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�p <br /> TE ID NUMBER 00000000725004 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> t ) <br /> 01 NEW PERMIT ( ) 05 RENEWED PERMIT (20 07 TAW CLOSED ) 09 DELETE FROM FILE (NO FEE) <br /> f ) 02 CONDITIONAL PERMIT f 1 06 AMENDED PERMIT f D 08 MINOR CHANGE (NO SURCHARGE <br /> _ I OWNER <br /> NAME(COPPOPATION,INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> MOORE PETROLEUM ( l 01 FED ( D 02 STATE ( ) 03 LOCAL <br /> STREET ADDRESS CITY STATE ZIP <br /> 6TH & F ST 1P.O. BOX 67) BANTA CA 95304 <br /> II FACILITY <br /> FACILITY NAME OEALER/FOREMAN/SUPERVISOR <br /> FRANK'S EXXON #1 FRANK GUNTA <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 290 N. MAIN ST <br /> CITY COUNTY ZIP <br /> MANTECA SAN JOAQUIN <br /> MAILING ADDRESS CITY STATE ZIP <br /> P.O. BOX 67 BANTA CA 95336 <br /> PHONE W/AREA CODE TYPE:OF BUSINESS <br /> 209-239-2446 (X) 01 GASOLINE STATION t # 02 OTHER <br /> NUMBER OF CONTAINERS RURAL AREAS ONLY fOWNSHIP RANGE SECTION <br /> 4 <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 /> MOOR€, JERRY 209-948-0949 MORE, JERRY 209-948-0749 <br /> COhPI.ETE THE FOLLOWING ON A "SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION' <br /> A. (X) 01 TANK t D 04 OTHER: CONTAINER NUMBER 8 <br /> B. MANUFACTURER (IE APPROPRIATE): PERKINS YEAR MFG: 1965 C. YEAR INSTALLED 1965 ( D UNKNOWN <br /> D. CONTAINER CAPACITY: 500 GALLONS ( ) UNKNOWN JE. DOES THE CONTAINER STORE: (X) 01 WASTE t ) 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 /> t ) 01 UNLEADED t ) 02 REGULAR t ) 03 PREMIUM f ) 04 DIESEL (X) 05 WASTE OIL t ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: 10 (X) GAUGE t ) INCHES ( ) CM t 1 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 f ) 02 STAINLESS STEEL ( 03 FIBERGLASS { ) 04 POLYVINYL CHLORIDE ( J 05 CONCRETE <br /> ) 06 ALUMINUM t ) 07 STEEL CLAD ( ) 08 BRbNZE t ) 09 COMPOSITE ( ) 10 NON-METALLIC <br /> t ) <br /> 12 UNKNOWN T ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br />