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�� • STATE ID NUMBER 00000058740004 <br /> APPLICATION FOR P p UNDERGROUND STORAGE TANK <br /> ( ] <br /> 01 NEW PERMIT ( 1 05 RENEWED PERMIT I"i} ( 1 09 DELETE FROM FILE (NO FEE) <br /> ( ) 02 CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT T_) 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> N.4ME(CORPOP.4 TION�INDIVIDUAL OR PUBLIC .AGENCY) PUBLIC AGENCY ONLY <br /> STOCKTON SCAVENGER ASSN., INC. f 7 01 FED ( ) 02 STATE 03 LOCA <br /> STREET ADDRESS CITY STATE ZIP <br /> 1240 NAVY DRIVE STOCKTON CA 95206 <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREMAN/SUPERVISOR <br /> STOCKTON SCAVENGER ASSN., INC. AUGUST BLANCHARD <br /> STREET AODPESS NEAREST CROSS STREET <br /> 1240 NAVY DRIVE CHARTER WAY <br /> CITY COUNTY IF <br /> STOCKTON SAN JOAQUIN 95206 <br /> MAILING ADDRESS CITY STATE ZIP <br /> P.O. BOX 1747 STOCKTON CA 95201 <br /> PHONE W/AREA CODE TYPE OF BUSINESS <br /> 209-94b-5711 ( ) 01 GASOLINE STATION (X) 02 OTHER SOLID WASTE MGNT. <br /> NUMBER OF CONTAINERS RURAL AREAS ONLY : TOWNSHIP RANGE SECTION <br /> 4 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAME(LAST N.-.E FIRST) AND PHONE W/.AREA CODE NIGHTS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE <br /> JERRY ROCCA 209-462-1921 SAME - - <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( 1 04 OTHER: CONTAINER NUMBER #4 <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: 1966 C. YEAR INSTALLED 1967 t ) UNKNOWN <br /> D. CONTAINER CAPACITY: 3000 GALLONS ( 1 UNKNOWN E. DOES THE CONTAINER STORE: ( ) O1 WASTE (X) 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? (X) 01 YES f ) 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br /> ( ) 01 UNLEADED ( ) 02 REGULAR ( ) 03 PREMIUM (X) 04 DIESEL ( 1 05 WASTE OIL ( 1 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> a <br /> A. THICKNESS OF PRIMARY CONTAINMENT: 1/4 ( 1 GAUGE (X) INCHES ( ) CM ( 1 UNKNOWN <br /> B. f 7 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ( ) 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED (X) 02 SINGLE WALLED ( ) 03 LINED <br /> D. (X) 01 CARBON STEEL ( ) 02 STAINLESS STEEL ( ) 03 FIBERGLASS ( 1 04 POLYVINYL CHLORIDE ( 1 05 CONCRETE <br /> ( ) 06 ALUMINUM ( l 07 STEEL CLAD ( 1 08 BRONZE ( 1 09 COMPOSITE ( ) 10 NON-METALLIC <br /> ( ) 12 UNKNOWN f ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br />