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STATE ID NUMBER 00000013422001 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> (A� 01 NEW PERMIT f ) 05 RENEWED PERMIT ( ) 07 TANK CLOSED ( ) 09 DELETE FROM FILE (NO FEE) <br /> ( l 02 CONDITIONAL PERMIT ( ! 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAME(COPPOPATION,IN IVIDUAL OR PUBBJIC� AG NCV) PUBLIC AGENCY ONLY <br /> V+�� ( ) 01 FED ( ) 02 STATE ( 1 03 LOCAL <br /> Y V/�� <br /> STREET ADDRESSCIT �jI/t STATE ZIPCA <br /> 3SS'MCGRIDER�IL~«CRD PA o ( 6 0 7 IC+�" / ;T <br /> II FACILITY <br /> FACILITY NAME //� !�' /.r,, G DEALER/FOREMAN/SUPERVISOR <br /> 'rARS TRUPKI 5, ;Ne. W pv <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 2929 SOUTH HIGHWAY 99 Loomis <br /> CITY COUNTY ZIP <br /> STOCKTON SAN JOAQUIN 95205 <br /> MAILING ADDRESS CITY STATE ZIP <br /> 2929 SOUTH HIGHWAY 99 STOCKTON CA 95205 <br /> PHONE W/AREA CODE TYPE OF BUSINESS <br /> 209 i—sff-}= 6 ( ) 01 GASOLINE STATION (X) 02 OTHER TRUCK TERMINAL <br /> NUMBER OF CONTAINERS RURAL AREAS ONLY TOWNSHIP RANGE SECTION <br /> 2 <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 /> DANNY- ';6HER89 <br /> OT J Y67-60 nanss sem— �aq �77Z—Z 8-/ <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH ONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( ) 04 OTHER CONTAINER NUMBER 1-G <br /> B. MANUFACTURER (IF APPROPRIATE): ?????????????????????????????? YEAR MFG: ????I C. YEAR INSTALLED (X) UNKNOWN <br /> 0. CONTAINER CAPACITY: 5000 GALLONS f ) UNKNOWN E. DOES THE CONTAINER STORE: ( ) 01 WASTE (X) 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WA;STF OIL ? (X) 01 YES ( ) 02 NO IF YES CHECK APPROPRIATE SOX(ES): <br /> ( ) 01 UNLEADED x - ] 03 PREMIUM ( 04 DIESEL ( ) 05 WASTE OIL ( ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> i <br /> A. THICKNESS OF PRIMARY CONTAINMENT: l 1 GAUGE ( ) INCHES ( ) CM (X) UNKNOWN <br /> B. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) f ) 02 NON-VAULTED (X) 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED ( 02 SINGLE WALLED ( ) 03 LINED <br /> D. (X) 01 CARBON STEEL ( 1 02 STAINLESS STEEL ( ) 03 FIBERGLASS l 1 04 POLYVINYL CHLORIDE ( ) 05 CONCRETE <br /> ( ) 06 ALUMINUM ( ) 07 STEEL CLAD ( ) 08 BRONZE ( 1 09 COMPOSITE ( ) 10 NON-METALLIC <br /> ( ) 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br /> Ar iF <br />