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STATE ID NUMBER 00000011055004 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> ( 1 01 NEN PERMIT ( ) 05 RENEWED PERMIT ( ) 07 TANK CLOSED <br /> ( 102 CONDITIONAL PERMIT ( 7 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) ELETE FROM FILE (NO FEET <br /> I OWNER <br /> NAME(CORPORATION, )IVIgUAI O)p PUBLIC AGENCY) <br /> GRAYLIFT INC PUBLIC AGENCY ONLY <br /> ( ) 01 FED f ] 02 STATE ( 1 03 LOCAL <br /> STREET ADDRESS <br /> 3131 E. FREMONT /D� g ® CITY STATE ziP <br /> � 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 IIP <br /> STOCKTON SAN JOAQUIN 95205 <br /> MAILING ADDRESS CITY STATE IIP <br /> P.O. BOX 5186 STOCKTON CA 95205 <br /> PHONE W/AREA CODE TYPE OF BUSINESS <br /> 209-948-9641 ( ) 01 GASOLINE STATION fX) 02 OTHER FORKLIFT SALES A SER <br /> NUMBER OF CrAINERS RURAL AREAS ONLY TOWNSHIP RANGE SlCTION <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE NI OHTS: NAMEfLAST 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. (X1 Ol TANK f ) 014 OTHER: CONTAINER NUMBER S20 <br /> B. MANUFACTURER (IF APPROPRIATE): UNKNOWN YEAR MFG: C. YEAR INSTALLED (X) UNKNOWN <br /> O. CONTAINER CAPACITY: 5000 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 ? (X) 01 YES ( ) 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br /> ( ) 01 UNLEADED l 1 02 REGULAR ( ) 03 PREMIUM (X) 04 DIESEL f 1 05 WASTE OIL ( ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( 1 GAUGE f ) INCHES f ) CM (X) UNKNOWN <br /> B. i ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) f ) 02 NON-VAULTED (X) 03 UNKNOWN <br /> C. f 1 01 DOUBLE WALLED ( ) 02 SINGLE WALLED ( 1 03 LINED <br /> 0. [ 1 01 CARBON STEEL ( ) 02 STAINLESS STEEL l 1 03 FIBERGLASS ( 1 04 POLYVINYL CHLORIDE f l 05 CONCRETE <br /> ( ) 06 ALUMINUM ( ) 07 STEEL CLAD f l 08 BRONZE ( 1 09 COMPOSITE ( ) 10 NON-METALLIC <br /> (X) 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br />