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STATE ICT NUMBER 00000021906001 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> (�j(f 01in <br /> W PERMIT ( ) 05 RENEWED PERMIT ( ) 07 TANK CLOSED ( ) 09 DELETE FROM FILE (NO FEE) <br /> �'T 02 :11W40 IQNAL PERMIT ( i 06 AMENDED HERMIT ( ) OB MINpR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAME(COPPORATION,INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> BILL RACKLEY ( 1 <br /> 01 FED ( ) 02 STATE 03 LOCAL <br /> $TFEET A.DDRE5S FSTOCKTON <br /> STATE ZIP <br /> F.O. BOX 5128 CA 95205 <br /> II FACILITY <br /> FACILITY N-"!_= DEALER/FDR MAN/S PERVISOR <br /> BILL RACKLEY TRUCKING INC. � 1, <br /> ------------- <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 3333 SO. HWY 99 CARPENTER <br /> CITY COUNTY ZIP <br /> STOCKTQN SAN JOAQUIN 95205 <br /> M4.LING ADOP.ESS CITY STATE ZIP <br /> 3333 SO. HWY 99 SAME CA 95205 <br /> PHONE W/AREA CODE TYPE OF BUSINESS <br /> 209-948-8586 ( 1 01 GASOLINE STATION (X) 02 OTHER <br /> NUMBEP OF CONTAINERS RURAL AREAS ONLY : TOWNSHIP RANGE SECTION <br /> 2 <br /> I1I 24 HOUR EMERGENCY CONTACT PERSON <br /> 04YS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE NIGHTS: N.AME(LAST NAME FIRST) AND PHCKE W/AREA CODE <br /> BILL RACKLEY 209-948-8586 BILL RACKLEY 209=931-4982 <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): STOCKTON MGR. YEAR MFG: 1981 C. YEAR INSTALLED 1981 f ) UNKNOWN <br /> D. CONTAINER CAPACITY: 10000 GALLONS f ) UNKNOWN E. DOES THE CONTAINER STORE: f 1 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 /> f ) 01 UNLEADED I ) 02 REGULAR ( ) 03 PREMIUM (X) 04 DIESEL ( ] 05 WASTE OIL ( ) 06 OTHER <br /> U CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: 12 (X) GAUGE ( ) INCHES ( ) CM ( ) UNKNOWN <br /> B. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ( ) 03 UNKNOWN <br /> C. ( 1 01 DOUBLE WALLED (X) 02 SINGLE WALLED ( 1 03 LINED <br /> 0. (X) 01 CARBON STEEL ( ) 02 STAINLESS STEEL f ] 03 FIBERGLASS ( 1 04 POLYVINYL CHLORIDE f ) 05 CONCRETE <br /> f ) 06 ALUMINUM ( ) 07 STEEL CLAD ( 1 08 BRONZE f ) 09 COMPOSITE f ) 10 NON-METALLIC <br /> ( 1 12 UNKNOWN f 1 13 OTHER: <br /> HSC04-070185 (10/18/85) <br /> PAGE 1 <br />