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STATE ID NUMBER 00000065391005 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> ) O1 NEW PERMIT ! 1 05 RENEWED PERMIT ( ) 07 TANK CLOSED ( ) 09 DELETE FROM FILE (NO FEE) <br /> 1 02 CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAME(CORPORATION,INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> SHINKO ELECTRIC AMERICA, INC. ( ) 01 FED i ) 02 STATE E ) 03 LOCAL <br /> STREET ADDRESS =SANTA <br /> STATE ZIP <br /> 4701 PATRICK HENRY DRIVE, $tBCj�' CLARA ICA 95054 <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREMAN/SUPERVISOR <br /> SHINKO ELECTRIC AMERICA, INC. ll—K{1BAY#3lt!^ f <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 551 CARNEGIE STREET <br /> CITY COUNTY ZIP <br /> MANTECA SAN JOAQUIN 95336 <br /> MAILING ADDRESS CITY STATE ZIP <br /> P_0. Box 1208 ]MAtNfTECA CA 95336 <br /> PHONE W/AREA CODE TYPE OF BUSINESS <br /> 209-239-6559 t ) 01 GASOLINE STATION (X) 02 OTHER �y fC <br /> NUMBER OF CONTAINERS RURAL AREAS ONLY : TOWNSHIP RANGE SECTION <br /> 7 <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 /> BUETTNER, BILL 209-239-6559 BUETTNER, BILL 209-524-9509 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( ) 04 OTHER: CONTAINER NUMBER T-19 <br /> B. MANUFACTURER (IF APPROPRIATE): TANKINETECS YEAR MFG: 1984 C. YEAR INSTALLED 1984 ( } UNKNOWN <br /> D. CONTAINER CAPACITY: 564 GALLONS ( ) UNKNOWN E. DOES THE CONTAINER STORE: ( 1 01 WASTE (X) 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? ( ) 01 YES (X) 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br /> ( ) 01 UNLEADED ( ) 02 REGULAR ( ) 03 PREMIUM ( ) 04 DIESEL ( l 05 WASTE OIL ('C)_06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: 1/4 ( ) GAUGE (X) INCHES ( ) CM ( ) UNKNOWN <br /> B. (X) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) ( l 02 NON-VAULTED ( ) 03 UNKNOWN <br /> C. ( 1 01 DOUBLE WALLED (X) 02 SINGLE WALLED 1 l 03 LINED <br /> D. d ) O1 CARBON STEEL f l 02 STAINLESS STEEL ( ) 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE [ } 05 CONCRETE <br /> [ ) 06 ALUMINUM ( ) 07 STEEL CLAD ( l 08 BRONZE l 1 09 COMPOSITE ( ) 10 NON-METALLIC <br /> [ 1 12 UNKNOWN (X) 13 OTHER: FRPL44`;i tc <br /> HSC04-070185 (05/05/86) PAGE 1 <br />