTION <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 /> W.H. RAMSEY 209-239-9571 RAMSEY: W.H. 209-823-1884 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK { J 04 OTHER: CONTAINER NUMBER 6 <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: 1979 11 C. YEAR INSTALLED 1979 ( ) UNKNOWN <br /> D. CONTAINER CAPACITY 10000 GALLONS ( B UNKNOWN JE. 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 f ) 02 REGULAR ( ) 03 PREMIUM (X) 04 DIESEL ( ) 05 WASTE OIL ( ) 06 OTHER <br /> V CONTAINER CONSTRUCTION' <br /> A. THICKNESS OF PRIMARY CONTAINMENT: 1/4" t J GAUGE (X) INCHES ( ) CM ( ) UNKNOWN <br /> B. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ;( ) '03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED (X) 02 SINGLE WALLED { ) 03 LINED <br /> D. (X) 01 CARBON STEEL t ) 02 STAINLESS STEEL ( ) 03 FIBERGLASS t ) 04 POLYVINYL CHLORIDE { ) 05 CONCRETE <br /> ( ) 06 ALUMINUM t ) 07 STEEL CLAD t ) 08 BRONZE ( )' 09 COMPOSITE ( ) 10 NON-METALLIC <br /> ( ) 12 UNKNOWN ( ) 13 OTHER: <br /> ;HSC04-070185 (10/18/85) PAGE 1 <br />