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�+ STATE ID NUMBER 00000004373003 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> A01 NEW PERMIT f 9 05 RENEWED PERMIT ( ) 07 TANK CLOSED ( ) 09 DELETE FROM FILE (NO FEE) <br /> (P)- 02 CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> N'AME(CDRPCRATION,INOIVIOUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> STEPHENS MARINE, INC. ( ) 01 FED ( ) 02 STATE [ 1 03 LOCAL <br /> STPEET ADDRESS CITY STATE ZIP <br /> 345 N. YOSEMITE STEET STOCKTON CA 95203 <br /> II FACILITY <br /> FACILITY NA'`'E DEALEP./FOPEMANiSUPERVISOR <br /> STEPHENS ANCHORAGE RICK HAGERMAN <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 4950 W. BROOKSIDE ROAD <br /> CITY COUNTY ZIP <br /> STOCKTON SAN JOAQUIN 95207 <br /> MA_LING 6.DDPESS CITY STATE ZIP <br /> 'P.O. BOX 670 STOCKTON CA 95201 <br /> ~HONE W/AREA CODE TYPE OF BUSINESS <br /> 209-466-8691 ( ) 01 GASOLINE STATION (X) 02 OTHER MARINA <br /> N',}MBEP OF CONTAINERS RURAL APEAS ONLY .TOWNSHIP RANGE SECTION <br /> 4 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAPS: NLME(LAST NAME FIRST) AND PHONE W/APEA CCDE NIGHTS: NAME(LAST NAME FIPST) AND PHONE W/APEA CODE` <br /> RICK HAGERM AN 209-951-4144 209-95=1-4 44q�--t <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( ) 04 OTHER: CONTAINER NUMBER I <br /> B. MANUFACTURER (IF APPROPRIATE): UNKNOWN YEAR MFG: C. YEAR INSTALLED (X) UNKNOWN <br /> 0. CONTAINER CAPACITY: 4000 GALLONS E ) UNKNOWNE. DOES THE CONTAINER STORE: ( 1 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 444.} 02 REGULAR ( ) 03 PREMIUM &"4 DIESEL ( ) 05 WASTE OIL ( l 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( ] GAUGE ( l I14CHES ( 1 CM (X) UNKNOWN <br /> B. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ( ) 03 UNKNOWN <br /> C. t ) 01 DOUBLE WALLED [ ) 02 SINGLE WALLED ( 1 03 LINED <br /> D, f ) 01 CARBON STEEL t ] 02 STAINLESS STEEL f ) 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE ( ) 05 CONCRETE <br /> ( ) 06 ALUMINUM (X) 07 STEEL CLAD ( 1 08 BRONZE [ l 09 COMPOSITE f ) 10 NON-METALLIC <br /> ( ) 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE ` <br /> -Joe, �` <br />