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STATE ID NUMBER 00000004529001 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> i # 01 NEW PERMIT ( } 05 RENEWED PERMIT ( } 07 TANK CLOSED ( ) 09 DELETE FROM FILE (NO FEE1 <br /> (%4"02 CONDITIONAL PERMIT ( 1 06 AMENDED PERMIT ( 1 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAME(COPPOPATION,INDIVIOUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> HALEY BROS.,INC. ( ) 01 FED C ) 02 STATE ( 1 03 LOCAL <br /> STPEET .ACOP=SS CITY STATE ZIP <br /> 6291 ORANGETHORPE AVENUE BUENA PARK CA 90624 <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREM.AN/SUPERVISCR <br /> HALEY BROS.,INC. <br /> STPEET ACrR!SS NE4REST CROSS STREET <br /> 2651 E. ROOSEVELT STREET FILBERT <br /> CITY COUNTY ZIP <br /> STOCKTON SAN JOAQUIN 95205 <br /> MAILING ADDFESS CITY STATE ZIP <br /> BtlifQA-PkRK' 5Tpck_/ z CA 9$6 0. <br /> Pt'ONE WI.APEA CCCE . TYPE OF BUSINESS <br /> 209-948-5358 ( ) 01 GASOLINE STATION (X) 02 OTHER MANUFACTURING <br /> NJ.'BER OF CONTAIN!PS PUPAL AREAS ONLY TOWNSHIP RANGE SECTION <br /> 2 <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 COOS <br /> WALTER THARP 209-948-5358 WALTER THOP 209-369-4535 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( } 04 OTHER: CONTAINER NUMBER STKNOI <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: C. YEAR INSTALLED (X) UNKNOWN <br /> 0. CONTAINER CAPACITY: 10000 GALLONS ( 1 UNKNOWN E. DOES THE CONTAINER STORE: C l 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 /> f l <br /> 01 UNLEADED f } 02 REGULAR ( 1 03 PREMIUM (X) 04 DIESEL ( 1 05 WASTE OIL ( ) 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) (X) 02 NON-VAULTED f ) 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED (X) 02 SINGLE WALLED ( 1 03 LINED <br /> D. ( 1 01 CARBON STEEL ( ) 02 STAINLESS STEEL ( 1 03 FIBERGLASS ( 1 04 POLYVINYL CHLORIDE i 1 05 CONCRETE <br /> ( ) 06 ALUMINUM (X) 07 STEEL CLAD i ) 08 BRONZE ( 1 09 COMPOSITE ( 1 10 NON-METALLIC <br /> ( 1 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br /> so as <br />