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i <br /> Y, <br /> Y STATE 10 NUMBER <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE„T#NK ,•, <br /> (x1 01 NEN PERMIT - ( 1 Of RENENEO PERMIT 1 1 07 TANK CLOSED . l_ 1-.91 OELETB.:FROII,M9 (NO FEEI <br /> 1 1 02 CONDITIONAL PERMIT 1 1 06 AMENDED PERMIT 1 1 08 MINOR CHANGE IND SURCHARGE) <br /> I OWNER <br /> NAMEICOPRORATION.INDIVIDUAL OR PUBLIC AOENCYI PUBLIC AGENCY ONLY <br /> Branqon-Cross Tnmbpr ('o I 1 01 FED 1 1 02 STATE ,1 J.03 LOCAL <br /> STREET A000AS! ... CITY STAT[ <br /> 11800 S. Harlan Road Lathro Ca. 453 <br /> II FACILITY <br /> FACILITY NAM! DEAIER/f0/CMfN�SURCRVIiOR <br /> Branson Cross Lumber Co. Geoff 162romlGc Branson <br /> STREET ACtVISS NEAREST CROSS STREET <br /> 11,900 S. Harlan Road Roth Road <br /> Lathrop �an Joaquin 11 <br /> 953300 <br /> MAILING ADDRESS CITY STATE LIP <br /> Rama _ amp qnmp "Amp <br /> PHONE W,ARCA COOS TYPE Of BUSINESS- <br /> 1 "209- 983-1174 1 1 01 GASOLINE STATION Ixxl 02 OTHER Lumber Yard <br /> NUr4ff CI CONTAINERS RURAL AREAS ONLY TOWNSHIP RANGE SECTION . <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> OATS: _NAMCIIAlT NAM[ /IKtI AND PHONE N/ARCA COOL NEGXTi: NAMe HAST NAM! FIRST) AND PXON[ N/APG COOL <br /> I beoiL_R 1 -20T-983-1174 Geoff Branson 1 -209-983-1174 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> 1V DESCRIPTION <br /> SF A. 1x1 01 TATA( I 1 02 OTHER: CONTAINER NUMBER ULJ393238 <br /> B. MANUFACTURER tIF APPROPRIATE I: TrusCo YEAR MFG: 87 C. YEAR INSTALLED 87 ( 1 UNKNOWN <br /> 0. CONTAINER CAPACITY: 10,000 GALLONS ( 1 lRA(NOWH E. DOES THE CONTAINER STORE: 1 1 01 HASTE 1x1 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? l 1 01 YES 1 1 02 NO IF YES CHECK APPROPRIATE SOX(ES1: <br /> 1 ) 01 UNLEADED ( 1 02 REGULAR ( 1 03 PREMIUM k)* 04 DIESEL ( 1 OS WASTE OIL l 1 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS Of PRIMARY CONTAINMENT: ( 1 GAUGE (XI INCHES 1 1 CM 1 1 11fOCNOHN <br /> B. Ig 1 01 VAULTED (LOCATED IN AN U70ERGRMPM VAULT) '1 1 02 NON-VAULTED 1 1 03 UNKNOWN <br /> IC. (XJ 01 DOUBLE WMLLEO I 1 02 SINGLE WALLED 1 1 01 LINED <br /> 0. 1x1 01 CARBON STEEL ( 1 02 STAINLESS STEEL ( 1 03 FIBERGLASS ( 1 04 POLYVINYL CHLORIDE ( 1 OS CONCRETE <br /> ( 106 ALUMINUM l ) 07 STEEL CLAD ( 1 OB BRONZE 1 1 09 COMPOSITE 1 1 10 NON-METALLIC <br /> 1 1 12 LHMKNOW( l 1 11 OTHER: <br /> PAGE 1 <br /> HSC04-070185 <br /> AMP, ..i <br />