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U/ STATE ID NUMBER 00000060391002 <br /> APPLICATION FOR PERMIT TO OPERfr,.FvlDERGROUND STORAGE TANK <br /> 1 01 NEW PERMIT ( ) 05 RENEWED PERMIT .IIT Aw""Q= ( ) 09 DELETE FROM FILE (NO FEE) <br /> ( ) 02 CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT All 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAME(CCPPORATION,INDIVIOUAL 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. LOCKEFORO LODI CA 95240 <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREMAN/SUPERVISOR <br /> CLEMENTS ROCK PLANT J655-6Ai4_'" <br /> STREET ADDRESS NEAREST CROS TRMET <br /> 17300 E. JAHNAT ROAD d <br /> CITY COUNTY ""` ZIP <br /> CLEMENTS SAN JOAQUIN 95227 <br /> MAILING ADDRESS CITY STATE ZIP <br /> 17300 E. JAHANT ROAD CLEMENTS CA 95227 <br /> PHONE W/AREA CODE TYPE OF BUSINESS <br /> 209-759-3331 ( ) 01 GASOLINE STATION (X) 02 OTHER AGGREGATE PRODUCTION <br /> NUMBER OF CONTAINERS RURAL AREAS ONLY TOWNSHIP RANGE SECTION <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE NIGHTS: NAME(LAST NAME FIRST) AND PHONE W/AREA 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 ( 1 04 OTHER: CONTAINER NUMBER 4. ' <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: C. YEAR INSTALLED (X) UNKNOWN <br /> D. CONTAINER CAPACITY: 10000 GALLONS ( 1 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 /> f 1. 01 UNLEADED f ) 02 REGULAR f ) 03 PREMIUM (X) 04 DIESEL ( ) 05 WASTE OIL ( ) 06 OTHER <br /> 0 <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: 1/4 ( ) GAUGE ( ) INCHES ( ) CM ( 1 UNKNOWN <br /> B. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 MON-VAULTED ( ) 03 UNKNOWN <br /> C., ( ) 01 DOUBLE WALLED (X) 02 SINGLE WALLED ( 1 03 LINED <br /> D. (X) 01 CARBON STEEL f ) 02 STAINLESS STEEL f ) 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE f l 05 CONCRETE <br /> l ) 06 ALUMINUM f ) 07 STEEL CLAD f ) 08 BRONZE ( 1 09 COMPOSITE f ) 30 NON-METALLIC <br /> f 1 12 UNKNOWN ( ) 13 OTHER: <br /> KSC04-070185 (10/18/85) PAGE 1 <br />