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• STATE ID NUMBER 00000018453001 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> /01 EW PERMIT ( ) 05 RENEWED PERMIT j+� T LOS ED �Zji 0 f ) 09 DELETE FROM FILE (NO FEE) <br /> ONDITIONAL PERMIT ( ) 06 AMENDED PERMIT ( } 08 MINOR CHA (NO SURCHARGE) <br /> I OWNER <br /> N ME(CORPORATION.INDIVIDUAL OF. PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> tERGY PETROLEUM INC. ( ) 01 FED ( ) 02 STATE ( ) 03 LOCAL <br /> $ P.EET AD7 P.ESS - _ _ � _ � /�� CITY STATE ZIP <br /> PQ r2 -�7(M'LPl7-G u-rx-0�'LeaO STOCKTON CA 95203 <br /> II FACILITY <br /> FACLITY NAME DEALER/FOREMAN/SUPERVISOR <br /> ENER Y PETROLEUM INC. <br /> STRE ADDRESSNEAREST CROSS STREET <br /> 1bf2T iZ 4 S r�¢ ad..liv� c� <br /> CITY R� �� M COUNTY <br /> ZIP <br /> STOCKTON SAN JOAQUIN 95203 <br /> MAILING ADDRESS CITY STATE ZIP <br /> P.O. BOX 744 STOCKTON CA 95201 <br /> PHONE W/AREA CODE TYPEOF BUSINESS <br /> 209-464-4886 ( ) 01 GASOLINE STATION (X) 02 OTHER WHOLESALE <br /> NUMBER OF CONTAINERS RURAL AREAS ONLY TOWNSHIP RANGE SECTION <br /> 4 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAME(LAST NAME F ST) AND PHONE W/AREA CODE NIGHTS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE <br /> ALARM SYSTEM 209-464-4886 SAMEwlp <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): YEAR MFG: C. YEAR INSTALLED 1975 f ) UNKNOWN <br /> D. CONTAINER CAPACITY: 12000 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 /> ( ) 01 UNLEADED (X) 02 REGULAR ( ) 03 PREMIUM ( ) 04 DIESEL ( ) 05 WASTE OIL ( ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: f ) GAUGE ( 1 INCHES ( ) CM (X) UNKNOWN <br /> B. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ( ) 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED ( ) 02 SINGLE WALLED ( ) 03 LINED <br /> 0. QC) 01 CARBON STEEL f 1 02 STAINLESS STEEL ( ] 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE ( ) 05 CONCRETE <br /> ( ) 06 ALUMINUM ( ) 07 STEEL CLAD ( 7 08 BRONZE ( 7 09 COMPOSITE ( ) 10 NON-METALLIC <br /> M 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br />