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STATE ID NUMBER 00000039008001 <br /> APPLICATION FOR PERMIT TO OPER EE UNDERGROUND STORAGE TANK <br /> ) O1 NEW PERMIT ( ) 05 RENEWED PERMIT ( 7 TANK LOSE <br /> ( ) 09 DELETE FROM FILE (NO FEE) <br /> ( ) 02 CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT ( ) 0 CHANGE (NO SURCHARGE) <br /> I OWNER <br /> PUBLIC AGENCY ONLY <br /> NAME(CORPORATION,INDIVIDUAL OR PUBLIC AGENCY) ( ) 01 FED ( ) 02 STATE ( ) 03 LOCAL <br /> BILL OWEN & CHARITY OWEN (PROP <br /> CITY STATE ZIP <br /> STREET ADDRESS STOCKTON CA 95201 <br /> P.O. BOX 1507 <br /> II FACILITY <br /> DEALER/FOREMAN/SUPERVISOR <br /> [FACILITY NAME& JACK LARRY'S AUTO REPA �yc G,NEAREST CROSS STREET <br /> T ADDRESS NO. HUNTER <br /> . LINDSAY <br /> COUNTY ZIP <br /> SAN JOAQUIN 95202 <br /> TON <br /> CITY STATE ZIP <br /> MAILING ADDRESS 5TOCKTON CA 95202 <br /> 123 E. LINDSAY <br /> E209-463-925S <br /> NE W/AREA CODE TYPE OF BUSINESS <br /> 01 GASOLINE STATION (X) 02 OTHER AUTO REPAIRBER OF CONTAINERS RURAL AREAS ONLY : TOWNSHIP <br /> RANGE SECTION <br /> 1 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAME(LAST NAME FIRST) AND PHONE W/APEA CODE NIGHTS: NAME(LAST NAME FIRST) AND-PHONE W/AREA CODE <br /> LINDGREN, LARRY R. 209-iCf;agViRp p?7-3806 SAME <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> EB. MAIN4UEFACTURER <br /> E(IFF <br /> THER: CONTAINER NUMBER 1 <br /> OPRIATE): U/K YEAR MFG: C. YEAR INSTALLED 1965 ( ) UNKNOWN <br /> D. CONTAINER CAPACITY: 550 GALLONS ( ) UNKNOWN E. DOES THE CONTAINER STORE: (X) 01 WASTE ( 1 02 PRODUCT <br /> F. DOES <br /> OTHE <br /> CONTAINER STORE <br /> RMOTOR <br /> VEHICLE <br /> FUEL <br /> ORMWASTE <br /> ) OIL04 DIESEL 01 YES <br /> (X)WAS020IOL ( ) YES <br /> 06 OCHECK <br /> APPROPRIATE BOX(ES): <br /> ED 02 <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( ) GAUGE [ ) INCHES ( 1 CM (X) UNKNOWN <br /> B, ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) ( ) 02 NON-VAULTED (X) 03 UNKNOWN <br /> C. f ) O1 DOUBLE WALLED ( ) 02 SINGLE WALLED ( 1 03 LINED <br /> D ( 1(0) CARBON <br /> (( ))072STEELNCLAD STEEL 08( 03 BRONZEFIBERG095COMPOSITE POLYVINYL <br /> NON-METALLIC( ) 05 CONCRETE <br /> (X) 12 UNKNOWN [ ) 13 OTHER: <br /> PAGE 1 <br /> HSC04-070185 (10/18/85) <br />