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STATE ID NUMBER 00000001463001 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> f 01 NEW PERMIT t l 05 RENEWED PERMIT ( ) 07 TANK CLOSED ( ) 09 DELETE FROM FILE (NO FEE) <br /> 02 CONDITIONAL PERMIT t )'06 AMENDED PERMIT ( .) 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAME(COP.POPATION,INDIVIDVAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> CONTINENTAL TELEPHONE COMPANY ( ) 01 FED ( ) 02 STATE f } 03 LOCAL <br /> STREET ADDPESS CITY STATET92392 <br /> 16071 MOJAVE DRIVE VICTORVILLE CA <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREMAN/SUPERVISOR <br /> MANTECA CENTRAL OFFICE FRED GARNER <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 430 W. CENTER STREET SYCAMORE <br /> CITY " COUNTY ZIP <br /> MANTECA SAN JOAQUIN 95366 <br /> MAILING ADDRESS CITY STATE ZIP <br /> P.O. BOX 992 MANTECA CA 95366 <br /> PHONE W/AP.E.A CODE TYPE OF BUSINESS <br /> 209-239-4111 ( ) 01 GASOLINE STATION (X) 02 OTHER GENERATOR <br /> NUMBER OF CONTAINERS RURAL AREAS ONLY TOWNSHIP RANGE SECTION <br /> 1 <br /> I11 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAME(LA.ST NAME FIRST) AND PHONE W/AREA CODE NIGHTS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE <br /> SCHMIDT, MIKE 209-239 t, - <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( J 04 OTHER CONTAINER NUMBER 1 <br /> B. MANUFACTURER (IF APPROPRIATE): STATION MFG. YEAR MFG: 1983 C. YEAR INSTALLED 1984 [ } UNKNOWN <br /> D. CONTAINER CAPACITY: 3000 GALLONS ( I UNKNOWN JE. DOES 'THE CONTAINER STORE: t ) 01 WASTE (X) 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL-? (X) 03 YES t ) 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br /> t ) 01 UNLEADED ( ) 02 REGULAR ( ) 03 PREMIUM (X) 04 DIESEL t l 05 WASTE OIL t ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( l 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 t ) '02 SINGLE WALLED' ( ) 03 LINED <br /> D. ( ) 01 CARBON STEEL ( l 02 STAINLESS STEEL03 FIBERGLASS t ) 04 POLYVINYL CHLORIDE f ) 05 CONCRETE <br /> ( ) 06 ALUMINUM t ) 07 STEEL CLAD t ) 08 RONZE 44H 09 COMPOSITE t 1 10 NON-METALLIC <br /> ( ) 12 UNKNOWN t 7'13 OTHER: <br /> HSC04-070185 (10/18/85] PAGE 1 <br />