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STATE SD NUMBER 00000058667001 <br /> �c APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> 01 NEW PERMIT ( ) 05 RENEWED PERMIT ( ) 07 TANK CLOSED ( ) 09 DELETE FROM FILE (NO FEE) <br /> t 1 02 CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAME(COPPORATION.INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> STOCKTON UNIFIED SCHOOL DISTRI ( ) 01 FED ( ) 02 STATE L-4iO3 LOCAL <br /> STREET ADDRESS CITY STATE ZIP <br /> 701 NORTH MADISON ST. STOCKTON CA 95202 <br /> II FACILITY SS <br /> FACILITY NAME 6 w5 O^ DEALER/FOREMAN/SUPERVISOiL <br /> FRANKLIN HIGH SCHOOL BILL RUSSELL DIRECTOR �" <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 300 N. GERTRUDE FARM <br /> CITY COUNTY ZIP <br /> STOCKTON SAN JOAQUIN 1 95205 <br /> MAILING ADDRESS CITY STATE ZIP <br /> 1932 EL FINAL STOCKTON CA 95205 <br /> PHONE Wi AREA COOS TYPE OF BUSINESS <br /> 209-944-4363 ( ) 01 GASOLINE STATION (XI 02 OTHER J b�t' k 5c)tcDa <br /> l <br /> NUMBER OF CONTAINERS RURAL AREAS ONLY TOWNSHIP RANGE SECTION <br /> 3 <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 CCOE <br /> RUSSEL, B. 209-944-4344-YQ-�&V 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: C. YEAR INSTALLED 1977 f ) UNKNOWN <br /> D. CONTAINER CAPACITY: 10000 GALLONS f ) UNKNOWN E. DOES THE CONTAINER STORE: ( ) 01 WASTE IX) 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 /> ( ) 01 UNLEADED ( l 02 REGULAR f ) 03 PREMIUM (X) 04 DIESEL ( 7 05 WASTE OIL l ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( 1 GAUGE l 1 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 ( 1 03 LINED <br /> D. (X) 01 CARBON STEEL f ) 02 STAINLESS STEEL ( l 03 FIBERGLASS ( 1 04 POLYVINYL CHLORIDE ( ) 05 CONCRETE <br /> ( ) 06 ALUMINUM ( ) 07 STEEL CLAD ( 108 BRONZE f l 09 COMPOSITE ( 1 10 NON-METALLIC <br /> ( ) 12 UNKNOWN ( 7 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE I <br />