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STATE 10 <br /> UMBER <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGENTANK 00000019742002 <br /> ( ) 01 NEW PERMIT ( ) 05 RENEWED PERMIT <br /> ( ) 02 CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT ( p- Te NK—CLnsc- <br /> ( ) De .••.:R CoMNGE (NO SURCHARGE) 09 DELETE FROM FILE (NO FEE) <br /> I OWNER <br /> NAME(CORPORATION,INDIVIDUAL OR PUBLIC AGENCY) <br /> E.F.MITCHLER Co. <br /> PUBLIC AGENCY ONLY <br /> STREET ADDRESS ( ) 11 FED ( ) 02 STATE f ) 03 LOCAL <br /> 400 S LINCOLN STREET cxry <br /> STOCKTON STATE IIP <br /> I <br /> CI FACILITY A 95203 <br /> FACILITY NAME <br /> VALLEY WELDING DEALER/FOREMAN/SUPERVISOR <br /> STREET ADDRESS <br /> 1.030 N UNION ST NEAREST CROSS STREET <br /> CITY <br /> ACACIA <br /> STOCKTON COUNTY <br /> SAN JOAQUIN IIP <br /> MAILING ADDRESS 95205 <br /> 1030 N UNION ST CITY <br /> STOCKTON STATE ZIP <br /> PHONE W/AREA CODE CA 95205 <br /> 209-465-5684 TYPE OF BUSINESS <br /> f 7 <br /> NUMBER NTAINE RS 01 GASOLINE STATION (X) 02 OTHER <br /> �,&! F;yle RURAL AREAS ONLY TOWNSHIP <br /> RANGE SECTION <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE <br /> NIGHTS: NpMEfLAST NAME FIRST) AND PHONE W/gREA CODE <br /> KLEIN, ROBERT 209-466-8941 <br /> KLEIN, ROBERT 209-478-5528 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( ) 04 OTHER: <br /> CONTAINER NUMBER,,¢.:N <br /> B. MANUFACTURER (IF APPROPRIATE): <br /> YEAR MFG: E. YEAR INSTALLED (Xl UNKNOWN <br /> D. CONTAINER CAPACITY: GALLONS (X1 UNKNOWN E. DOES THE CONTAINER STORE: ( ) 01 WASTE ( 7 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? <br /> ( ) <br /> 01 UNLEADED f ) 02 REGULAR ( ) 03 PREMIUM ( ) 04 OZESEL 0f )E05 WASTE20IOL (II 0630TH OTHER APPROPRIATE BOXES): <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( ) GAUGE ( 7 INCHES ( ) CM (X7 UNKNOWN <br /> 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) ( 1 02 NON-VAULTED (X) 03 UNKNOWN <br />=• ( ) <br /> 01 DOUBLE WALLED ( 7 02 SINGLE WALLED ( ) 03 LINED <br /> 01 CARBON STEEL ( ) 02 STAINLESS STEEL ( ) 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE ( 1 05 CONCRETE <br /> ( ) 06 ALUMINUM ( ) 07 STEEL CLAD ( ) 08 BRONZE ( ) <br /> (X) 12 UNKNOWN 13 OTHER: <br /> 09 COMPOSITE ( ) 10 NON-METALLIC <br />-------------- <br /> ( ) <br /> C04-070185 (10/18/85) <br /> PAGE 1 <br />