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Furl <br /> STATE ID NUMBER 00000035002007 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> ( 1 <br /> 01 NEW PERMIT f 7 05 RENEWED PERMIT TANK CLOS ( ) 09 DELETE FROM FILE (NO FEE) <br /> f ) 02 CONDITIONAL PERMIT ( l 06 AMENDED PERMIT 08 NOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAME(CORPOPATION.INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> SAN JOAQUIN COUNTY .ifi7AASpiµ7. ( ) Ol FED ( ) 02 STATE 1 03 LOCAL <br /> STREET ADDRESS _ <br /> � Y. .�.yy C r_ I_ er. 0 TY STATE ZIP 9t�O2 <br /> G� �/��p STOCKTON CA <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREMAN/SUPERVISOR <br /> STOCKTON METROPOLITAN AIRPORT GEORGE L. SPADAFORE, AIRPORT M OLRL"2/` <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 5000 S. AIRPORT WAY ARCH ROAD <br /> CITY COUNTY ZIP <br /> STOCKTON SAN JOAQUIN 95206 <br /> MAILING ADDRESS CITY STATE ZIP <br /> 5000 S. AIRPORT WAY STOCKTON CA 95206 <br /> PHONE W/AREA CODE TYPE OF BUSINESS <br /> 209-982-4270 f 7 01 GASOLINE STATION (X) 02 OTHER 4VZAXZ^'' FW .' <br /> Q <br /> NUMBER OF CONTAINERS RUPAL AREAS ONLY TOWNSHIP RANGE SECTION <br /> �. <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: YAME(LAST NAME FIRST) AND PHONE W/AREA CODE NIGHTS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE <br /> AIRPORT OPERATIONS OFFICE 209-982-0313 AIRPORT OPERATIONS OFFICE 209-982-0313 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( ) 04 OTHER CONTAINER NUMBER 7 <br /> 7 /Fv�I <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: C. YEAR INSTALLED (X) UNKNOWN <br /> D. CONTAINER CAPACITY: 25000 GALLONS ( 1 UNKNOWN E. DOES THE CONTAINER STORE: f ) 01 WASTE (X) 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? (kr Ol YES ( ) 02 NO IF YES CHECK AP^PROPRIATE BOX(ES): <br /> ( ) 01 UNLEADED f ) 02 REGULAR ( ) 03 PREMIUM ( ) 04 DIESEL f 1 05 WASTE OIL (X) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( ) GAUGE ( ) INCHES ( ) CM (X) UNKNOWN <br /> B. ( 7 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) ( ) 02 NON-VAULTED (X) 03 UNKNOWN <br /> C. ( 1 01 DOUBLE WALLED (AfT 02 SINGLE WALLED ( 7 03 LINED <br /> 0. ( ) 01 CARBON STEEL ( ) 02 STAINLESS STEEL ( ] 03 FIBERGLASS f ) 04 POLYVINYL CHLORIDE ( 1 05 CONCRETE <br /> ( ) 06 ALUMINUM ( ) 07 STEEL CLAD ( 1 08 BRONZE ( ) 09 COMPOSITE ( ) 10 NON-METALLIC <br /> (X) 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE I <br />