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STATE ID NUMBER 00000001922004 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> 01 NEW PERMIT ( ) 05 RENEWED PERMIT ( ) 07 TANK CLOSED ( ) 09 DELETE FROM FILE (NO FEE) <br /> 02 CONDITIONAL PERMIT ( ) 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 YIP <br /> 639 WEST CLAY STREET STOCKTON CA .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 TCsTO <br /> Y STATE ZIP <br /> PO Box eiQ CKTON CA 952o V. <br /> PHONE W/AP,E.A CODE TYPE OF BUSINESS <br /> 209=948-0302 f ) 01 GASOLINE STATION (X) 02 OTHER CONSTRUCTION <br /> ECTYON <br /> NUMBER OF CONTAINERS RURAL AREAS ONLY TOWNSHIP RANGE S <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 /> DUNN, PHILIP 209-948-0302 SILVA, DAN 209-466-9929 <br /> COMPLETE THE FOLLOWING ON A SEPARATEFORMFOR EACH CONTAINER <br /> IV DESCRIPTIOi <br /> A. (X): 01 TANK t ) 04 OTHER: CONTAINER NUMBER 4 <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: C. YEAR INSTALLED tX) UNKNOWN <br /> D. CONTAINER CAPACITY: 10000 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) OI YES ( ) 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br /> (X) 01 UNLEADED ( ) 02 REGULAR ( ) 03 PREMIUM ( ) 04 DIESEL ( ? 05 WASTE OIL ( ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( ) GAUGE ( l INCHES f i CM (X) UNKNOWN <br /> B. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) %j.,02 NON-VAULTED W,-t 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED ( ) 02 SINGLE WALLED t l 03 LINED <br /> D. 01 CARBON STEEL ( ) 02 STAINLESS STEEL t ) 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE ( ) 05 CONCRETE <br /> ( ) 06 ALUMINUM ( ) 07 STEEL CLAD t ) 08 BRONZE ( ) 09 COMPOSITE ( l 10 NON-:METALLIC <br /> 60 12 UNKNOWN ( ) 13 OTHER <br /> HSC04-070185 (10/18/85) PAGE 1 <br />