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��V 7 STATE ID NUMBER 00000004185001 <br /> APPLICATION FOR PERMIT TO OP ERGROUND STORAGE TANK <br /> (A) 01 NEW PERMIT l ) 05 RENEWED PERMIT 7 T ( ) 09 DELETE FROM FILE (NO FEE) <br /> T�02 CONDITIONAL PERMIT f 1 06 AMENDED PERMIT INOR CHANG (NO SURCHARG€1 <br /> I OWNER <br /> NAME(CORPORATION,i NDIVIOUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> RICHARD D. SOZZINI ( ) 01 FED f ) 02 STATE f ) 03 LOCAL <br /> STREET ADDRESS CITY STATE ZIP <br /> 2992 N. DUNCAN ROAD LINDENr CA 95236 <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREMAN/SUPERVISOR <br /> RICHARD D BOZZINI <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 2992 N. DUNCAN ROAD HIGHWAY 26 <br /> CITY COUNTY ZIP <br /> LINDEN SAN JOAQUIN 95236 <br /> MAILING ADDRESS CITY STATE ZIP <br /> 2992 N. DUNCAN ROAD LINDENr CA 95236 <br /> FXONE W/A P.EA CODE TYPE OF BUSINESS <br /> 209-887-3415 ( ) 01 GASOLINE STATION (X) 02 OTHER FRUIT BUYER <br /> NUMBER OF CONTAINERS RURAL AREAS ONLY TOWNSHIP RANGE SECTION <br /> 1 <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 /> BOZZINI RICHARD D 209-887-3415 SAME <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( ) 04 OTHER: CONTAINER NUMBER 1 <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: 1949 C. YEAR INSTALLED 1949 f ) UNKNOWN <br /> D. CONTAINER CAPACITY: 500 GALLONS ( ) UNKNOWN E. DOES THE CONTAINER STORE: ( ) 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 /> (X) 01 UNLEADED ( ) 02 REGULAR ( 1 03 PREMIUM ( ) 04 DIESEL ( ) 05 WASTE OIL ( ) 06 OTHER <br /> V CONTAINER CONSTRUCTION CN <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( ) GAUGE f ) INCHES ( ) CM (X) UNKNOWN <br /> B. (9W 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) [ 02 NON-VAULTED ( ) 03 UNKNOWN <br /> C. f ) 01 DOUBLE WALLED f ) 02 SINGLE WALLED ( ) 03 LINED <br /> D., (X) 01 CARBON STEEL ( ) 02 STAINLESS STEEL f ) 03 FIBERGLASS f l 04 POLYVINYL CHLORIDE ( ) 05 CONCRETE <br /> ( ) 06 ALUMINUM ( ) 07 STEEL CLAD ( l 08 BRONZE ( ) 09 COMPOSITE ( 1 10 NON-METALLIC <br /> f 1 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br />