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STATE I0 NUMBER 00000013358001 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> J�<,J.01 NEW PERMIT ( 1 05 RENEWED PERMIT ( ) 07 TANK CLOSED ( 1 09 DELETE FROM FILE (NO FEE) <br /> l 1 02 CONDITIONAL PERMIT f ) 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAME(CDR PCP.ATION.IND IVIDUAL OR PUBLIC AGENCY) PUBLIC IC FED NC[ ONLY <br /> 02 STATE f 7 03 LOCAL <br /> NOMELLINI FB&—REIFFM1k (6A(�j C <br /> STREET ADDRESS CITY STATE ZIP <br /> 144s -44A.Y ¢rjC� STOCKTON CA 95206 <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREMAN/SUPERVISOP <br /> NfMELLINI TODL 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 /> MAIL:NO ADDRESS CITY STATE ZIP <br /> 1045 W CHARTER WAY STOCKTON CA 95206 <br /> PHONE W/AREA CODE ITYPE OF BUSINESS <br /> 209-466-5721 1f 1 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 GODFREY, ROY 209-462-3077 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. IX) 01 TANK ( ) 04 OTHER: CONTAINER NUMBER 1 <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: C. YEAR INSTALLED (X) UNKNOWN <br /> D. CONTAINER CAPACITY: 1000 GALLONS ( ) UNKNOWN E. DOES THE CONTAINER STORE: (X) 01 WASTE f 1 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 /> I ) 01 UNLEADED (X) 02 REGULAR ( ) 03 PREMIUM ( ) 04 DIESEL ( 1 05 WASTE OIL ( 1 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: f ) GAUGE f ) INCHES ( 1 CM (X) UNKNOWN <br /> B. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) ((J 02 NON-VAULTED (XJ• 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED ( 1 02 SINGLE WALLED t 1 03 LINED <br /> D. ( ) 01 CARBON STEEL f 1 02 STAINLESS STEEL f 1 03 FIBERGLASS f ) 04 POLYVINYL CHLORIDE ( ) 05 CONCRETE <br /> ( ) 06 ALUMINUM (X) 07 STEEL CLAD t l 08 BRONZE ( 1 09 COMPOSITE ( ) 10 NON-METALLIC <br /> ( ) 12 UNKNOWN 1 ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br /> Sri �� <br />