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STATE ID NUMBER 00000011284001 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> y 401 NEW PERMIT ( 1 05 RENEWED PERMIT ( ) 07 TANK CLOSED ( ) 09 DELETE FROM FILE (NO FEE) <br /> � 02 CONDITIONAL PERMIT ( 1 06 AMENDED PERMIT ( 108 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAME(CORPORATION,INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> CITY OF STOCKTON ( ) 01 FED ( ) 02 STATE X03 LOCAL <br /> STREET ADDRESS CITY STATE IIP <br /> 425 N. EL DORADO STOCKTON CA 95202 <br /> II FACILITY <br /> FACILITY NAM! y ^7ginC 60, # <br /> 0, # <br /> 3 DEALER/FOREMAN:SUPERVISOR <br /> COMPANY OFFICERS <br /> STREET ADDRESS NEAREST CROSS S EET <br /> 1116 E. FIRST .ASRPBRi-WRY f(m <br /> CITY COUNTY IIP <br /> STOCKTON SAN JOAQUIN 95206 <br /> MAILING ADDRESS CITY STATE ZIP <br /> 1116 E. FIRST STOCKTON CA 95206 <br /> PHONE W/AREA CODE TYPE OF BUSINESS <br /> 209 01 GASOLINE STATION (X) 02 OTHER FIRE STATION <br /> NUMBER. OF CONTAINERS RURAL AREAS ONLY TOWNSHIP RANGE SECTION <br /> 2 N/A W/A N/A <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> p3A1'1C y15E�Of�G�Q.r FIRST) ANNE W/AREA CODE NIGHT : NAMEfLAST NSE FIRST) PHONE CODE <br /> l/l) COMPLETE THE FOLLOWING ON A SEPARATE FORM Y(Y1F/YO�RLR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( ) 04 OTHER: CONTAINER NUMBER_SR' <br /> B. MANUFACTURER (IF APPROPRIATE): UNKNOWN YEAR MFG: C. YEAR INSTALLED 1956 ( I UNKNOWN <br /> 0. CONTAINER CAPACITY: 550 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 f l 02 REGULAR ( ) 03 PREMIUM (X) 04 DIESEL ( 1 05 WASTE OIL ( ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: [ 1 GAUGE ( ) INCHES ( ) CM (X) UNKNOWN <br /> B. f 1 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) ( ) 02 NON-VAULTED (X) 03 UNKNOWN <br /> C. f 1 01 DOUBLE WALLED k,02 SINGLE WALLED f 1 03 LINED <br /> D. ( l 01 CARBON STEEL f 1 02 STAINLESS STEEL ( ) 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE ( 1 05 CONCRETE <br /> ( ) 06 ALUMINUM ( 1 07 STEEL CLAD ( l 08 BRONZE ( 109 COMPOSITE ( ) 10 NON-METALLIC <br /> (X) 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE I <br /> l4w ,w <br />