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STATE ID NUMBER 00000006641003 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> PERMIT ( ) 05 RENEWED PERMIT ( ) 07 TANK CLOSED ( ) 09 DELETE FROM FILE (NO FEE) <br /> t✓) 02 CONDITIONAL PERMIT ( 1 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAME(CORPORATION,INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> TIGER LINES INC. I( ) 01 FED f ) 02 STATE ( ] 03 LOCAL <br /> STREET ADDRESS CITYSTATE ZIP <br /> 927 E BLACK DIAMOND WAY LODI CA 95241 <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREMAN/SUPERVISOR <br /> TIGER LINES TRUCK TERMINAL DAVID GRAVES <br /> STPEET ADDRESS NEAREST CROSS STREET <br /> 927 E BLACK DIAMOND WAY - <br /> CITY _ COUNTY ZIP <br /> LODI SAN JOAQUIN 95241 <br /> MAILING ADDRESS CITY STATE ZIP <br /> P.O. BOX BG9 pi[ LODI CA 95241 <br /> PHONE W/AREA CODE TYPE OF BUSINESS <br /> 209-333-0298 ( ) 01 GASOLINE STATION (X) 02 OTHER MOTOR CARRIER <br /> NUMBER OF CONTAINERSRURAL AREAS ONLY TOWNSHIP RANGE SECTION <br /> 3 <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/APER CODE <br /> GRAVES,DAVID 209-333-0298 BAKER,GROVER 209-334-2381 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( ) 04 OTHER: CONTAINER NUMBER 2 <br /> B. MANUFACTURER (IF APPROPRIATE): ARROW TANK CO., REDOING YEAR MFG: 1984 Fc. YEAR INSTALLED 1983 ( l UNKNOWN <br /> 0. CONTAINER CAPACITY: 100 GALLONS ( ) 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 /> ( l 01 UNLEADED ( 1 02 REGULAR ( ) 03 PREMIUM (X1 04 DIESEL ( ) 05 WASTE OIL ( ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: 1/4" ( l GAUGE (X) INCHES ( ) CM f 1 UNKNOWN <br /> B. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ( ) 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED (X) 02 SINGLE WALLED ( 1 03 LINED <br /> D. (X) 01 CARBON STEEL ( ) 02 STAINLESS STEEL [ ) 03 FIBERGLASS f ) 04 POLYVINYL CHLORIDE ( 105 CONCRETE <br /> ( ) 06 ALUMINUM ( l 07 STEEL CLAD ( 1 08 BRONZE ( ) 09 COMPOSITE ( 1 10 NON-METALLIC <br /> l l 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br /> �P <br />