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STATE ID NUMBER 00000004373001 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> (t�(,1 O1 NEW PER <br /> ( ) OS RENEWED PERMIT f 1 07 TANK CLOSED ( ) 09 DELETE FROM FILE {(i[l FEE) <br /> 2 CONDITIONAL PERMIT f ) 06 AMENDED PERMIT ( 1 08 MINOR CHANGE (NO SURCHARGEI <br /> I OWNER <br /> NA.ME(CORRC'PATICN,INDIVIOUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> 5TEPHENS MARINEr INC. C ] <br /> 01 FED ( ) 02 STATE 03 LOCAL <br /> [ 1 <br /> STREET ADDRESS CITY STATE ZIP <br /> 345 N. YOSEMITE STEET STOCKTON CA 95203 <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREMANiSUPERVISOR <br /> STEPHENS ANCHORAGE RICK HAGERMAN <br /> S—FEET ADDRESS NEAREST CROSS STREET <br /> 4950 W. BROOKSIDE ROAD <br /> CITY COUNTY ZIP <br /> STOCKTON SAN JOAQUIN 95207 <br /> MAILING ADDRESS CITY STATE ZIP <br /> P.O. BOX 670 STOCKTON CA 95201 <br /> PHCNE W/APE4 CODE TYPE OF BUSINESS <br /> 209-466-8691 ( ) 01 GASOLINE STATION {X) 02 OTHER MARINA <br /> NU"IBER OF CONTAINERS RURAL AREAS ONLY TCWNS94IP RANGE SECTION <br /> 4 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAME(LAST NAME FIRST) AND PHONE W/AP.EA CODE NIGHTS: NAME(LAST NAME FIRST) AND PHONE WJAPEA CODE <br /> RICK HAGERMAN 209-951-4144 __-- =P.` )aJ6 ( 209-9 _� V <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): UNKNOWN YEAR MFG: C. YEAR INSTALL€D (X) UNKNOWN <br /> 0. CONTAINER CAPACITY: 4000 GALLONS ( ) UNKNOWN JE. DOES THE CONTAINER STORE: t ) 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 01 UNLEADED (X) 02 REGULAR ( ) 03 PREMIUM ( ) 04 DIESEL ( ) 05 WASTE OIL ( l 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( ) GAUGE ( l INCHES ( ) CM (X) UNKNOWN <br /> B. C 1 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) CX) 02 NON—VAULTED ( ) 03 UNKNOWN <br /> C. f } 01 DOUBLE WALLED ( 1 02 SINGLE WALLED ( 1 03 LINED <br /> 0. ( ) 01 CARBON STEEL [ ) 02 STAINLESS STEEL { ) 03 FIBERGLASS { 1 04 POLYVINYL CHLORIDE ( 1 05 CONCRETE <br /> f ) 06 ALUMINUM (X) 07 STEEL CLAD t ) 08 BRONZE ( ) C9 COMPOSITE ( ) 10 NON—METALLIC <br /> f ) 12 UNKNOWN [ ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br /> Ar <br />