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` p1"e • STATE ID NUMBER 00000059070001 <br /> APPLICATION FOR PERMIT TO oPERaTE UNDERGROUND STORAGE TANK <br /> (x_] 01 NEW PERMIT ( 1 05 RENEWED PERMIT ( ) 07 TANK CLOSED f 1 09 DELETE FROM FILE (NO EEE) <br /> 02 CONDITIONAL PERMIT ( 1 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAME(CORPORATION�INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> WN;Q -o&L-ea,. (/�(/ ( ) 01 FED ( ) 02 STATE f ) 03 LOCAL <br /> STREET ADDRESS r� CITY 44CAI([T STATE ZIP <br /> o c WWW CA Wr11�QDF <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREMAN/SUPERVISOR <br /> UNION OIL SS92859 ALBERT R. GARIBALDI <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 1665 PACIFIC AVENUE WALNUT <br /> CITY COUNTY ZIP <br /> STOCKTON SAN JOAQUIN 95204 <br /> MAILING ADDRESS tAREAS <br /> CITY STATE ZIP <br /> C 7` CA 95E8hPHONE W/AREA CODE NESS <br /> 209-948-4793 LINE STATION ( ) 02 OTHER <br /> NUMBER OF CONTAINERS TOWNSHIP RANGE SECTION <br /> 1 <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 /> JAURIGUI, L.J. 415-956+�7t9(♦•g'( 7 UNION OIL CO. <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. f 7 01 TANK (X) 04 OTHER: f., UMP CONTAINER NUMBER 1 <br /> B. MANUFACTURER (IF APPROPRIATE):" YEAR MFG: C. YEAR INSTALLED 1967 ( 1 UNKNOWN <br /> D. CONTAINER CAPACITY: GALLONS (X) UNKNOWN E. DOES THE CONTAINER STORE: (X) 01 WASTE ( ) 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? ( ) 01 YES (X) 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br /> ( ) 01 UNLEADED ( ) 02 REGULAR ( ) 03 PREMIUM ( ) 04 DIESEL f ) 05 WASTE OIL f ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: 6 ( ) GAUGE (X) INCHES f 1 CM ( ) UNKNOWN <br /> B. f ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ( 1 03 UNKNOWN <br /> C. ( l 01 DOUBLE WALLED (X) 02 SINGLE WALLED ( ) 03 LINED <br /> D. ( ) 01 CARBON STEEL f ) 02 STAINLESS STEEL f 1 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE (X) 05 CONCRETE <br /> ( ) 06 ALUMINUM f ) 07 STEEL CLAD ( ) 08 BRONZE ( ) 09 COMPOSITE f 1 10 NON-METALLIC <br /> f 1 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br />