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~� v STATE ID NUMBER 004063817002 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> [ 1 01 NEW PERMIT f 1 05 RENEWED PERMIT ( ) 07 TANK CLOSED ( ) 09 DELETE FROM FILE (NO FEE) <br /> ( 1 02 CONDITIONAL PERMIT ( 1 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAME(CORPORATION.INDIVIDVAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> GOLD BOND BUILDING PRODUCTS ( 1 01 FED ( ) 02 STATE ( ] 03 LOCAL <br /> STREET ADDRESS CITY STATE ZZP <br /> 800 W. CHURCH ST. STOCKTON CA 95203 <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREMAN/SUPERVISOR <br /> GOLD BOND BUILDING PRODUCTS <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 800 W. CHURCH ST. LINCOLN <br /> CITY COUNTY ZIP <br /> STOCKTON SAN JOAQUIN 95203 <br /> MAILING ADDRESSCZTY STATE ZIP <br /> 800 W. CHURCH ST. STOCKTON CA 95203 <br /> PHONE W/AREA CODE TYPEOF BUSINESS <br /> 209-466-5251 ( ) 01 GASOLINE STATION (X1 02 OTHER PAPER MILL <br /> NUMBER OF CONTAINERS RURAL AREAS ONLY : TOWNSHIP RANGE SECTION <br /> 3 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NA MEf LAST NAME FIRST) AND PHONE W/AREA CODE NIGHTS: NAM!(IAST NAME FIRST) AND PHONE W/ARlA CODE <br /> ROGER AVERY 209-466-5251 AVERY. ROGER 209-478-0592 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( ) 04 OTHER: CONTAINER NUMBER NO. 2 <br /> B. MANUFACTURER (IF APPROPRIATE): YLFA#lFG: 1918 C. YEAR INSTALLED 1918 ( ) UNKNOWN <br /> D. CONTAINER CAPACITY: 7040 GALLONS ( l UNKNOWN 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 BOXf ES): <br /> ( 1 01 UNLEADED f ) 02 REGULAR f ) 03 PREMIUM f ) 04 DIESEL f ) OS WASTE OIL f ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: 4" ( 1 GAUGE (X) INCHES ( ) CM f ) UNKNOWN <br /> B. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ( ) 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED tX) 02 SINGLE WALLED f 1 03 LINED <br /> 0. ( 7 01 CARBON STEEL l ) 02 STAINLESS STEEL l ) 03 FIBERGLASS 1 ) 04 POLYVINYL CHLORIDE (X) 05 CONCRETE <br /> f ) 06 ALUMINUM ( 7 07 STEEL CLAD ( 1 08 BRONZE f ) 09 COMPOSITE ( 1 10 NON-METALLIC <br /> ( l 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br />