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STATE ID NUMBER 00000065270001 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> 00 01 NEW PERMIT t ! 05 RENEWED PERMIT t ) 07 TAW CLOSED ( ) 09 DELETE FROM FILE (NO FEE) <br /> r_rTrt_0N_DTTT6W PERMIT { ) 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO CHARGE) <br /> I OWNER <br /> NAME(CORPORATSON,INDIVIDUAL OR PUBLIC AGENCY) F7)L <br /> IC AGENCY ONLY <br /> QUIK STOP MARKETS, INC. 01 FED t ) 02 STATE t ) 03 LOCAL <br /> STREET ADDRESS CITY STATE ZIP <br /> 4567 ENTERPRISE STREET FRE NT CA 94538 <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREMAN/S yISOR p <br /> QUIK STOP MARKET #124 ! <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 505 N. MAIN ALAMEDA <br /> CITY COUNTY ZIP <br /> MANTECA SAN JOAQUIN 95336 <br /> MAILING ADDRESS CITY STATE ZIP <br /> P.O'. BOX 5745 FRE T CA 95336 <br /> PHONE W/AREA CODE TYPE OF BUSINESS <br /> 209-823-7628 tX) 01 GASOLINE STATION i ) 02 OTHER <br /> NUMBER OF CONTAINERS < RURAL AREAS ONLY TOWNSHIP RANGE SECTION <br /> 3 <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 /> 415-657-8500 STEVEN CHASE 415-794-8545- <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( ) 04 OTHER: CONTAINER NUMBER 1 <br /> B. MANUFACTURER (TF APPROPRIATE): XERXES YEAR MFG: 1985 C. YEAR INSTALLED 1985 t ) UNKNOWN <br /> 0. CONTAINER CAPACITY: 10000 GALLONS t IUNKNOWN E. DOES THE CONTAINER STORE: t ) 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 /> t l <br /> 01 UNLEADED (X) 02 REGULAR ( ) 03 PREMIUM ( ) 04 DIESEL E ) 05 WASTE OIL t ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: 0.35 t ) GAUGE (X) INCHES ( ) CM t ) UNKNOWN <br /> B. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 -VAULTED ( ) 03 UNKNOWN <br /> C. (X) 01 DOUBLE WALLED ( ) 02 SINGLE WALLED t ) 03 LINED <br /> 0. t ) 01 CARBON STEEL t ) 02 STAINLESS STEEL (X) 03 FIBERGLASS E ) 04 POLYVINYL CHLORIDE t ) 05 CONCRETE <br /> t ) 06 ALUMINUM ( ) 07 STEEL CLAD 'f ) 08 BRONZE ( ) 09 COMPOSITE ( ) 10 -METALLIC <br /> t ) 12 UNKNOWN ( ) 13 OTHER: <br /> MSC04-070185 (05/05/86) PAGE 1 <br />