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STATE I0 NUMBER 00000053281001 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> �7 01 NEW PERMIT [ 1 05 RENEWED PERMIT 07 TANK CLOSED f 09 DELETE FROM FILE <br /> 02 CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT (NO SURCHARG <br /> I OWNER <br /> NAME(CORPOP.ATION.INDIVIDUAL OR PUBLIC AGENCY) <br /> ARTHUR ROSSETTI PUBLIC AGENCY ONLY <br /> ( ) 01 FED ( ) 02 STATE ( ) 03 LOCAL <br /> STREET ADDRESS <br /> 25411 E. LONE TREE R0. CITY STATE ZIP <br /> ESCA LON CA 95320 <br /> II FACILITY <br /> FACILITY NAME <br /> DEALER/FOREMAN/SUPERVISOR <br /> ROSSETTI'S SERVICE OWNER <br /> STREET ADDRESS <br /> 25411 LONE TREE RD. NEAREST CROSS STREET <br /> CITY <br /> COUNTY <br /> ESCA LON ZIP <br /> SAN JOAQUIN 95320 <br /> MAILING ADDRESS CITY STATE ZIP <br /> 25411 E. LONE TREE RD ESCALON CA 95320 <br /> PHC.9E W/AREA CCOE _ TYPE OF BUSINESS <br /> 209-838-2996 pr .:�_ _' (X1 01 GASOLINE STATION ( l 02 OTHER <br /> NUMBER OF CONTAINERS RURAL AREAS ONLY TOWNSHIP RANGE SECTION <br /> 4 <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 /> ROSSETTI, ARTHUR 209-838-2996 SAME <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( ) 04 OTHER: CONTAINER NUMBER 1 <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: C. YEAR INSTALLED 1974 I ) UNKNOWN <br /> D. CONTAINER CAPACITY: 7000 GALLONS ( ) 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 ( ) 02 NO IF YES CHECK APPROPRIATE SOX(ES): <br /> ( ) 01 UNLEADED (X) 02 REGULAR ( ) 03 PREMIUM ( ) 04 DIESEL ( ) 05 WASTE OIL ( 1 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: 1/4 ( ) GAUGE (X) INCHES ( 1 CM ( 1 UNKNOWN <br /> S. f 1 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) ( ) 02 NON-VAULTED (X) 03 UNKNOWN <br /> C. ( 1 01 DOUBLE WALLED V-) 02 SINGLE WALLED ( 1 03 LINED <br /> D. (x) 01 CARBON STEEL ( "7 02 STAINLESS STEEL ( 1 03 FIBERGLASS f 1 04 POLYVINYL CHLORIDE ( 7 05 CONCRETE <br /> ( ) 06 ALUMINUM ( ) 07 STEEL CLAD ( ) 08 BRONZE (X) 09 COMPOSITE ( ) 10 NON-METALLIC <br /> ( 1 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) <br /> PAGE 1 <br />