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STATE I0 NUMBER <br /> ER/ 00000065874001 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> ( J <br /> 01 NEW PERMIT ( ) 05 RENEWED PERMIT 0(1 07 TAMC L OSFM ( 1 09 DELETE FROM FILE (NO FEE) <br /> 1 ) 02 CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAME(CORPORATION.INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> SAN JOAQUIN COUNTY-MOTOR POOL ( ) 01 FED ( ) 02 STATE ( l 03 LOCAL <br /> STREET ADDRESS CITYSTATE ZIP <br /> POST OFFICE BOX 1810 STOCKTON CA 95201 <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREMAN/SUPERVISOR <br /> AIRPORT <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 4TH. A LINDBERG STREET <br /> CITY COUNTY ZIP <br /> STOCKTON SAN JOA(KUIN 95206 <br /> MAILING ADDRESS CITY STATE ZIP <br /> POST OFFICE BOX 1810 STOCKTON CA 95201 <br /> PHONE W/AREA CODE TYPEOF BUSINESS <br /> 209-944-3737 ( ) 01 GASOLINE STATION (X) 02 OTHER COUNTY AIRPORT <br /> NUMBER OF CONTAINERS RURAL AREAS ONLY TOWNSHIP RANGE SECTION <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 /> DESMARAIS, NORMAN 209-944-3737 NIGHT WATCHMAN 209-944-2281 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION / <br /> A. (X) 01 TANK ( ) 04 OTHER: CONTAINER NUMBER'7A <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: C. YEAR INSTALLED (X) UNKNOWN <br /> D. CONTAINER CAPACITY: 1000 GALLONS ( ) UNWOWN E. DOES THE CONTAINER STORE: (X) 01 WASTE l l 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? ( l 01 YES ( ) 02 NO IF YES CHECK APPROPRIATE BOX(L6)': <br /> l ) 01 UNLEADED ( 1 02 REGULAR l ) 03 PREMIUM ( ) 04 DIESEL ( ) 05 WASTE OIL l ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: X ( ) GAUGE ( ) INCHES (X) CM ( ) UNKNOWN <br /> B. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) ( ) 02 NON-VAULTED (X) 03 UNKNOWN <br /> C. ( 1 01 DOUBLE WALLED ( ) 02 SINGLE WALLED ( 1 03 LINED <br /> D. I ) 01 CARBON STEEL ( ) 02 STAINLESS STEEL ( ) 03 FIBERGLASS ( l 04 POLYVINYL CHLORIDE ( 1 05 CONCRETE <br /> ( ) 06 ALUMINUM ( 1 07 STEEL CLAD ( 1 08 BRONZE ( ) 09 COMPOSITE ( 1 10 NON-METALLIC <br /> (X) 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (08/29/86) PAGE 1 <br />