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Permit Application <br /> I of New Permit p oa Installed before July 1, 1984 <br /> O oa Provisional Permit O oA Installed after July 1, 1984 O os Renewed Permit p oe Amended Permit <br /> I Owner <br /> Nem!(COrPOralgn 1RO-Owl at Pvf.-.0 Agency) <br /> t <br /> 1 <br /> SheU_ Oil Cor oration <br /> Sreet Aaoess Cay Sate ItP <br /> 1390 Willow Pass Rd. , #900 Concord CA j94520 <br /> II Facility <br /> Facwy Name Oeste+ ':oen+anr5uoe,r" <br /> Shell Station To Be .Announced <br /> Som Ao&ess Nearest Crass street <br /> Grant Line Rd. /I-205 Toste <br /> Cp Co,rwy Zip <br /> Tracy San Joaquin <br /> 44aAna AOoess Cay State ZIP <br /> Phone.. a,ea cone TyPe of Bus,MSS <br /> LSI of Gasoline Station 0 0 Other <br /> NYMat rt O/ CON TAIN CR3 Rural AnaE Tornsn,p Flange seppr, <br /> AT TN IS VAC,L VY <br /> on4y: <br /> .II 24 Hour Emergency Contact Person <br /> Oars Name t1aA name tnstt aha Prone w area cone N,gnry Name,,ast name ersn ano Pnon <br /> C e,na coop <br /> Ray Newsome, 415-676-1414 Ext. 128 Ray Newsome <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV Description <br /> C.M�I"—"*r Itt m.C's no numtX as S9n 01— <br /> A. Off, Tank O gx Other. <br /> B. Manufacturer(it appropriate): Owens Corning Year of Mt®.: 1990TC- Year Installed: 1990 Q Unknown <br /> I <br /> D. Container Capacity: _12_.,_0 Oallons O Unknown E. Does the Container Store (Check One): O of Waste N m Product <br /> I <br /> F. Does the Container Store Motor Vehicle Fuel or Waste Oil? X3 of Yes O oz No It Yes. Check appropriate box(es) <br /> 0at Unleaded O oz Regular �0 os Premium kjoa Diesel O os Waste Oil ❑oe Other (List) <br /> If you answered yes; do not complete Part VIII, <br /> V Container Construction <br /> A. Thickness of Primary Containment: O Gauge ❑ Inches ❑ cm It Unknown <br /> B. O of Vaulted(Located in'an underground Vault.) gi oz Non-vaulted O os Unknown <br /> C.X3 of Double Walled O oa Single Walled O o Lined <br /> D O o) Carbon Steel ❑or Stainless Steel 1X03 Fiberglass O a Polyvinyl Chloride O os Concrete O of Aluminum <br /> ❑o? Steel Clad ❑ce Bronze O oa Composite O to Non-metallic O 1, Earthen Walls <br /> 0 tl Unknown 0 13 Other: _ <br />