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v ~ STATE ID NUMBER 00000041688004 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> O1 NEW PERMIT ( 1 05 RENEWED PERMIT (>G ANK CLOSED % I ® [ ) 09 DELETE FROM FILE (NO FEEL <br /> ( ] 02 CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT l 1 08 MINE ( CHARGE) <br /> I OWNER <br /> NAME(CORPORATION.INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> SANTA FE RAILWAY ( l 01 FED ( ) 02 STATE ( ) 03 LOCAL <br /> STREET ADDRESS CITY STATE IIP <br /> 5200 EAST SHEILA STREET LOS ANGELES CA 90040 <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREMAN/SUPERVISOR <br /> STOCKTON MECHANICL FACILITY 3. G.H. HERREN-G€NERAL FMAN <br /> STREET ADDRESS S�F k S NEAREST CROSS STREET <br /> MORTH STREET le4" <br /> CITY COUNTY IF <br /> STOCKTON SAN JOAQUIN 95205 <br /> MAILING ADDRESS CITY STATE IIP <br /> 5200 EAST SHEILA STREET LOS ANGELES CA 90040 <br /> PHONE W/AP.EA CODE TYPEOF BUSINESS <br /> 213-267-5454 ( ) 01 GASOLINE STATION (X) 02 OTHER RAILROAD <br /> NUMBER OF CO AINERS RURAL AREAS ONLY TOWNSHIP RANGE SECTION <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAME(LAST NAM! FIRST) AND PHONE W/AREA GOOF NIGHTS: NAME(lAST NAME FIRST) AND PHONE W/AWlA CODE <br /> -� T.C. 213-267-5454 DISPATCHER 209-441-2AE0- 2 6 5 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK f ) 04 OTHER: CONTAINER NUMBER ST04 <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: C. YEAR INSTALLED (X) UNKNOWN <br /> SO M <br /> D. CONTAINER CAPACITY: 100- GALLONS f 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 ? (X) 01 YES ( ) 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br /> (Xl 01 UNLEADED ( ) 02 REGULAR ( ) 03 PREMIUM -(M) 04 DIESEL ( 1 05 WASTE OIL ( 1 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( 1 GAUGE f ) INCHES ( ) CM (X) UNKNOWN <br /> B. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ( ) 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED (X) 02 SINGLE WALLED ( 103 LINED <br /> D. (X) 01 CARBON STEEL [ ) 02 STAINLESS STEEL ( ) 03 FIBERGLASS f 1 04 POLYVINYL CHLORIDE ( ) 05 CONCRETE <br /> f ) 06 ALUMINUM f ) 07 STEEL CLAD ! ) 08 BRONZE ( 1 09 COMPOSITE f ) 10 HON-METALLIC <br /> ( 1 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br />