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STATE ID NUMBER 00000066655001 <br />APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br />R1 <br />01 NEW PERMIT ( ) 05 RENEWED PERMIT ( ) 07 TANK CLOSED ( 1 09 DELETE FROM FILE (NO FEE) <br />( 02 CONDITIONAL PERMIT t ) 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br />I OWNER <br />NAME(COPPORATION.INDIVIDUAL OR PUBLIC AGENCY) Pl1B LIC AGENCY ONLY <br />ELDON KUNTZ ( ) 01 FED f 1 02 STATE ( ) 03 LOCAL <br />STREET ADDRESS CITY STATE ZIP <br />P.O. BOX 8716 STOCKTON CA 95208 <br />II FACILITY <br />FACILITY NAME <br />(X) 01 TANK f l 04 OTHER: <br />DEALER/FOREMAN/SUPERVISOR <br />CHARTER WAY AUTO RECYCLERS <br />B. <br />MANUFACTURER (IF APPROPRIATE): <br />STREET ADDRESS <br />C. YEAR INSTALLED (X) UNKNOWN <br />NEAREST CROSS STREET <br />930 E. CHARTER WAY <br />E. DOES THE CONTAINER STORE: (-X4 01 WASTE (X) 02 PRODUCT <br />AURORA <br />CITY <br />COUNTY <br />ZIP <br />STOCKTON <br />SAN JOAQUIN <br />95206 <br />MAILING ADDRESS <br />CITYS <br />TATE <br />ZIP <br />930 E. CHARTER WAY <br />STOCKTON <br />CA <br />95206 <br />PHONE W/AREA CODE <br />TYPEOF BUSINESS <br />209-466-2387 <br />( 1 01 GASOLINE STATION (X) 02 OTHER AUTO DISMANTLING <br />HUMBER OF CONTAINERS <br />RURAL .AREAS ONLY <br />TOWNSHIP <br />RANGE <br />SECTION <br />1 <br />III 24 HOUR EMERGENCY CONTACT PERSON <br />DAYS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODENIGHTS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE <br />ELDON KUNTZ 209-466-2387 1 ELDON KUNTZ 209-948-8266 <br />COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br />IV DESCRIPTION <br />A. <br />(X) 01 TANK f l 04 OTHER: <br />B. <br />CONTAINER NUMBER ONE <br />B. <br />MANUFACTURER (IF APPROPRIATE): <br />YEAR MFG: <br />C. YEAR INSTALLED (X) UNKNOWN <br />D. <br />(OL0 <br />CONTAINER CAPACITY: 41W�GALLOHS ( ) UNKNOWN <br />E. DOES THE CONTAINER STORE: (-X4 01 WASTE (X) 02 PRODUCT <br />F. <br />DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? ( ) 01 YES ( ) 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br />( ) 01 UNLEADED Wo 02 REGULAR ( ) 03 PREMIUM ( ) 04 DIESEL ( ) 05 WASTE OIL t ) 06 OTHER <br />V CONTAINER CONSTRUCTION <br />A. <br />THICKNESS OF PRIMARY CONTAINMENT: -k_ ( ) GAUGE ( ) INCHES (iH CM 00 UNKNOWN <br />B. <br />( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) ( ) 02 NON -VAULTED Kati 03 UNKNOWN <br />C. <br />( ) 01 DOUBLE WALLED ( 1 02 SINGLE WALLED ( 1 03 LINED <br />D. <br />( ) 01 CARBON STEEL f ) 02 STAINLESS STEEL f ) 03 FIBERGLASS ( 1 04 POLYVINYL CHLORIDE f ) 05 CONCRETE <br />( ) 06 AL(MINM ( ) 07 STEEL CLAD ( ) OB BRONZE ( ) 09 COMPOSITE ( ) 10 NON-METALLIC <br />(X) 12 UNKNOWN ( ) 13 OTHER: <br />HSC04-070185 (08/29/86) <br />PAGE 1 <br />