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i_7,01( ?Fmo vFbll• <br /> STATE I0 NUMBER 00000013964001 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> ( ) 01 NEW PERMIT ( ) 05 RENEWED PERMIT t>�07 TANK C)nsPn ( ) 09 DELETE FROM FILE (NO FEE) <br /> I ) 02 CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT ) 08 M� INOR CHANGE INC) SURCHARGE) <br /> I OWNER <br /> NAME(COPPOPATION.INDIVIDUAL OP. PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> SOUZA'S QUALITY MEATS ( ) 01 FED ( ) 02 STATE ( ) 03 LOCAL <br /> STREET ADDRESS CITY STATE ZIP <br /> 340 W. GRANTLINE RD. TRACY ICA 95376 <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREMAN/SUPERVISCR <br /> SOUZA'S QUALITY MEATS ANTHONY F. SOUZA, PARTNER <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 340 W. GRANTLINE RD PARKER AVE <br /> CITY COUNTY <br /> ZIP <br /> TRACY .. SAN JOAQUIN 95376 <br /> MAILING ADDPESS CITY STATE ZIP <br /> 340 W. GRANTLINE RD TRACY CA 95376 <br /> PHONE W/AREA CODE TYPE OF BUSINESS <br /> 209-835-8330 ( ) 01 GASOLINE STATION (X) 02 OTHER WHOLESALE MEAT CO. <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 /> SOUZA, A. F 209-835-8330 SOUZA, A. F. 209-835-6404 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( ) 04 OTHER: CONTAINER NUMBER ONE <br /> B. MANUFACTURER (IF APPROPRIATE): UNKNOWN YEAR MFG: C. YEAR INSTALLED 1968 ( ) UNKNOWN <br /> D. CONTAINER CAPACITY: 2000 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(ESI: <br /> (X) 01 UNLEADED I ) 02 REGULAR ( ) 03 PREMIUM I ) 04 DIESEL I 1 05 WASTE OIL I ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: I ) GAUGE ( ) INCHES I ) CM (X) UNKNOWN <br /> B. I ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) ( ) 02 HON-VAULTED (X) 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED ( 1 02 SINGLE WALLED ( ) 03 LINED <br /> D. (X) 01 CARBON STEEL I ) 02 STAINLESS STEEL ( ) 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE I ) 05 CONCRETE <br /> ( ) 06 ALUMINUM ( ) 07 STEEL CLAD ( ) 08 BRONZE I ) 09 COMPOSITE ( ) 10 NON-METALLIC <br /> I 1 12 UNKNOWN ( ) 13 OTHER: <br /> MSC04-070185 (10/18/851 PAGE 1 <br />