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ar �/ <br /> STATE ID NUMBER 00000019658007 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> (L 01 NEW PERMIT ( ) 05 RENEWED PERMIT ( ) 07 TANK CLOSED ( ) 09 DELETE FROM FILE (NO FEE) <br /> ( ) 02 CONDITIONAL PERMIT t ) 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAME(COPPOPATION.INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> WOOLSEY OIL INC. ( ) 01 FED f ) 02 STATE ( ) 03 LOCAL <br /> STREET ADDRESS CITY STATE IIP <br /> 166 FRANK WEST CR. STOCKTON CA 95231 <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREMAN/S PERVISOR <br /> WOOLSEY OIL INC <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 166 FRANK WEST CR. FRENCH CAMP <br /> CITY COUNTY IIP <br /> STOCKTON SAN JOAQUIN 95231 <br /> MAILING ADDRESS CITY STATE2IP <br /> 166 FRANK WEST CR. STOCKTON CA 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 CODE <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. (X) 01 TANK ( ) 04 OTHER: CONTAINER NUMBER EM47 <br /> B. MANUFACTURER (IF APPROPRIATE): UNK YEAR MFG: 1983 C. YEAR INSTALLED 1983 ( 1 UNKNOWN <br /> D. CONTAINER CAPACITY: 4000 GALLONS ( l UNKNOWN E. DOES THE CONTAINER STORE: ( ) 01 WASTE (X) 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? l ) 01 YES (X) 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br /> ( ) 01 UNLEADED ( ) 02 REGULAR f ) 03 PREMIUM ( l 04 DIESEL ( ) 05 WASTE OIL L�d. 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: 10 (X) GAUGE ( 1 INCHES ( ) CM ( ) UNKNOWN <br /> B. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 MON-VAULTED ( ) 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED (X) 02 SINGLE WALLED ( ) 03 LINED <br /> D. (X) 01 CARBON STEEL ( 1 02 STAINLESS STEEL ( ) 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE ( 1 05 CONCRETE <br /> ( ) 06 ALUMINUM ( ) 07 STEEL CLAD ( ) 08 BRONZE ( 1 09 COMPOSITE f 1 10 NON-METALLIC <br /> f 1 12 UNKNOWN ( ) 13 OTHER: <br /> KSC04-070185 (10/18/85) PAGE 1 <br /> law <br /> I. <br />