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STATE ID NUMBER 00000035002013 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> 1 ) O1 NEW PERMIT ( 1 05 RENEWED PERMIT ) f 1 09 DELETE FROM FILE (NO FEE) <br /> ( 1 02 CONDITIONAL PERMIT ( 1 06 AMENDED PERMIT f M NOR CHANGE IMO SURCHARGE) <br /> I OWNER <br /> NAME(COR FOR ATION.INDIVIDUAL OR PUBLIC AGENCY) PllBIIAGENCY ONLY <br /> SAN JOAQUIN COUNTY -BErRR7M[MF f l O11 FED ( ) 02 STATE 1 03 LOCAL <br /> STREET ADDRESS CITY STATE ZIP yS�o2 <br /> SLAG. 22-.22. F-. Weber STOCKTON CA -0i�06 <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREMAN/SUPERVISOR <br /> STOCKTON METROPOLITAN AIRPORT GEORGE L. SPADAFORE> AIRPORT MCth4'4tP, <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 5000 S. AIRPORT WAY ARCH ROAD <br /> CITY COUNTYZIP <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 1 <br /> 209-982-4270 ( ) 01 GASOLINE STATION (X) 02 OTHER AUTATIM WAE v ,¢(rpor <br /> NUMBER OFF CONTAINERS RURAL AREAS ONLY TOWNSHIP RANGE SECTION <br /> J� <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE NIGHTS: NAMEILAST 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. fX) 01 TANK ( ) 04 OTHER: CONTAINER NUMBER 13 <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: C. YEAR INSTALLED (X) UNKNOWN <br /> 0. CONTAINER CAPACITY: 12000 GALLONS ( ) UNKNOWN E. DOES THE CONTAINER STORE: ( ) 01 WASTE (X) 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? Od 01 YES ( ) 02 NO IF YES CHECK AP ROPRIATE BOX(ES): <br /> ( ) 01 UNLEADED ( 7 02 REGULAR ( 1 03 PREMIUM ( ) 04 DIESEL ( ) 05 WASTE OIL V(1 06 OTHER/ rys <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: f ) GAUGE f ) INCHES ( ) CM (X) UNKNOWN <br /> B. ( l 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) ( ) 02 NON-VAULTED (X) 03 UNKNOWN <br /> C. f ) 01 DOUBLE WALLED (>e02 SINGLE WALLED ( 1 03 LINED <br /> D. ( ) 01 CARBON STEEL f ) 02 STAINLESS STEEL ( ) 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE ( ] 05 CONCRETE <br /> t ) 06 ALUMINUM ( l 07 STEEL CLAD ( 1 08 BRONZE ( l 09 COMPOSITE l ) 10 NON-METALLIC <br /> (X) 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br /> `Rot <br />