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STATE ID NUMBER 00000024753001 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> j��01 NEW PERMIT l 1 05 RENEWED PERMIT ( ) 07 TANK CLOSED ( ) 09 DELETE FROM FILE (NO FEE) <br /> t ) 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 /> PACIFIC GAS AND ELECTRIC COMPA ( ) 01 FED f ) 02 STATE f ) 03 LOCAL <br /> STREET ADDRESS CITYSTATE ZIP <br /> 77 BEALE STREET SAN FRANCISCO CA 94106 <br /> II FACILITY / p <br /> FACILITY NAME G'-4. 1 DEALER/FOREMAN/SUPERVISOR <br /> Ose o !!!_���LLLFFKCVJ-��1_ WILLIAM J. FRAZIER <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 535 S. CENTER STREET CHURCH STREET <br /> CITY COUNTY ZIP <br /> i STOCKTON SAN JOAQUIN 95202 <br /> �MAZLING ADDRESS CITY STATE ZIP <br /> ?.0. BO% 930 STOCKTON CA 95201 <br /> "SONE W/AREA CODE TYPE OF BUSINESS <br /> :'09-463-6805 ( l 01 GASOLINE STATION (X) 02 OTHER PUBLIC UTILITY <br /> .:V MM3ER OF CONTAINERS RURAL AREAS ONLY TOWNSHIP RANGE SECTION <br /> 1 <br /> II 24 HOUR EMERGENCY CONTACT PERSON <br /> GAYS' NAME(LAST NAME FIRST) AND PHONE W/AREA CODE NIGHTS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE <br /> D(VISION OPERATOR 209-465-6947 DIVISION OPERATOR 209-465-3867 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (%) 01 TANK ( ) 04 OTHER= CONTAINER NUMBER 8 <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: C. YEAR INSTALLED 1979 f ) UNKNOWN <br /> D. CONTAINER CAPACITY: 5000 GALLONS ( ) UNKNOWN E. DOES THE CONTAINER STORE: ( ) 01 WASTE (X) 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? (X) 01 YES ( ) 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br /> (X) 01 UNLEADED ( ) 02 REGULAR ( l 03 PREMIUM [ ) 04 DIESEL ( ) 05 WASTE OIL ( ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( 1 GAUGE ( ) INCHES ( ) CM (X) UNKNOWN <br /> B. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ( ) 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED ( ) 02 SINGLE WALLED 1 ) 03 LINED <br /> 0. f ) 01 CARBON STEEL f ) 02 STAINLESS STEEL ( ) 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE ( ) 05 CONCRETE <br /> ( ) 06 ALUMINUM f ) 07 STEEL CLAD ( ) 08 BRONZE l ) 09 COMPOSITE f ) 10 NON-METALLIC <br /> IX) 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br /> , t <br />