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STATE ID NUMBER 00000066457002 <br /> APPLICATION FOR PERMIT TO <br /> GROUND STORAGE TANK <br /> ( ) 05 RENEWED PERM 07 TA) ' ( ) 09 DELETE FROM FILE (NO FEE) <br /> l ) O1 NEW PERMIT <br /> ( 1 02 CONDITIONAL PERMIT ( I Ob AMENDED PERM NOR CH NO SURCHARGE) <br /> I OWNER <br /> PUBLIC AGENCY ONLY <br /> NAME(CORPORATION.INDIVIDUAL OR PUBLIC AGENCY) ( ) 01 FED ( 1 02 STATE ( 1 03 LOCAL <br /> CARNATION COMPANY <br /> CITY STATE �90036 <br /> STREET ADDRESS LOS ANGELES CA <br /> 5045 WILSHIRE BOULEVARD <br /> II FACILITY <br /> DEALER/FOREMAN/SUPERVISOR <br /> FACILITY NAME <br /> CARNATION DAIRIES <br /> NEAREST CROSS STREET <br /> STREET ADDRESS PARK ST. <br /> 540 N. AURORA <br /> 4SAN <br /> UNTY ZIP <br /> CITY JOAQUIN 95202 <br /> STOCKTON <br /> STATE ZIP <br /> MAILING ADDRESS ON CA 95202 <br /> 540 N. AURORA <br /> PHONE W/AREA CODE TYPE OF BUSINESS <br /> 209-464-9828 ( ) O1 GASOLINE STATION (X) 02 OTHER DAIRY DISTRIBUTOR <br /> NUMBER OF CONTAINERS RURAL AREAS ONLY TOWNSHIP 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 /> DICK MCCLANAHAN 209-464-9828 DICK MCCLANAHAN 209-957-2107 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK l ) 04 OTHER: CONTAINER NUMBER STK 6-2 <br /> B. MANUFACTURER (IF APPROPRI Y MOWN EYEAR MFG: C. YEAR INSTALLED (X) UNKNOWN <br /> D. CONTAINER CAPACITY: 3500 GALLO ( ) UNKNOWN E. DOES THE CONTAINER STORE: ( 1 01 WASTE (X) 02 PRODUCT <br /> F. DOES THE CONTAINER ST E MOTOR VE LE FUEL OR WASTE OIL ? t ) 01 YES ( ) 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br /> ( ) O1 UNLEADED (X) 02 GULA t ) 03 PREMIUM ( ) 04 DIESEL 1 ) 05 WASTE OIL ( ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: l ) GAUGE f ) INCHES ( ) CM (X) UNKNOWN <br /> B. ( 1 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ( ) 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED ( ) 02 SINGLE WALLED ( ) 03 LINED <br /> D. l I 01 CARBON STEEL ( ) 02 STAINLESS STEEL ( ) 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE f ) 05 CONCRETE <br /> ( ) 06 ALUMINUM ( 1 07 STEEL CLAD ( 108 BRONZE ( ) 09 COMPOSITE / ) 10 NON-METALLIC <br /> (X) 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (08/29/86) PAGE 1 <br />