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STATE ID NUMBER 00000062761002 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> fXf 01 NEW PERMIT 1 l 05 RENEWED PERMIT ( ) 07 TANK CLOSED ( ) 09 DELETE FROM FILE (NO FEE) <br /> f 102 CONDITIONAL PERMIT t ) 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAME(CORPORATION.INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> CHEVRON U.S.A. INC. ( ) 01 FED ( ) 02 STATE ( ) 03 LOCAL <br /> STREET ADDRESS CITY STATE ZIP <br /> 575 MARKET SAN FRANCISCO CA 94105 <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREMAN/SUPERVISOR a <br /> 95490 FDO J Oh�-5 C"vr-Q JONES.BOB L <br /> STREET ADDPESS NEAREST CROSS STREET <br /> 1246 E. HARDING WAY AIRPORT <br /> CITY COUNTY ZIP <br /> STOCKTON. SAN JOAQUIN 95205 <br /> MAILING ADOPESS CITY STATE ZIP <br /> 1246 E. HARDING WAY STOCKTON CA 95205 <br /> PHONE W/ARCA CODE TYPEOF BUSINESS <br /> 209-463-5337 (X) 01 GASOLINE STATION ( 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 NAME FIRST) AND PMONE W/AREA CODE NIGHTS: NAME(LAST NAME FIRST) AND PHONE W/ARTA CODE <br /> MAINTENANCE DISPATCH 415-877-0244 - <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION �.�II, <br /> A. (X) 01 TAW ( ) 04 OTHER: CONTAINER NUMBER -r-*3 <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: 1971 C. YEAR INSTALLED 1971 ( ) UNKNOWN <br /> 0. CONTAINER CAPACITY: 5000 GALLONS ( ) UNKNOWN E.=DOES CONTAINER STORE: ( ) 01 WASTE (X) 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? 040-01 YES ( ) 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br /> [ ] 01 UNLEADED ( 1 02 REGULAR f2{I 03 REMIUM ( ) 04 DIESEL ( ) 05 WASTE OIL ( ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: 0000250 ( ) GAUGE ( ) INCHES ( ) CM f 7 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 /> 0. (X) 01 CARBON STEEL ( ] 02 STAINLESS STEEL 1 1 03 FIBERGLASS t ) 04 POLYVINYL CHLORIDE ( 1 05 CONCRETE <br /> ( ) 06 ALUMINUM ( ) 07 STEEL CLAD ( ) 08 BRONZE l 1 09 COMPOSITE ( ] 10 NON-METALLIC <br /> t ) 12 UNKNOWN ( ) 13 OTHER: <br /> • HSC04-070185 (10/18/85) PAGE 1 <br />