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STATE ID NUMBER 00000060391001 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> ( 1 01 NEW PERMIT ( ) 05 RENEWED PERMIT /,07 TANK CLOSED ( ) 09 DELETE FROM FILE (NO FEE) <br /> ( ! 02 CONDITIONAL PERMIT f 1 06 AMENDED PERMIT ;�08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NA"(CORPOPATION.INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> CLAUDE C. WOOD COMPANY ( ) 01 FED ( ) 02 STATE f ) 03 LOCAL <br /> STREET ADDRESS CITY STATE ZIP <br /> 686 E. LOCKEFORD LODI CA 95240 <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREMAN/SUPERVISOR <br /> CLEMENTS ROCK PLANT JP ftC^4&E <br /> STREET ADDRESS NEAREST CROS3 STREET <br /> 17300 E. JAHNAT ROAD <br /> CITY COUNTY ZIP <br /> CLEMENTS SAN JOAQUIN 95227 <br /> MAILING ADDRESS CITYSTATE ZIP <br /> 17300 E. JAHANT ROAD CLEMENTS CA 95227 <br /> PHONE W/AP!A CODE TYPE OF BUSINESS <br /> 209-759-3331 ( ) 01 GASOLINE STATION (X) 02 OTHER AGGREGATE PRODUCTION <br /> NJMBER OF CONTAINERS RURAL AREAS ONLY TOWNSHIP RANGE SECTION <br /> 3 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAME(IP.ST NAME FIRST) AND PHONE W/A P.EA CODE NIGHTS: NAM!(LAST NAME FIRST) AND PHONE W/ARlA CODE <br /> BOB WHITEMORE 209-334-0790 BOB WHITEMORE 209-727-5721 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( ) 04 OTHER: CONTAINER NUMBER Pr3 <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: C. YEAR INSTALLED (XI UNKNOWN <br /> D. CONTAINER CAPACITY: 500 GALLONS f 1 UNKNOWN I E. DOES THE CONTAINER STORE: (X) 01 WASTE f ) 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? (X) 01 YES ( ) 02 NO IF YES CHECK APPROPRIATE BOX(ESI: <br /> ( ) 01 UNLEADED 1 ) 02 REGULAR ( ) 03 PREMIUM ( ) 04 DIESEL (X) 05 WASTE OIL 1 ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( ) GAUGE ( ) INCHES f ) CM (X) UNKNOWN <br /> B. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) ( ) 02 NON-VAULTED (X) 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED ( ) 02 SINGLE WALLED f 1 03 LINED <br /> D. ( ) 01 CARBON STEEL ( ) 02 STAINLESS STEEL 1 ) 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE f ) 05 CONCRETE <br /> ( 1 06 ALUMINUM ( ) 07 STEEL CLAD ( ) 08 BRONZE t 1 09 COMPOSITE ( ) 10 NON-METALLIC <br /> (X) 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br /> y <br /> %/ Now <br />