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STATE ID NUMBER 00000065248001 <br /> APPLICATION FOR PERMIT TO OPERATEUNDERGROUND STORAGE TANK <br /> t ) 05 RENEWED PERMIT ( ) 07 TAW CLOSED ( ) 09 DELETE FROM FILE (NO FEE) <br /> ( ) 02 <br /> lcITI L PERMIT ( ) 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAME(CORPORATION.INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> QUIK STOP MARKETS: INC. ( ) 01 FED t ) 02 STATE t `) 03 LOCAL <br /> STREET ADDRESS CITY STATE ZIP '' <br /> 4567 ENTERPRISE STREET FREMONT CA 94538 <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREMAN/SUPERVISOR <br /> QUIK STOP 14ARKET 125 RICHARD CONSTANTINO <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 1580 W. MAIN ST. JACKTONE RD <br /> CITY COUNTY ZIP <br /> RIPON SAN JOAQUIN 95366 <br /> MAILING ADDRESS CITY STATE ZIP <br /> PO BOX 5745 FREMONT CA 94537 <br /> PHONE W/AREA CODE TYPE OF BUSINESS <br /> 209-599-2251 (X) 01 GASOLINE STATION ( ) 02 OTHER <br /> NUMBER, OF CONTAINERS RURAL AREAS ONLYTOWNSHIP RANGE SECTION <br /> 3 <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 /> `RICH CONSTANTINO 209-599-2251 STEVE CHASE 415-657-8500 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) Ol TAW [ ) 04 OTHER: CONTAINER NUMBER I <br /> B. MANUFACTURER (IF APPROPRIATE): XERXES YEAR MFG: 1985 C. YEAR INSTALLED 1985 ( ) UNKNOWN <br /> 0. CONTAINER CAPACITY: 10000 GALLONS t ) UNKNOWN E. DOES THE CONTAINER STORE: (X) 01 WASTE t ) 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 (X) 02 REGULAR ( ) 03 PREMIUM t ) 04 DIESEL t l 05 WASTE OIL t ) 06 OTHER <br /> Y CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: 0.35 ( ) GAUGE (X) INCHES ( ) CM ( ) UNKNOWN <br /> B. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 —VAULTED ( ) 03 UNKNOWN <br /> C. (X) 01 DOUBLE WALLED ( ) 02 SINGLE WALLED t ) 03 LINED <br /> D. t ) 01 CARBON STEEL ( ) 02 STAINLESS STEEL (X) 03 FIBERGLASS t l 04 POLYVINYL CHLORIDE t ) 05 CONCRETE <br /> t ) 06 ALUMI t ) 07 STEEL CLAD t l 08 BRONZE ( ) 09 COMPOSITE t ) 10 NON—METALLIC <br /> t ) 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (05/05/86) PAGE 1 <br />