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STATE ID NUMBER 00000039604003 <br /> APPLICATION FOR : PE'R`MIT TO OPERATE UNDERGROUND STORAGE TANK <br /> ( ) 01 NEW PERMIT t ) 05 RENEWED PERMIT OSED ( ) 09 DELETE FROM FILE (NO FEED <br /> ( l 02 CONDITIONAL PERMIT f ) 06 AMENDED PERMIT ( l 08 MINOR C (NO SURCHARGE) <br /> I OWNER <br /> NAME(COPPORATION,INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> MOBIL OIL CORPORATION ( ) 01 FED ( ) 02 STATE ( ) 03 LOCAL <br /> STREET ADDRESS CITY STATE ZIP <br /> 612 SO. FLOWER STREET LOS ANGELES CA 90017 <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREM.AN/SUPERVISOR <br /> MOBIL 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/APER CODE TYPE OF BUSINESS <br /> 209-835-9724 (X) '01 GASOLINE STATION ( ) 02 OTHER <br /> NUMBER OF CONTAINERS RURAL AREAS ONLY : TOWNSHIP RANGE SECTION <br /> 4 <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 /> MONTS DE OCA, FRED 209-835-9724 ENGINEERING CENTER 213-583-6571 <br /> COMPLETE THE FOLLOWING ON A, SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( D 04 OTHER: CONTAINER NUMBER 3 <br /> B. MANUFACTURER (IF APPROPRIATE) UNKNOWN YEAR MFG: C. YEAR INSTALLED (X) UNKNOWN <br /> D. CONTAINER CAPACITY: 5000 GALLONS ( ) 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 ( ) 02 REGULAR ( ) 03 PREMIUM ( ) 04 DIESEL ( ) 05 WASTE OIL (X) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( ) GAUGE ( ) 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 ( l 02 STAINLESS STEEL t ) 03 FIBERGLASS .t ) 04 POLYVINYL CHLORIDE ( D 05 CONCRETE <br /> t ) 06 ALUMINUM ( D 07 STEEL CLAD ( ) 08 BRONZE { ) 09 COMPOSITE ( l 10 NON-METALLIC <br /> ( 12 UNKNOWN ( )_ 13 OTHER: <br /> HSC04-070585 (10/18/85) PAGE 1 <br />