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' STATE ID NUMBER <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> r( 1 01 NEN PERMIT 1 1 OS RENEWED PERMIT ( 1 07 TANK CLOSED 1 ) 09 DELETE' FROM FILE (NO FEE) <br /> 02 CONDITIONAL PERMIT 1X1 06 AMENDED PERMIT 1 1 06 MINOR CHANGE (NO SURCHARGE) <br /> 1 OWNER <br /> NAM:ICORPOPATION.INOIVIOUAL OR PUBLIC AOENCYI PUBLIC AGENCY ONLY <br /> J_ R. Simplot Company 1 1 01 FEB 1 1 02 STATE ( 1 03 LOCAL <br /> tTICCT ACORESS CITY STAT£ 2IP <br /> _, 999 Main St. (One Capital Center) Boise ID 83707 <br /> II FACILITY <br /> FACILITY NAME DEALER/FOPEMEN/SUPCRVISOP <br /> J. R. Simplot Company (Lathrop plant) _Dean Cowley <br /> STREET AODIESS NEAREST CROSS STREET <br /> 16777 Howl,nd Road _ Louise Avenue <br /> CITY <br /> COUNTY 2IP <br /> Lathrop_ _ San Joaquin 95330 <br /> MAILING ADDRESS CITY STATE ZIR <br /> __2.(?._BOX 198 Lathrop I CA 95330 <br /> vnoN: w-AR£• coo£ TYPE D. BUSINESS Agricultural Chemicals <br /> 209/858-2511 ( 1 O1 GASOLINE STATION 1X1 02 OTHER a d f r <br /> tilizers <br /> NUI'BER CF CONTAINERS PUPAL AREAS ONLY TOWNSHIP PA NOC SECTION <br /> 156 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> OATS: NAME(LAST NAME FIRST) AND PHONE W/APEA CODE NIGHTS: NAME(LAST NAME FIRST$ AND PHONE W/AREA CODE <br /> Edson,Robert 209/858-2511 1 Pallen, John 209/983-'0560 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br />�5 A. OIN 01 TANK ( 1 02 OTHER: CONTAINER NUMBER <br /> 150 <br /> B. MANUFACTURER (IF APPROPRIATE): na YEAR MFG: j C. YEAR INSTALLED 1g82 1 1 UNKNOWN <br /> D. CONTAINER CAPACITY: 10,000 GALLONS C=) UNKNOWNE. GOES THE CONTAINER STORE* 1 1 O1 WASTE . (X) 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? (XI 01 TES 1 1 02 NO IF YES CHECK APPROPRIATE BOXIEST: <br /> 1 ) <br /> 01 UNLEADED (D1 02 REGULAR ( 1 03 PREMIUM ( 1 04 DIESEL 1 1 05 WASTE OIL 1 1 06 OTHER <br /> V CONTAINER CONSTRUCTION lI <br /> A TH ICFNESS OF PRIMARY CONTAINMENT: ( I GAUGE 1 I INCHES ( I CM_1X2 UNKNOWN <br /> B. 1 1 01 VAULTED (LOCATED IN AM U(OERGROUID VAULT) (X) 02 NON-VAULTED 1 1 03 UNKNOWN 1 <br /> IC. 1 1 01 DOUBLE MALLEO M 02 SINGLE WALLED 1 1 03 LINED <br /> 0. KM 01 CARBON STEEL 1 1 02 STAINLESS STEEL 1 1 03 FIBERGLASS ( 1 04 POLYVINYL CHLORIDE 1 1 05 CONCRETE � <br /> 1 1 06 ALUMINUM ( 1 07 STEEL CLAD 1 1 06 BROIIZE t ) 09 COMPOSITE 1 1 10 NON-METALLIC i <br /> 1 1 12 UNKNOWN l l 13 OTHER: <br /> NSC04-070185 PAGE 1 <br />