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STATE ID NUMBER 0000006S248003 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> Ctt ) 01 NEW PERMIT t ) 05 RENEWED PERMIT ( ) 07 TANK CLOSED ( ) 09 DELETE FROM FILE (NO FEE) <br /> IONAL PERMIT t ) 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. ( l 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 DEALER/FOREMAN/SUPERVISOR <br /> QUIK STOP MARKET 125 RICHARD CONSTA14TINO <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 A]FREMONT <br /> Y STATE ZIP <br /> PO BOX 5745 CA 94537 <br /> ` PHONE W/AREA CODE TYPE OF BUSYNESS <br /> 209-599-2251 (X) Ol GASOLINE STATION ( ) 02 OTHER <br /> NUMBER OF CONTAINERS RURAL AREAS ONLY TOWNSHIP RANGE SECTION <br /> 3 <br /> I1I 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) 01 TAWt ) 04 OTHER: CONTAINER NL41BER 3 <br /> B. MANUFACTURER (IF APPROPRIATE): XERXES YEAR MFG: 1985 C. YEAR INSTALLED 1985 t ) UNKNOWN <br /> D. CONTAINER CAPACITY: 8000 GALLONSt ) UNKt 5 THE CONTAINER STORE: ( 3 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 APPROPRIATEBOX(ES): <br /> ( ) 01 UNLEADED t ) 02 REGULAR (X) 03 PREMI ( ) 04 DIESEL t ) 05 WASTE OIL ( l 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: 0.3S ( ) GAUGE (X) INCHES ( ) CM ( ) UNKNOWN <br /> B. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ( ) 03 UNKNOWN <br /> C. (X) 01 DOUBLE WALLED ( ) 02 SINGLE WALLED ( ) 03 LINED <br /> 0. ( ) 01 CARBON STEEL t ) 02 STAINLESS STEEL (X) 03 FIBERGLASS t ) 04 POLYVINYL CHLORIDE ( ) 05 CONCRETE <br /> t ) 06 ALUMI ( ') 07 STEEL CLADt ) 08 BRONZE ( ) 09 COMPOSITE t ) 10 -METALLIC <br /> t ) 12 UNKNOWN ( ,) 13 OTHER: <br /> HSC04-070185 (05/05/86) PAGE 1 ' <br />