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STATE ID NUMBER 00000004529002 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> (�01NEWPERMIT ( ) O5 RENEWED PERMIT t ) 07 TANK CLO5ED [ ) 09 DELETE FROM FILE (NO FEE) <br /> tITIONAL PERMIT ( 1 06 AMENDED PERMIT f l 08 MINOR CHANGE (N0 SURCHARGE) <br /> I OWNER <br /> NAME(COPPOP.ATION,INDIVIDUAL OR PUBLIC AGENCY) PUS LIC AGENCY ONLY <br /> HALEY BROS.,INC. ( 1 01 FED ( ) 02 STATE t 1 03 LOCAL <br /> STREET ADDRESS CITY STATE ZIP <br /> 6291 ORANGETHORPE AVENUE BUENA PARK CA 90620 <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREMAN/SUPEP.VISCP <br /> HALEY BROS.,INC. <br /> STPEET ADDRESS NEAREST CROSS STREET <br /> 2651 E. ROOSEVELT STREET FILBERT <br /> CITY COUNTY j95205 <br /> p <br /> STOCKTON SAN JOAQUIN 7 <br /> MAILING. ADDRESS CITY STATE ZIP <br /> CA <br /> PHONE W/AR°A CODE TYPE OF BUSINESS <br /> 209-948-5358 f ) 01 GASOLINE STATION (X) 02 OTHER MANUFACTURING <br /> NUMBER OF CONTAINERS RURAL .AREAS ONLY TOWNSHIP P4N3E SECTION <br /> 2 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAMEfLAST NAME FIRST) AND PHCNE W/AREA CODE NIGHTS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE <br /> WALTER THbRP 209-948-5358 WALTER THSRP 209-369-4535 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( 1 04 OTHER CONTAINER NUMBER STKNO2 <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: C. YEAR INSTALLED (X) UNKNOWN <br /> D. CONTAINER CAPACITY: 2000 GALLONS ( 1 UNKNOWN JE. DOES THE CONTAINER STORE: i ) 01 WASTE (X) 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? (X) 01 YES ( 1 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br /> ( ) <br /> 01 UNLEADED (X1 02 REGULAR ( ) 03 PREMIUM [ ) 04 DIESEL ( ) 05 WASTE OIL t ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT= ( ) GAUGE f ) INCHES ( ) CM (X) UNKNOWN <br /> B. d 1 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON—VAULTED ( ) 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED (X) 02 SINGLE WALLED [ l 03 LINED T <br /> D. ( l 01 CARBON STEEL { ) 02 STAINLESS STEEL d 1 03 FIBERGLASS f 1 04 POLYVINYL CHLORIDE ( l 05 CONCRETE <br /> ( ) 06 ALUMINUM (X) 07 STEEL CLAD ( ) 08 BRONZE ( ) 09 COMPOSITE d ) 10 NON—METALLIC <br /> ( ) 12 UNKNOWN ( ) 13 OTHER' <br /> HSC04-070185 (10/18/85) PAGE 1 <br /> 00 09 <br />