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STATE 10 NUMBER 00000022142001 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> al NEH PERMIT ( ) 05 RENEWED PERMIT ( 1 07 TANK CLOSED l 109 DELETE FROM FILE IND FEE) <br /> f ) 02 CONDITIONAL PERMIT ( 1 06 AMEND EO PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAME(CORPCRATION,INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> BLAKEY BROTHERS, INC. I( ) 01 FED ( 1 02 STATE ( ) 03 LOCAL <br /> STREET ADDRESS CITY STATE ZIP <br /> 500 SEQUOIA PACIFIC BOULEVARD SACRAMENTO CA 95814 <br /> II FACILITY y <br /> FACILITY NAME DEALER/FOREMAN/ OR / <br /> tM <br /> SLAKEY BROTHERS, INC. TJW�' <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 1075 E. BIANCHI ROAD WEST LANE <br /> CITY COUNTY ZIP <br /> STOCKTON SAN JOAQUIN 95210 <br /> MAILING ADDRESS CITYSTATE .ZIP <br /> P.O. BOX 9386 STOCKTON CA 95208 <br /> PHONE W/AREA CODE TYPE OF BUSINESS <br /> 209-474-6201 ( ) 01 GASOLINE STATION (X) 02 OTHER WHOLESALER <br /> NUMBER OF CONTAINERS RURAL AREAS ONLY TOWNSHIP RANGE SECTION <br /> 1 <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 /> MARION, EUGENE 209-474-8201 MARION, EUGENE 209-464-7895 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( ) 04 OTHER: CONTAINER NUMBER 1 <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: C. YEAR INSTALLED 1980 f ) UNKNOWN <br /> 0. CONTAINER CAPACITY: 10000 GALLONS ( 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 /> ( 1 <br /> 01 UNLEADED (VJ 02 :FfULAR ( 1 03 PREMIUM OC 04 DIESEL ( ) 05 WASTE OIL ( 106 OTHER <br /> 04 <br /> V CONTAINER CONS RUCTION <br /> D <br /> A. THICKNESS OF PRIMARY CONTAINMENT: 1/4" ( ) GAUGE (X) INCHES ( ) CM ( ) UNKNOWN <br /> B. l ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ( ) 03 UNKNOWN <br /> C. l 101 DOUBLE WALLED (X) 02 SINGLE WALLED ( ) 03 LINED <br /> 0. (X) 01 CARBON STEEL ( ) 02 STAINLESS STEEL ( ) 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE f ) 05 CONCRETE <br /> ( 1 06 ALUMINUM ( ) 07 STEEL CLAD ( ) 08 BRONZE ( l 09 COMPOSITE ( ) 10 NON-METALLIC <br /> f ) 12 UNKNOWN ( T 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br /> ` 1%► <br />