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~ STATE ID NUMBER 00000019658005 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> (6 01 NEW PERMIT ( ) 05 RENEWED PERMIT ( ) 07 TANK CLOSED ( ) 09 DELETE FROM FILE (NO FEE) <br /> T7-02 CONDITIONAL PERMIT ( 1 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAME(CORPORATION.INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> WOOLSEY OIL INC. l ) 01 FED ( ) 02 STATE ( 103 LOCAL <br /> STREET ADDPESS fITY STATE ZIP <br /> 166 FRANK WEST CR. STOCKTOII CA 95231 <br /> II FACILITY <br /> FACILITY NAME -DEAL /FOREMAN/ UPERVISOR <br /> WOOLSEY OIL INC <br /> war <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 166 FRANK WEST CR. FRENCH CAMP <br /> CITY COUNTY ZIP <br /> STOCKTON SAN JOAQUIN 95231 <br /> MAILING ADDRESS CITYSTATE ZIP <br /> 166 FRANK WEST CR. STOCKTON CSA 95231 <br /> PHONE W/AREA CODE TYPEOF BUSINESS <br /> 209-948-9412 ( ) 01 GASOLINE STATION (X) 02 OTHER PETROLEUM DIST. <br /> NUMBER OF CONTAINERS RURAL AREAS ONLY TOWNSHIP RANGE SECTION <br /> 11 <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 C00E <br /> WOOLSEY, BRUCE 209-334-0652 WOOLSEY BRUCE 209-334-0652 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. lX) 01 TANK ( 1 04 OTHER: CONTAINER NUMBER N5 <br /> B. MANUFACTURER (IF APPROPRIATE): UNK YEAR MFG: 1981 C. YEAR INSTALLED 1961 f 1 UNKNOWN <br /> 0. CONTAINER CAPACITY: 8000 GALLONS ( ) UNKNOWN E. DOES THE CONTAINER STORE: f ) 01 WASTE (X) 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? ( ) 01 YES (X) 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br /> ( ) 01 UNLEADED ( ) 02 REGULAR ( ) 03 PREMIUM ( 1 04 DIESEL f 1 05 WASTE OIL = 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: 1.0 (X) GAUGE ( ) INCHES f ) CM ( ) UNKNOWN <br /> B. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ( ) 03 UNKNOWN <br /> C. ( ) OL DOUBLE WALLED (X) 02 SINGLE WALLED ( l 03 LINED <br /> D. (X) 01 CARBON STEEL f ) 02 STAINLESS STEEL ( 103 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE ( ) 05 CONCRETE <br /> ( ) 06 ALUMINUM f ) 07 STEEL CLAD ( ) 08 BRONZE ( ) 09 COMPOSITE ( ) 10 NON-METALLIC <br /> ( ) 12 UNKNOWN l ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br /> `F <br />