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STATE ID NUMBER 00000039604004 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> f ) 01 NEW PERMIT f J 05 RENEWED PERMIT ) '" ( ) 09 DELETE FROM FILE (NO FEE) <br /> t ) 02 CONDITIONAL PERMIT C 1 06 AMENDED PERMIT C ) 8 MINOtt CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAME(CORPOPATION,INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> MOBIL OIL CORPORATION ( ) 01 FED { ) 02 STATE t l 03 LOCAL <br /> STREET ADDRESS CITY STATE ZIP <br /> 612 SO. FLOWER STREET LOS ANGELES CA 90017 <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREMAN/SUPERVISOR <br /> M06IL SERVICE STATION FRED MONTS DE OCA <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 2375 TRACY BLVD GRANTLINE <br /> CITY COUNTY ZIP <br /> TRACY SAN JOAQUIN 9537 <br /> MAILING ADDRESS CITY STATE ZIP <br /> 2375 TRACY BLVD TRACY CA 95376 <br /> PHONE W/AREA CODE TYPE OF BUSINESS <br /> 209-835=9724 (X) 01 GASOLINE STATION ' ( ) 02 OTHER <br /> NUMBER OF CONTAINERS PUPAL AREAS ONLY TOWNSHIP RANGE SECTION <br /> 4 <br /> LII 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE NIGHTS: N.AME(LAST NAME FIRST) AND PHONE W/AREA CODE <br /> MONTS OE OCA, FRED 209-835-9724 ENGINEERING CENTER 213-583-6571 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORMFOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK t l 04 OTHER CONTAINER NUMBER 4 <br /> B. MANUFACTURER (IF APPROPRIATE): UNKNOWN YEAR MFG: C. YEAR INSTALLED 1967 t I UNKNOWN <br /> 0. CONTAINER CAPACITY: 260 GALLONS ( l 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 ( ) 02 REGULAR f ) 03 PREMIUM t `I 04 DIESEL (X') 05 WASTE OIL ( ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: t l GAUGE t ) INCHES ( ) CM (X) 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 ( l 04 POLYVINYL CHLORIDE t ) 05 CONCRETE <br /> ( i 06 ALUMINUM ( 107 STEEL CLAD ( ) 08 BRONZE ( )'09 COMPOSITE ( )' 10 NON-METALLIC <br /> t ) 12 UNKNOWN ( ) 13 OTHER- <br /> HSC04-070185 (10/18/85) PAGE 1 <br />