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• STATE ID NUMBER 00000031631001 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> ( ) O1 NEW PERMIT ( ) 05 RENEWED PERMIT ( ) 07 TANK CLOSED ( ) 09 DELETE FR(7M FILE (NO FEE1 <br /> ( ) 02 CONDITIONAL PERMIT f ) 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAMEf COPPOPATION.INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> CITY OF STOCKTON - MUNICIPAL U ( ) 01 FED ( ) 02 STATE <br /> STREET ADDRESS CITY STATE ZIP <br /> 2500 NAVY DRIVE STOCKTON CA 95206 <br /> II FACILITY <br /> FACILITY NAME DEALER/FDREMA%SUP ERVVISO <br /> SMITH CANAL PUMP STATION JE{iR�F-68hSBN, SUPERISOR <br /> STREET ADDRESS NEAREST CROSS STREET <br /> FONTANA DRIVE AT SMITH CANAL COUNTRY CLUB <br /> CITY COUNTY ZIP <br /> STOCKTON SAN JOAQUIN 95206 <br /> MAILING ADDRESS CITY STATE ZIP <br /> 2500 NAVY DRIVE STOCKTON CA 95206 <br /> 209-- &466-5th11 DLkU an T(P) OF BUSINESS <br /> 01 GASOLINE STATION (X) 02 OTHER WASTEWATER PUMP STAT <br /> NUP:BEP OF CONTAINERS 1 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 /> OPERATOR IN CHARGE 209-466-.6261 OPERATOR IN CHARGE 209-466-s@6i �l+ <br /> COMPLETE THE FOLLO G 0 SEPARATE FORM FOR EACH CORTAINEK <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( ) 04 OTHER: CONTAINER NUMBER 1 <br /> B. MANUFACTURER (IF APPROPRIATE): OWNS YEAR MFG: 1978 C. YEAR INSTALLED 1978 ( ) UNKNOWN <br /> D. CONTAINER CAPACITY: � GALLONS f ) UNKNOWN E. DOES THE CONTAINER STORE: ( 1 01 WASTE (X) 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? (X) 01 YES ( 7 02 NO IF YES CHECK APPROPRIATE SOX(ES): <br /> ( 1 01 UNLEADED ( ) 02 REGULAR ( ) 03 PREMIUM (X) 04 DIESEL ( ) 05 WASTE OIL ( ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( 1 GAUGE ( ) INCHES ( ) CM (X) UNKNOWN <br /> B. l 1 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ( ) 03 UNKNOWN <br /> C. f 1 01 DOUBLE WALLED (X 02 SINGLE WALLED ( ) 03 LINED <br /> 0. O1 CAR N STEEL ( 1 02 STAINLESS STEEL (X) 03 FIBERGLASS f 1 04 POLYVINYL CHLORIDE f ) 05 CONCRETE <br /> AL f 7 07 STEEL CLAD ( 7 08 BRONZE ( 1 09 COMPOSITE ( ) 10 NON-METALLIC <br /> ( 1 12 UNKNOWN f ] 13 OTHER: - <br /> HSC04-070185 (10/18/85) - PAGE 1 <br /> y/ <br />