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0 <br /> 9 STATE ID NUMBER 00000001393002 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> ('10i 01 H{flL_FE2MJZ ( 1 05 RENEWED PERMIT i f 07 TANK CLOSED ( ) 09 DELETE FROM FILE (NO FEE) <br /> r772'CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT f l 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAME(COPPORATION.INDIVIDUAL OP PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> SCOTTY'S BAIT & TACKLE: INC. ( ) 01 FED ( ) 02 STATE ( ] 03 LOCAL <br /> STREET ADDRESS CITY STATE ZIP <br /> 2420 W. GRANTLINE TRACY -J CA 95376 <br /> II FACILITY <br /> FACILITY NAME DEALER./FCREMAN/SUPEPVISOR <br /> SCOTTY'S BAIT & TACKLE} INC. DEBBIE SCOTT <br /> STREET AODPESS NEAREST CROSS STREET <br /> 2420 W. GRANTLINE CORRAL HOLLOW <br /> CITY COUNTY ZIP <br /> TRACY SAN JOAQUIN 95376 <br /> MAILING ADDRESS CITY STATE ZIP <br /> 2420 W. GRANTLINE SAME CA 95376 <br /> PHONE W/AREA CCCE TYPE OF BUSINESS <br /> 209-835-0729 (X) 01 GASOLINE STATION f ) 02 OTHER <br /> NU:IBEP OF CONTAINERS RURAL AREAS ONLY : TOWNSHIP RANGE SECTION <br /> 3 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAME(LAST NAME FIPS ) AND PHONE W/AREA CODE NIGHTS: NAM E(LA T NAME FIRST) AND /RM ONE W/AREA CODE <br /> D�EBBTE—SC Tom/ f� 209-835-3671 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( 1 04 OTHER: CONTAINER NUMBER 2 <br /> B. MANUFACTURER (IF APPROPRIATE): PERKINS YEAR MFG: C. YEAR INSTALLED 1983 (. 1 UNKNGII:N <br /> D. CONTAINER CAPACITY: 7500 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 /> ( ] 01 UNLEADED (X) 02 REGULAR ( ) 03 PREMIUM ( ] 04 DIESEL ( ) 05 WASTE OIL ( l 06 OTHER <br /> U CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: 1/4 ( ) GAUGE (X1 INCHES E ) CM i ) UNKNOWN <br /> B. ( 1 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED [ 1 03 UNKNOWN <br /> C. ( 1 01 DOUBLE WALLED (X) 02 SINGLE WALLED ( ) 03 LINED <br /> 0. (X) 01 CARBON STEEL ( ) 02 STAINLESS STEEL ( ) 03 FIBERGLASS ( 1 04 POLYVINYL CHLORIDE ( ) 05 CONCRETE <br /> ( ) 06 ALUMINUM ( ) 07 STEEL CLAD ( ] 08 BRONZE f 1 09 COMPOSITE ( ] 10 NON-METALLIC <br /> 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br />