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j5et&4 STATE ID NUMBER 00000007404001 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> i ) 01 NEW PERMIT i ) 05 RENEWED PERMIT 11111709 f 1 09 DELETE FROM FILE (NO FEE) <br /> ( } 02 CONDITIONAL PERMIT f 1 06 AMENDED PERMIT ( l 08 MINOR CHANGE (NC SURCHARGE) <br /> I OWNER <br /> NAME(COPPCAATICN,INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> HALEY BROS., INC. ( ) 01 FED ( ) 02 STATE ( ) 03 LOCAL <br /> STREET ADDRESS CITY STATEZP - <br /> 6291 ORANGETHORPE AVENUE BUENA PARK CA J910620 <br /> II FACILITY <br /> FACILITY NAME DE4LEP/FOREMAN/SUPERVISOR <br /> HALEY BROS., INC. <br /> STREET ADDRESS NEAPEST CROSS STREET <br /> 2651 E. ROOSEVELT STREET FILBERT <br /> CITY COUNTY <br /> ZIP <br /> STOCKTON SAN JOAQUIN 95205 <br /> MAILING ADDRESS CITY ST47E ZIP <br /> 6291 ORANGETHORPE AVE. BUENA PARK CA 90620 <br /> PHONE W/AREA CODE TYPE OF BUSINESS <br /> 209-948-5358 ( ) 01 GASOLINE STATION (X) 02 OTHER MANUFACTURING <br /> NUMBER OF CONTAINERS RURAL AREAS ONLY : 'TOWNSHIP RANGE SECTION <br /> 1 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAME(LAST NOME FIRST) AND PHONE W/AREA CODE NIGHTS: NAME(LAST NAME FIRST) AND PHCNE W/AREA CODE <br /> WALTER THORP 209-948-5358 WALTER THORP 209--369-4535 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TAN: ( 1 04 OTHER: CONTAINER NUMBER STKN 03 <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: C. YEAR INSTALLED (X) UNKNOWN <br /> D. CONTAINER CAPACITY: 1000.0 GALLONS ( ) UNKNOWN E. DOES THE CONTAINER STORE: ( ) 01 WASTE (X) 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WAST OIL ? (XI 01 YES ( ) 02 NO IF YES CHECK APPROPRIATE BOX(ESI: <br /> ( } 01 UNLEADED 02 REGULAR ( ) 03 PREMIUM >444 04 DIESEL ( ) 05 WASTE OIL ( ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( l GAUGE [ ) INCHES ( l CM (X) UNKNOWN <br /> B. i ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ( ) 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED (X) 02 SINGLE WALLED ( 1 03 LINED <br /> D. ( ) Ol CARBON STEEL [ ) 02 STAINLESS STEEL ( ) 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE ( ) 05 CONCRETE <br /> ( ) 06 ALUMINUM (X) 07 STEEL CLAD ( ) 08 BRONZE i ) 09 COMPOSITE ( l 10 NON-METALLIC <br /> ( ) 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br />