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%./ STATE ID NUMBER 00000064661002 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> o01 NEW PERMIT f ) 05 RENEWED PERMIT t 0 CLOSED5 /8 /g ( ) 09 DELETE FROM FILE (NO FEE) <br /> (' l 02 CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT ) OC 8 MINOR CHANGB/( Sl1RCHARGEI <br /> I OWNER <br /> NAME(COPPORATION,INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> CAL-TRANS ( ) 01 FED ( ) 02 STATE ( ) 03 LOCAL <br /> STREET ADDRESS CITY STATE ZIP <br /> 1976 E. CHARTER WAY STOCKTON CA 95205 <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREMAN/SUPERVISOR <br /> DISTRICT 9FftCL-/Q r r( <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 1976 E. CHARTER WAY CHRTR. WAY/B ST. <br /> CITY COUNTY ZIP <br /> STOCKTON SAN JOAQUIN 95205 <br /> MAILING ADDRESS CITYSTATE ZIP <br /> P.O. BOX 2048 STOCKTON CA 95201 <br /> PHONE W/A:EA CCCE TYPE OF BUSINESS <br /> 209-948-7246 ( ) 01 GASOLINE STATION (X) 02 OTHER MAINTENANCE STATION <br /> NUMBER OF CONTAINERS RURAL AREAS ONLY TOWNSHIP RANGE SECTION <br /> 2 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: (LAST NAME FIRST) AND PHONE W/AREA CODE NIGHTS: NAME(L T NAME FIRST) AND PHONE W/AREA CODE <br /> SWEETEN, GARY 209-948-3871 dACK-7B- ---- Carr 366-559-1— <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( ) 04 OTHER: CONTAINER NUMBER 308A <br /> B. MANUFACTURER (IF APPROPRIATE]: YEAR MFG: C. YEAR INSTALLED (q7 (-X7 UNKNOWN <br /> 0. CONTAINER CAPACITY: 275 GALLONS ( ) UNKNOWN I E. DOES THE CONTAINER STORE: [ ) 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 /> l ) 01 UNLEADED ( 1 02 REGULAR ( 103 PREMIUM ( ) 04 DIESEL ( 1 05 WASTE OIL 1 1 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( ) GAUGE ( ) INCHES ( ) CM (X) UNKNOWN <br /> B. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) 1 02 NON-VAULTED W,)- 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED ( ) 02 SINGLE WALLED ( 1 03 LINED <br /> D. ( ) 01 CARBON STEEL f ) 02 STAINLESS STEEL l 1 03 FIBERGLASS l ) 04 POLYVINYL CHLORIDE 1 ) 05 CONCRETE <br /> ( ) 06 ALUMINUM ( ) 07 STEEL CLAD ( 1 08 BRONZE ( 1 09 COMPOSITE ( ) 10 NON-METALLIC <br /> (X) 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br />