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STATE I0 NUMBER 00000019740002 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> 01 NEW PERMIT l ) 05 RENEWED PERMIT ( ) 07 TANK CLOSED <br /> ( ) 02 CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT ( 1 .08 MINOR CHANGE (NO SURCHARGE)) 09 DELETE FROM FILE (NO FEE) <br /> I OWNER <br /> N?ME(COPPOPATION,INOIVIDUAL OR PUBLIC AGENCY) <br /> E.F.MITCHLER CO. PUBLIC AGENCY ONLY <br /> ( ) O1 FED ( ) 02 STATE ( ) 03 LOCAL <br /> STREET ADDRESS <br /> 400 S LINCOLN ST CITY STATE IIP <br /> STOCKTON CA 95203 <br /> II FACILITY <br /> ff$. <br /> ME <br /> R CO DEALER/FOREMAN/SUPERVISOR <br /> ESS <br /> OLN ST NEAREST CROSS STREET <br /> WASHINGTON <br /> COUNTY IIP <br /> SAN JOAQUIN 95203 <br /> MAILING ADDRESS <br /> 400 S. LINCOLN ST CITY STATE ZIP <br /> STOCKTON £A 95203 <br /> PHONE W/AREA CODE TYPE OF BUSINESS <br /> 209-466-8941 ( ) 0.1 GASOLINE STATION (X) 02 OTHER <br /> NUMBER OF CONTAINERS RURAL AREAS ONLY : TOWNSHIP <br /> 2 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 /> KLEIN, ROBERT 209-466-8941 KLEINr ROBERT <br /> 209-478-5528 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X)01 TANK ( ) 04 OTHER: <br /> CONTAINER NUMBER 2 <br /> B. MANUFACTURER (IF APPROPRIATE): MCCUTCHEN YEAR MFG: 1984 C. YEAR INSTALLED 1984 ( ) UNKNOWN <br /> 0. CONTAINER CAPACITY: 1000 GALLONS f l UNKNOWN E. DOES THE CONTAINER STORE: ( ) 01 WASTE (X) 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? <br /> ( 1 01 UNLEADED (X) 02 REGULAR ( ) 03 PREMIUM ( ) 04 DIESEL 0( 1E05 WASTE2OILL (NO I) 06SOTCHE <br /> HERK APPROPRIATE BOXTfSI: <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: 38• � (X) GAUGE (lJ) INCHES ( ) CM f ] UNKNOWN <br /> 8• f 1 <br /> 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NDN-VAULTED ( ) 03 UNKNOWN <br /> C. ( 1 01 DOUBLE WALLED (X) 02 SINGLE WALLED ( ) 03 LINED <br /> D. (X) 01 CARBON STEEL ( ) 02 STAINLESS STEEL ( 1 03 FIBERGLASS f ) 04 POLYVINYL CHLORIDE ( 1 05 CONCRETE <br /> ( ) 06 ALUMINUM ( ) 07 STEEL CLAD f 1 08 BRONZE ( 1 09 COMPOSITE ( 1 10 NON-METALLIC <br /> [ ) 12 UNKNOWN ( ) 13 OTHER: <br /> SC04-070185 (10/18/85) <br /> PAGE 1 <br />