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STATE ID NUMBER 00000012412001 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> At I NEW PERMIT ( D 05 RENEWED PERMIT ( ) 07 TANK CLOSED ( ) 09 DELETE FROM FILE:( FEE) <br /> ) 02 CONDITIONAL PERMIT ( D 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> N.AME(CORPORATION,INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> THE SOUTHLAND CORPORATION ( 1- 01 FED t ) 02 STATE { l 03 LOCAL <br /> STREET ADDRESS =VLEASANTON <br /> STATE ZIP <br /> 5820 STONER'ZDGE )'CALL ROAD, #31 CA 9456, <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREMAN/SUPERVISOR <br /> 7-ELEVEN FOOD STORE 2243-2063 MARY YOUNG <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 4.627 DAVINCI DRIVE MARCH LANE <br /> CITY COUNTY ZIP <br /> STOCKTON SAN JOAQUIN 95207 <br /> MAhLLNG ADDRESS CITY STATE ZIP <br /> 293' VENEMAN ROAD MODESTO CA 95356 <br /> PHCNE W/AREA CCDE TYPE OF BUSINESS <br /> 209-5 (r - (X) 01 GASOLINE STATION t ) 02 OTHER - <br /> NUMBER OP CONTASNERS RURAL AREAS ONLY : TOWNSHIP RANeE SECTION <br /> 3 <br /> III 24 HOUR EMERGENCY CONTACT PERSON' <br /> DAYS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE NIGHTS: NAttE(IAST NAME FIRST) AND PHONE W/AREA CODE <br /> TOM EFAW 209-578-9X6 TOM EF'AW 209-527-0870 <br /> C'OM'PLETE THE FOLLOWING ON A, SEPARATE FORM; FOR EACH CONTAINER <br /> IV DESCRIPTI.ON <br /> A. (X) 01 TAW ( ) 04 OTHER= CONTAINER NUMBER I <br /> 5. MANUFACTURER (IF APPROPRIATE'): STOCKTON IRON WORKS YEAR MFG: C. TAR INSTALLED 1979 E ) UNKNOWN <br /> 0. CONTAINER CAPACITY: 10000 GALLONS t ) UNKNS THE CONTAINER STORE: ( ) OI WASTE (X) 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? (X) 01 YES t l 02140 IF YES CHECK APPROPRIATE BOX(ES): <br /> 01 UNLEADED (X) 02 REGULAR. E D -03 PREMIUM t l 04 DIESEL { ) 05 WASTE OIL ( '106 OTHER <br /> V CONTAIN>ER CONSTRUCTI;ON <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( D GAUGE ( D INCHES f° ) 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 t D 03 LINED <br /> D'. (XI 01 CAR80N STEEL f l 42 STAINLESS STEEL t l 03,FIBERGLASS E l 04 POLYVINYL CHLORIDE t ) 05 CONCRETE <br /> t D 06 ALUMINUM C ),07 STEEL CLAD t 1 08 BRONZE t J 09 COMPOSITE t 1 10 NON-METALLIC <br /> ( D 12 UNKNOWN ( l 13 OTHER: <br /> HSC04-07016,5 (10/18/55) PAGE I <br />