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STATE ID NUMBER 00000002420001 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> I l <br /> 01 NEW PERMIT ( ) 05 RENEWED PERMIT �1 07 TAW CLOSED ( ) 09 DELETE FROM FILE (ND FEE) <br /> ( ) 02 CONDITIONAL PERMIT f ) 06 AMENDED PERMIT (-Y-08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAMEf CORPORATION.INDIVIDUAL OR PUBLIC AGENCY) <br /> TOYOTA TOWN, INC PUBLIC AGENCY ONLY <br /> l ) 01 FED 1 102 STATE ( ) 03 LOCAL <br /> STREET ADDRESS CITY STATE ZIP <br /> 610 NORTH HUNTER STDCKl CA 95202 <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREMAN/SUPERVISOR <br /> TOYOTA TOWN S. ROBERT ZAMORA <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 610 NORTH HUNTER OAK <br /> CITY COUNTY ZIP <br /> STOCKTON SAN JOAQUIN 95202 <br /> MAILING ADDRESS CITYSTATE ZIP <br /> P.O. BOX 1970 STOCKTON CA 95201 <br /> PHONE W/AREA CODE TYPE OF BUSINESS <br /> 209-466-1492 ( ) 01 GASOLINE STATION (X) 02 OTHER AUTO DEALERSHIP <br /> NUMBER OF CONTAINERS RURAL AREAS ONLY TOWNSHIP RANGE SECTION <br /> 3 <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 W/AREA CODE <br /> ZAMORA, S. 209-466-1492 - - <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( ) 04 OTHER: CONTAINER NUMBER 001 <br /> B. MANUFACTURER (IF APPROPRIATE): UNKNOWN YEAR MFG: C. YEAR INSTALLED (X) UNKNOWN <br /> D. CONTAINER CAPACITY: GALLONS (X) UNKNOWN E. DOES THE CONTAINER STORE: ( ) 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 /> (X) 01 UNLEADED f l 02 REGULAR f 1 03 PREMIUM ( ) 04 DIESEL ( ) 05 WASTE OIL l l 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> D <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( ) GAUGE ( ) INCHES f ) CM (X) UNKNOWN <br /> B. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) l ) 02 NON-VAULTED (X) 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED ( 1 02 SINGLE WALLED ( ) 03 LINED <br /> D. ( ) 01 CARBON STEEL ( 7 02 STAINLESS STEEL ( ) 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE t l 05 CONCRETE <br /> ( 1 06 ALUMINUM ( ) 07 STEEL CLAD f ] 08 BRONZE ( ) 09 COMPOSITE ( ) 10 NON-METALLIC <br /> (X) 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br />