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P040LIF6 / <br /> 400 STATE ID NUMBER 00000060392003 <br /> APPLICATION FOR PERMIT TO PERATE UNDERGROUND STORAGE TANK <br /> ( ) 01 NEW PERMIT ( 1 05 RENEWED PERMIT 07 TANK CLOSED ( ) 09 DELETE FROM FILE (NO FEE) <br /> ( ) 02 CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT t MINOR CHAN E (NO SURCHARGE) <br /> I OWNER <br /> N4ME(CORPORATION.INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> CLAUDE C. WOOD COMPANY ( ) 01 FED ( 1 02 STATE ( ) 03 LOCAL <br /> STREET ADDRESS CITY STATE ZIP <br /> 686 E. LOCKEFORD LODI CA 95240 <br /> II FACILITY <br /> FACILITY NAME �L/� DEALER/FOREMAN/SUPERVISOR <br /> ie--= S�N_ C�a.LLde CL 0 ' M(xir\,. BOB WHITEMORE <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 686 E. LOCKEFORD HWY. 99 <br /> CITY COUNTY ZIF <br /> LODI SAN JOAQUIN 95240 <br /> MAILING ADDRESS CITY STATE ZIP <br /> POST OFFICE BOX 599 LODI CA 95241 <br /> PHONE- W/APEA CODE TYPE OF BUSINESS <br /> 209-334-0790 ( ) O1 GASOLINE STATION (X) 02 OTHER CONSTRUCTION <br /> NUMBER OF CONTAINERS RVRAL AREAS ONLY TOWNSHIP RANGE SECTION <br /> 4 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAME(LAST NAME FIRST) AND PHONE W/ARCA 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 f 1 04 OTHER: CONTAINER NUMBER 3 <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: C. YEAR INSTALLED 1948 (X) UNKNOWN <br /> D. CONTAINER CAPACITY: / GALLONS ( 1 UNKNOWN E. DOES THE CONTAINER STORE: ( I 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 /> (X) 01 UNLEADED f ) 02 REGULAR ( l 03 PREMIUM ( 1 04 DIESEL ( l 05 WASTE OIL ( l 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: 1/4 ( ) GAUGE ( ) INCHES ( ) CM ( ) UNKNOWN <br /> B. l ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED l ) 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED (X) 02 SINGLE WALLED l l 03 LINED <br /> 0. (X) 01 CARBON STEEL ( l 02 STAINLESS STEEL ( ) 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE ( l 05 CONCRETE <br /> ( ) 06 ALUMINUM ( ) 07 STEEL CLAD ( ) 08 BRONZE f ) 09 COMPOSITE l ) 10 NON-METALLIC <br /> ( ) 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br />