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0 0 STATE ID NUMBER 00000000723001 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK ll <br /> 1 01 NEW PERMIT ( 1 05 RENEWED PERMIT ( ) 07 TANK CLOSED ( ) 09 DELETE FROM FILE (fN0 FEE) <br /> 02 CONDITIONAL PERMIT ( 106 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAM€(COPPOPATION".INDIVIDUAL OR PUSLIq AGENCY) PUBLIC AGENCY ONLY <br /> ,C�o Jp� ( l 01 FED ( 1 02 STATE 03 LOCAL <br /> STREET ADDPESSCITY STATE ZIP <br /> A n3`Y l f, 'A�(tf7at' T CA 95A3 <br /> II FACILITY <br /> FACILITY NAME DEALEP/FOREMAN/SUPERVISOR <br /> FRANKS EXXON 94 FRANK GUINTA , r <br /> STREET AODPESS NEAREST CROSS STREET <br /> 14800 W. FRONTAGE RD. <br /> CITY COUNTY ZIP �^ ,r <br /> MANTECA SAN JOAQUIN S3 3 3rb <br /> MAILING ADDP.ESS CITY STATE ZIP <br /> P.D. BOX 67 BANTA CA 95336 <br /> PHONE W/AP.EA CCDE TYPE OF BUSINESS <br /> 209-239-2717 (X) 01 GASOLINE STATION 1 1 02 OTHER <br /> NUMSEP. OF CONTAINERS RURAL AREAS ONLY . TOWNSHIP PANGS SECTION <br /> 3 <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 /> MOORS, JERRY 209-835-2750 MOORE, JERRY, 209-946-0749 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( l 04 OTHER: FCCMTA.INER NUMBER 10 <br /> B. MANUFACTJRER (IF APPROPRIATE): PERKINS YEAR MFG: 1983 C. YEAR INSTALLED 1983 ( ) UNKNOWN <br /> D. CONTAINER CAPACITY: 10000 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 BOX(ES): <br /> (X1 01 UNLEADED ( ) 02 REGULAR ( ) 03 PREMIUM C ) 04 DIESEL [ 1 05 WASTE OIL S 1 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: 1/4 [ ) GAUGE (X) INCHES ( 1 CM ( 1 UNKNOWN <br /> B. ( 1 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ( ) 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED (X) 02 SINGLE WALLED i 1 03 LINED <br /> D. (X) 01 CARBON STEEL [ 1 02 STAINLESS STEEL ( ) 03 FIBERGLASS ( 1 04 POLYVINYL CHLORIDE ( D 05 CONCRETE <br /> ( ) 06 ALUMINUM ( 107 STEEL CLAD ( 1 08 BRONZE ( ) 09 COMPOSITE [ 1 10 NON-METALLIC <br /> ( ) 12 UNKNOWN ( 1 13 OTHER: <br /> PAGE 1 <br /> HSC04-070185 (10/18/85) <br />