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STATE ID NUMBER 00000013358002 <br /> APPLICATION FOR PERMIT TO OPERATE UNDER ROUND STORAGE TANK <br /> l <br /> 01 NEW PERMIT ( 7 05 RENEWED PERMIT fyQ 07 TANK CLOSED ti f l 09 DELETE FROM FILE (NO FEE) <br /> 02 CONDITIONAL PERMIT f ) 06 AMENDED PERMIT 'd 1 O8 MINOR tRAR�E (NO SURCHARGE) <br /> I OWNER <br /> NAME-(COP.PCPATION.INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> NIMELLINI -TetLr- m:s ( ) 01 FED ( 1 02 STATE 1 ) 03 LOCAL <br /> STPEET ADDRESSp q /I,y CITY STATE ZIP <br /> C 3C W/ ` �N�{lc� STOCKTON CA 95206 <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREMAN/SUPERVISOR <br /> NAMELLINI TOOL RENTAL ROY GODFREY <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 1045 W CHARTER WAY ARGONAUT <br /> CITY COUNTY ZIP <br /> STOCKTON SAN JOAQUIN 95206 <br /> MAILING ADDRESS CITY STATE ZIP <br /> 1045 W CHARTER WAY STOCKTON CA 95206 <br /> PHONE W/AREA CODE TYPE OF BUSINESS <br /> 209-466-5721 ( ) 01 GASOLINE STATION (X) 02 OTHER TOOL RENTAL YARD <br /> NUMBER OF CONTAINERS RURAL AREAS ONLY TOWNSHIP RANGE SECTION <br /> 2 <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 /> GODFREY, ROY 209-466-5721 GODFR EYE ROY 209-462-3077 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( 1 04 OTHER: CONTAINER NUMBER 2 <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: C. YEAR INSTALLED (X) UNKNOWN <br /> D. CONTAINER CAPACITY: 1000 GALLONS ( 1 UNKNOWN E. DOES THE CONTAINER STORE: f 7 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 /> ( ) 01 UNLEADED ( ) 02 REGULAR ( ) 03 PREMIUM (X) 04 DIESEL ( 1 05 WASTE OIL ( ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> D <br /> A. THICKNESS OF PRIMARY CONTAINMENT: 1 1 GAUGE f 1 INCHES f ) CM (X) UNKNOWN <br /> S. l 1 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) 02 NON-VAULTED 4)H'03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED ( ) 02 SINGLE WALLED ( 1 03 LINED <br /> 0. ( ) 01 CARBON STEEL f 7 02 STAINLESS STEEL f ) 03 FIBERGLASS ( 7 04 POLYVINYL CHLORIDE f 1 05 CONCRETE <br /> ( ) 06 ALUMINUM (X) 07 STEEL CLAD ( l 08 BRONZE ( 1 09 COMPOSITE ( ) 10 NON-METALLIC <br /> ' ( ) 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br />