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STATE ID NUMBER 00000001393003 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> ( O1 NEW P 3.. ( ) 05 RENEWED PERMIT ( ) 07 TANK CLOSED ( ) 09 DELETE FROM FILE (NO FEE) <br /> CONDITIONAL PERMIT ( ) 05 AMENOED PERMIT l ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NA'"E(cO-GaRATIpN,INDIVIDUAL oR Pugtic AGEticY� PUBLIC AGENCY ONLY <br /> SCOTTY'S BAIT & TACKLE, INC. ( ) 01 FED ( ) 02 STATE ( ) 03 LOCAL <br /> S7REE7 ADDRESS �TRACY <br /> :::]jCA� <br /> =935-376 <br /> 2420 W. GRANTLINE <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREMAN/SUPERVISOR <br /> SCOTTY'S BAIT & TACKLE, INC. DEBBIE SCOTT <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 2420 W. GRANTLINE CORRAL HOLLOW <br /> CITY COUNTY ZIP <br /> TRACY SAN JOAQUIN 95376 <br /> __j <br /> MAILIN'3 ACCPESS CITY STATE ZIP <br /> 2420 W. GRANTLINE SAME CA 95375 <br /> RHOSE W/AREA CODE TYPE OF BUSINESS <br /> 209-835-0729 (X) 01 GASOLINE STATION ( 1 02 OTHER <br /> NUMBER OR CONTAINERS PUPAL AREAS ONLY TOWNSHIP RANGE SECTION <br /> 3 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAt'S: NAME(LA.ST N ME_FIR T) AND PHCNE W/AP.EA CODE NIGHTS: NAME(LA T NAtME FIRST)_AND <br /> 209-835-3671 PHONE W/AREA CODE <br /> €SIE-SE4TT �L / - <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( ) 04 OTHER: CONTAINER NUMBER 3 <br /> B. MANUFACTURER (IF APPROPRIATE): PERKINS PEAR MFG: C.�YEAR �INSTALLEO 1983 ( 1 UNKNUlN <br /> D. CONTAINER CAPACITY: 5000 GALLONS ( 1 UNKNOWN E. DOES THE CONTAINER STORE= t ) 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 /> ( ) 01 UNLEADED ( ) 02 REGULAR ( 1 03 PREMIUM Lam) 04 DIESEL ( ) 05 WASTE OIL I ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: 1/4 ( 7 GAUGE (X) INCHES ( ) CM d 1 UNKNOWN <br /> B. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON—VAULTED ( 1 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED (X) 02 SINGLE WALLED ( ) 03 LINED <br /> D. (X1 01 CARBON STEEL f ) 02 STAINLESS STEEL ( ) 03 FIBERGLASS f 1 04 POLYVINYL CHLORIDE ( 1 05 CONCRETE <br /> ( ) 06 ALUMINUM ( 1 07 STEEL CLAD l 1 08 BRONZE ( ) 09 COMPOSITE I ) 10 NON—METALLIC <br /> ( ) 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br />