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STATE ID NUMBER 00000001922002 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND' STORAGE TANK <br /> 01 NEW PERMIT t ) 05 RENEWED PERMIT ( ) 07 TANK CLOSED ( 1 09 DELETE FROM FILE (NO FEE) <br /> 02 CONDITIONAL PERMIT ( D 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAME(CORPORATION,INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> DSS COMPANY ( ) 01 FED ( ) 02 STATE ( ) 03 LOCAL <br /> STREET ADDRESS CITY STATE ZIP <br /> 639 WEST CLAY STREET STOCKTON ICA 95206 <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREMAN/SUPERVISOR <br /> DSS COMPANY BOYD GROVES <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 639 WEST CLAY STREET HARRISON <br /> CITY COUNTY ZIP <br /> STOCKTON SAN JOAQUIN 95206 <br /> MAILING ADDRESS CITY STATE ZIP <br /> PO BOX STOCKTON CA 952o , <br /> PHONE W/AREA CODE TYPE OF BUSINESS <br /> 209-948-0302 4 ) 01 GASOLINE STATION (X) 02 OTHER CONSTRUCTION <br /> NUMBER OF CONTAINERS RURAL AREAS ONLY : TOWNSHIP RANGE SECTION <br /> 4 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAME(LAST NAME FIR"ST) AND PHONE W/AREA CODE NIGHTS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE <br /> DUNN, PHILIA 209-948-0302 SILVA, DAN 209-466-9929 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A.-(X) 01 TANK ( ) 04 OTHER: CONTAINER NUMBER 2 <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFC: C. YEAR INSTALLED (X) UNKNOWN <br /> D. CONTAINER CAPACITY: 10000 GALLONS t ) 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 t ) 02 REGULAR ( ) 03 PREMIUM -(X) 04 DIESEL { 105 WASTE OIL t ) 06 OTHER <br /> V CO.NTAI;NER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: t ) GAUGE ( ) INCHES ( ) CM (X) UNKNOWN <br /> B. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) 161 <br /> 02 -VAULTED 0"`03 UNKNOWN <br /> C. t ) 01 DOUBLE WALLED ( 1 02 SINGLE WALLED ( ) 03 LINED <br /> D. ) 01 CARBON STEEL ( ) 02 STAINLESS STEEL ( ) 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE ( ) 05 CONCRETE <br /> ( l 06 ALUMINUM (• } 07 STEEL CLAD ( ) 08 BRONZE ( ) 09 COMPOSITE ( ) 10 NON-METALLIC <br /> ( ) 12 UNKNOWN { ) 13 OTHER <br /> HSC04-070185 (10/18/85) PAGE 1 <br />