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0 <br /> STATE ID NUMBER 00000065248002 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> t ) 01 P t l tis RENEWED PERMIT ( ) 07 TA CLOSED { ) 09 DELETE FROM FILE (NO FEE) <br /> 02 C ITI AL PERMIT t ) 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO CHARGE) <br /> I OWNER <br /> NAME(CORPORATION,INDIVIDUAL OR PUBLIC AGENCY) LIC AGENCY ONLY <br /> QUIK STOP MARKETSt INC. i ) 01 FED ( ) 02 STATE ( ) 03 LOCAL <br /> STREET ADDRESS CITY STATE ZIP <br /> 4567 ENTERPRISE STREET FREMONT CA 94538 <br /> II FACILITY <br /> FACILITY NAME DIALER/FOREMAN/SUPERVISOR <br /> QUIK STOP MARKET 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 jFREl;tONT <br /> Y STATE ZIP <br /> PO BOX 5745 CA 94537 <br /> PHONE W/AREA CODE TYPE OF BUSINESS <br /> 209-599-2251 (X) 01 GASOLINE STATION t ) 02 OTHER <br /> NUMBER OF CONTAINERS RURAL AREAS ONLY : ; TOWNSMIP RANGE SECTION <br /> 3 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE JNIGHTS: NAME(LAST 'NAME FIRST) AND PHONE W/AREA CODE <br /> RICH C TANTINO 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) 01 TA ( ) 04 OTHER: CONTAINER NUMBER 2 <br /> B. MANUFACTURER (IF APPROPRIATE): XERXES YEAR MFG: 1985 C. YEAR INSTALLED 1985 t DUNKNOWN <br /> 0. CONTAINER CAPACITY: 10000 GALLONS ( ) 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) 01 YES ( ) 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br /> (X) 01 UNLEADED i ) 02 REGULAR ( ) 03 PREMI ( ) 04 DIESEL ( ) 05 WASTE OIL t ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: 0.35 ( ) GAUGE t ) INCHES ( ) CM IX) UNKNOWN <br /> B. ( ) 01 VAULTED (LOCATED IN AN ERGR VAULT) (X) 02 NON-VAULTED ( ) 03 UNKNOWN <br /> C. (X) 01 DOUBLE WALLED { ) 02 SINGLE WALLED ( ) 03 LINED <br /> D. t ) 01 CARBON STEEL t ) 02 STAINLESS STEEL (X) 03 FIBERGLASS "( ) 04 POLYVINYL CHLORIDE t ) 05 CONCRETE <br /> t ) 06 ALUMINUMt )-07 STEEL CLAD ( ) 08 BRONZE t Y 09 COMPOSITE t ) 10 -METALLIC <br /> t l 12 UNKNOWNt ) 13 OTHER: <br /> HSC04-070185 (05/05/86) PAGE 1 <br />