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Permit Application •®�, <br /> fol New Permit ❑03 Installed before July 1, 1984 <br /> ❑o2 Provisional Permit O o. Installed after July 1, 1984 O os Renewed Permit ❑ oa Amended Permit <br /> I Owner <br /> Name(Corwrawn InOrwouaf Of PvOC Agenp,i <br /> Shell Oil Corporation <br /> Steer Ao&en Cay Sale ZIP <br /> 1390 Willow Pass Rd. , #900 Concord I CA I94520 <br /> II Facility <br /> FACIMfy Name <br /> Deme*'F oeman r Supervrso <br /> Shell Station To Be .Announced <br /> Sire"AOOress Nearest Class$heel <br /> Grant Line Rd. /I-205 Toste <br /> Cay Covwy ZIP <br /> Tracy San Joaquin <br /> Ma-mg AOoess Cay gate zip <br /> Prone.-area ewe Typo of Sus,nfrss <br /> oI Gasoline Station O oz Other <br /> NufraER or CONTAINERS Rural Areas Ta.nsm0 Range Sepgn <br /> AT TNIS 0AC1l ITT <br /> Only: <br /> .II 24 Hour Emergency Contact Person ° <br /> [:i�jeoav name ,,s,,an.Pno+e w a,ea cone N.gnfs Namer,aSt name f+sti ano Pnone w a,ra coop <br /> Newsome, 415-676-1414 Ext. 128 Ray Newsome <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV Description <br /> Gerwk..+M.eeeefasr Ill Inc.c 11 <br /> ro n„mor 41 5.9n On'A. ( I Tank ❑nt Other. <br /> B. Manufacturer(if appropriate): Owens Corning Year of Mfg.. 1990 C. Year Installed: 1990 ❑ Unknown <br /> D. Container Capacity: 12 , 0 09Ilons O Unknown E. Does the Container Store (Check One)_ O o+ Waste TJ oa Product <br /> F. Does the Container Store Motor Vehicle Fuel or Waste Oil? t of Yes O oz No If Yes. Check appropriate box(es) <br /> ❑b, Unleaded R)az Regular ❑os Prenium 17o. Diesel ❑os Waste Oil O oe Other (List). <br /> If you answered yes; do not complete Part VIII. <br /> i <br /> V Container Construction <br /> A. Thickness of Primary Containment: ❑ Gauge ❑ Inches ❑ cm If) Unknown <br /> B. O or Vaulted (Located in an underground Vault.) N 02 Non-vaulted O w Unknown <br /> C.X3 o, Double Walled O oa Single Walled ❑o3 Lined <br /> D O of Carbon Steel O o2 Stainless Steel Moa Fiberglass O o, Polyvinyl Chloride O 0s Concrete O os Aluminum <br /> O of Steel Clad O oe Bronze O o9 Composite O to Non-metallic ❑ rf Earthen Walls <br /> 0 r? Unknown 0 13 Other. <br />