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L <br /> STATE ZO NUMBER 00000060392001 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> tr'J O1 NEW PERMIT ( ) 05 RENEWED PERMIT ( 1 07 TANK CLOSED ( ] 09 DELETE FROM FILE fN0 FEEL <br /> ( 1 Q't'i'�NDITIONAL PERMIT l ) 06. AMENDED PERMIT f ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAME(CORPORATION,INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> CLAUDE C. WOOD COMPANY ( 1 01 FED ( 1 02 STATE ( ) 03 LOCAL <br /> STPEET ADDRESS CITY STATE ZSP <br /> 686 E. LOCKEFORD LODI CA 95240 <br /> II FACILITY <br /> FACILITY NAME �Q � �. IDBd ��y%„ EB <br /> H yHop_ u d -� OB WHITEMORE <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 686 E. LOCKEFORD HWY. 99 <br /> CITY COUNTY ZIP <br /> LODI SAN JOAQUIN 95240 <br /> MAILING ADOPESS CITY STATE ZIP <br /> POST OFFICE BOX 599 LOBI CA 95241 <br /> PHONE W/AREA CODE TYPE OF BUSINESS <br /> 209-334-0790 ( ) 01 GASOLINE STATION (X) 02 OTHER CONSTRUCTION <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 1 <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: C. YEAR INSTALLED (X) UNKNOWN <br /> D. CONTAINER CAPACITY: 12000 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 f 1 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br /> l 1 01 UNLEADED (X) 02 REGULAR ( ) 03 PREMIUM ( ) 04 DIESEL (. ) 05 WASTE OIL ( 7 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> D <br /> A. THICKNESS OF PRIMARY CONTAINMENT: 1/4 ( ) GAUGE ( 1 INCH€S ( ) CM ( 1 UNKNOWN <br /> S. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ( ) 03 UNKNOWN <br /> C. ( ) Ol DOUBLE WALLED ( 1 02 SINGLE WALLED ( 1 03 LINED <br /> D. (X) 01 CARBON STEEL l ) 02 STAINLESS STEEL ( ) 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE ( 1 05 CONCRETE <br /> ( ) 06 ALUMINUM ( ) 07 STEEL CLAD ( ) 08 BRONZE ( 1 09 COMPOSITE ( 1 10 NON-METALLIC <br /> l ) 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br />