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STATE ID NUMBER 00000063026002 <br /> APPLICATION FOR PERMIT TO OPU AT_E UNDERGROUND STORAGE TANK <br /> f?,7 01 NEN PERMIT ( ) 05 RENEWED PERMIT � [ ) 07 TANK CLOSED ` [ 109 DELETE FROM FILE (NO FEE) <br /> � <br /> f 1 02 CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT bb MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAME(COPPOPATION,INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> CHEVRON U.S.A. INC. ( ) 01 FED ( 1 02 STATE ( ) 03 LOCAL <br /> STREET ADDRESS CITY STATE ZIP <br /> 575 MARKET SAN FRANCISCO CA 94105 <br /> II FACILITY <br /> F'CSLITY NAME DEALER/FOREMAN/SUPERVISOR <br /> 97780 fa k1S LA PRATH, JACK <br /> STREET ADDR' S NEAREST CROSS STREET <br /> 3246 E. FRE NT ST. WINDSOR <br /> CITY COUNTY ZIP <br /> STOCKTON SAN JOAQUIN 95205 <br /> MAILING ACCT SS CITY STATE 22P <br /> 3246 E. FRE MONT ST. STOCKTON CA 95205 <br /> PHONE_ W/ARCA COD! TYPE OF BUSINESS <br /> 209-946-0457 (X) O1 GASOLINE STATION f 1 02 OTHER <br /> NUMBER OF CONTAINERS RURAL AREAS ONLY TOWNSHIP RANGE SECTION <br /> 4 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAME(LAST NA" FIRST) AND PHONE W/AREA CODE NIGHTS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE <br /> MAINTENANCE DISPATCH 415-877-0244 - <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( ) 04 OTHER: CONTAINER NUMBER ..E� <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: 1960 C. YEAR. INSTALLED 1960 ( l UNKNOWN <br /> D. CONTAINER CAPACITY: 2000 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 ? I-W 01 YES ( ) 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br /> ( ) 01 UNLEADED ( ) 02 REGULAR (56) 03 P EMIUM ( ) 04 DIESEL f ) 05 WASTE OIL ( ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: 0000170 ( ) GAUGE ( ) INCHES ( ) CM f 1 UNKNOWN <br /> B. ( ) 01 VAULTED (LOCATED IN. AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ( ) 03 LWNOWN <br /> C. I ) 01 DOUBLE WALLED (X) 02 SINGLE WALLED ( ) 03 LINED <br /> D. (X) 01 CARBON STEEL ( ) 02 STAINLESS STEEL ( 1 03 FIBERGLASS f l 04 POLYVINYL CHLORIDE f 1 05 CONCRETE <br /> ( ) 06 ALUMINUM ( 1 07 STEEL CLAD ( 1 08 BRONZE ( 1 09 COMPOSITE ( ) 10 NON-METALLIC <br /> ( ) 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br />