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STATE ID NUMBER 00000019263001 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> E l 01 NEW PERMIT ( f 05 RENEWED PERMIT { ) 07 TANK CLOSED ( ) 09 DELETE FROM FILE (NO FEED <br /> ( ) 02 CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAME(CCRPOP,ATION.INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> MUMBERT PIPE CO., INC. { ) 01 FED f ) 02 STATE f J 03 LOCAL <br /> STREET ADDRESS CITY STATE F952440 <br /> 415 SO. SACRAMENTO ST. LODI CA <br /> II FACILITY <br /> FACILITY NAME DEALER/FOP.EMAN/SUPEPVISOR <br /> MULLER SUPPLY CO. PHILLIP H. MULLER <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 415 SO. SACRAMENTO ST. <br /> CITY COUNTY ZIP <br /> LODI SAN JOAQUIN 95240 <br /> MAILING ADDRESS CITY STATE ZIP <br /> 415 50. SACRAMENTO ST. LODI CA 95240 <br /> PHONE W/APEA CODE TYPE OF BUSINESS <br /> 209-334-3781 f ) 01 GASOLINE STATION (X) 02 OTHER MANUFACTORER <br /> NUMBER OF CONTAINERS RURAL AREAS ON;Y TOlN ;HIP RANGE SECTION <br /> 1 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NA;1E(LAST NAME FIRST) AND PHONE W/AP.EA CODE NIGHTS: NAME(LAST NAME FIRST) AND PHONE W/AP.EA CODE <br /> MULLER, PHILLIP H. 209-334-3781 MULLER, PHILLIP H. 209-369-6594 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( l 04 OTHER: CONTAINER NUMBER I <br /> B. MANUFACTURER (IF APPROPRIATE): NOT KNOWN YEAR MFG: C. YEAR INSTALLED (X) UNKNOWN <br /> 0. CONTAINER CAPACITY: 250 GALLONS ( ) UNKNOWN JE. DOES THE CONTAINER STORE: [ l 01 WASTE (X) 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? (X) 01 YES t ) 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br /> ( ) 01 UNLEADED ( ) 02 REGULAR ( ) 03 PREMIUM (X) 04 DIESEL ( 1 05 WASTE OIL f ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( ) GAUGE ( ) INCHES ( ) CM (X) UNKNOWN <br /> B. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) [ 1 02 NON-VAULTED (X) 03 UNKNOWN <br /> C. f ) 01 DOUBLE WALLED ( ) 02 SINGLE WALLED f ) 03 LINED <br /> D. t l 01 CARBON STEEL t ) 02 STAINLESS STEEL ( ) 03 FIBERGLASS f ) 04 POLYVINYL CHLORIDE f ) 05 CONCRETE <br /> ( ) 06 ALUMINUM t 1 07 STEEL CLAD ( l 08 BRONZE ( 1 09 COMPOSITE ( 1 10 NON-METALLIC <br /> (X) 12 UNKNOWN t ] 13 OTHER: <br /> HSC04-070185 (10/16/85) PAGE 1 <br />