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0 0 STATE ID NUMBER .00000045121003 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> (..-) <br /> 01 NEW PERMIT f ) 05 RENEWED PERMIT l ) 07 TANK CLOSED <br /> ( ) 09 DELETE FROM FILE (NO FEE) <br /> 02 CONDITIONAL PERMIT ( 1 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (N0 SURCHARGE) <br /> I OWNER <br /> PUBLICAGENCY ONLY <br /> NAME(COPPORATION,INDIVIOUAL OR PUBLIC AGENCY) ( ) O1 FED ( ) 02 STATE f 1 03 LOCAL <br /> WERNER'S AERO SERVICE <br /> STATE ZIP <br /> STREET ADDRESS / y /� r}� CITY CA 95206 <br /> 142 G `- d �.!/vL.GX� f(° s'r STOCKTON <br /> II FACILITY <br /> DEALER/FOREMA/SUPERVISOR <br /> FACILITY NAME L WERNER'S AERO SERVICESTPEET ADDRESS '�C/ f�/ NEAREST CROSS STREET <br /> KEN-t4ZIP <br /> COUNTY 9CITY SAN JOAQUINSTOCKTONCITY STATE MAILING ADDRESS l J} ) 1] © �r STOCKTON CA <br /> PHONE W TYP OF BUSINESS <br /> 1010 Cdti <br /> 209-982--1010 ( ) fll GASOLINE STATION (X) 02 OTHER AIRCRAFT <br /> NUMBER OF CONTAINERS RURAL AREAS ONLY : TOWNSHIP <br /> RANGE SECTION <br /> 3 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> PAYS: NAME( LAST NAME FIRST) AND PHONE W/AREA CODE NIGHTS: NAME( <br /> NAME FIRST) AND PHONE W/ARE.A CODE <br /> GEORGE R. WERNER 209-982-1010 <br /> WERNER GEORGE R. 477-401-7 <br /> CCMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION _ <br /> A. (X) 01 TANK E ) 04 OTHER: <br /> CONTAINER NUMBER 3 <br /> B. MANUFACTURER (IF APPROPRIATE)' YEAR MFG: C. YEAR INSTALLED 1970 f l UNKNOWN <br /> D. CONTAINER CAPACITY: 10000 GALLONS ( l UNKNOWN E. DOES THE CONTAINER STORE ( ) 01 WASTE fX? 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL 3 t ) 01 YES (X) 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br /> ( ) 01 UNLEADED ( ) 02 REGULAR ( ) 03 PREMIUM f l 04 DIESEL ( ) 05 WASTE OIL (X) 06 OTHER AVIATION AV GAS <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( 1 GAUGE f ) INCHES ( ) CM (X) UNKNOWN <br /> B. ( ) O1 VAULTED (LOCATED IN AN UNDERGROUND VAULT) tX) 02 NON-VAULTED ( ) 03 UNKNOWN <br /> C. t ) 01 DOUBLE WALLED ( ) 02 SINGLE WALLED t 1 03 LINED <br /> D. (X) 01 CARBON STEEL ( ) 02 STAINLESS STEEL ( ) 03 FIBERGLASS ( ? 04 POLYVINYL CHLORIDE ( ) 05 CONCRETE <br /> ( ) 06 ALUMINUM t l 07 STEEL CLAD E 3 08 BRONZE ! ) 09 COMPOSITE ( ) 10 NON-METALLIC <br /> ( ? 12 UNKNOWN ( l 13 OTHER: <br /> PAGE I <br /> HSC04-070185 (10118/85) <br />