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STATE 20 NUMBER 00000011055003 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> f 1 <br /> 01 NEW PERMIT ( ) 05 RENEWED PERMIT ( ) 07 TANK CLOSED ! ETE FROM FILE lN0 FEET <br /> ( 1 02 CONDITIONAL PERMIT l ) 06 AMENDED PERMIT ( ) OB MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAME(CORPORATION NDIVIDUAL QP PUBLIC AGENCY) <br /> GRAYLIFT INC PUBLIC AGENCY ONLY <br /> f ) 01 FED f ) 02 STATE t 7 03 LOCAL <br /> STREET ADDRESS /O// / CITY STATE ZIP <br /> 3131 E. FREMONT - �i.er�! STOCKTON CA 95205 <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREMAN/SUPERVISOR <br /> GRAYLIFT, INC K.C. MCMILLEN <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 3131 E. FREMONT BROADWAY <br /> CITY COUNTY ZIp <br /> STOCKTON SAN JOAQUIN 95205 <br /> MAILING ADDRESS - CITY STATE ZIP <br /> P.O. BOX 5186 STOCKTON CA 95205 <br /> PHONE W/AREA CODE. TYPE OF BUSINESS <br /> 209-948-9641 f 1 01 GASOLINE STATION (X) 02 OTHER FORKLIFT SALES i SER <br /> NUMBER OF CCNTAINER$ RURAL AREAS ONLY TOWNSHIP RANGE SECTION <br /> Jim Z. <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> GAYS: NAME(LP ST NAME FIRST) AND PHONE W/AREA CODE NIGHTS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE <br /> MCMILLEN, K.C. 209-948-9641 MCMILLEN K.C. 209-948-9641 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( 1 04 OTHER: CONTAINER NUMBER SIG <br /> B. MANUFACTURER (IF APPROPRIATE): UNKNOWN YEAR MFG: C. YEAR INSTALLED (X) UNKNOWN <br /> D. CONTAINER CAPACITY: 10000 GALLONS 1 1 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 (X) 02 REGULAR 1 ) 03 PREMIUM ( ) 04 DIESEL ( ) 05 WASTE OIL ( ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( ) GAUGE ( ) INCHES ( ) CM IX) UNKNOWN <br /> S. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) fX) 02 NON-VAULTED 1 ) 03 UNKNOWN <br /> C. ( ) Ol DOUBLE WALLED t ) 02 SINGLE WALLED ( 1 03 LINED <br /> D. ( 1 01 CARBON STEEL ( ) 02 STAINLESS STEEL ( 1 03 FIBERGLASS f l 04 POLYVINYL CHLORIDE ( 1 05 CONCRETE <br /> 1 ) 06 ALUMINUM ( ) 07 STEEL CLAD ( l 08 BRONZE ( ) 09 COMPOSITE [ l 10 NON-METALLIC <br /> (X) 12 UNKNOWN ( ) 13 OTHER: <br /> HSCC4-070185 (10/18/85) PAGE 1 <br />