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STATE IO NUMBER 00000021368001 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> ( OS NEW PE ( l 05 RENEWED PERMIT ( ) 07 TANK CLOSED <br /> ( ) 09 DELETE FROM FILE (NO FEET <br /> WFL PERMIT ( ) 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br /> dRPUBLIC AGENCY ONLY <br /> TION�INOIVIOUAL OP. PUBLIC AGENCY) 7 O1 FED ( ) 02 STATE [ ) 03 LOCAL <br /> CO. OF CALIF. CITY STATE ZIP <br /> SS LATHROP CA 95330 <br /> ROAD <br /> II FACILITY <br /> DEALER/FOREMAN/SUPERVISOR <br /> FACILITY NAME RAY MARKEL <br /> MOORMAN MFG. CO. OF CALIF. <br /> NEAREST CROSS STREET <br /> STREET ADDRESS 1-5 <br /> 250 E. ROTH ROAD <br /> COUNTY ZIP <br /> CITY SAN JOAQUIN 95330 <br /> LATHROP <br /> STATE <br /> STOCKTON ZIP <br /> CITY CA 95201 <br /> MAILING Aooaess <br /> P.O. BOX M <br /> PHONE W/AREA CODE TYPE OF BUSINESS <br /> 209-983-0123 ( ) 01 GASOLINE STATION (X) 02 OTHER ANIMAL FOOD <br /> NUMBER OF CONTAINERS RURAL AREAS ONLY : TOWNSHIP <br /> RANGE <br /> 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 CODE <br /> VERN ARBUCKLE 209-823-3068 MICHAEL D. GARNER 209-239-2011 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> CONTAINER NUMBER 1 <br /> A. (X1 01 TANK t 7 04 OTHER: <br /> B. MANUFACTURER (IF APPROPRIATE): ACE TANK, PORTLAND <br /> YEAR MFG: 1982 C. YEAR INSTALLEDE198? ( 1EUNKNOWN <br /> D. CONTAINER CAPACITY: 10000 GALLONS ( ] UNKNOWN E. DOES THE CONTAINER STORE: ( 1 01 WASTE (X) 02 PRODUCT <br /> F. X-1f9DOES <br /> 01HUNLEAO EDNE po� 02EREGUOLARVEHICL03F PREMIUM OR 04 <br /> 04OIL <br /> DIESEL 0( )E 05 WASTE 20IOL (1) 06YES <br /> OTHER <br /> CHECK APPROPRIATE B0X(E57: <br /> V CONTAINER CONSTRUCTION ° <br /> A. THICKNESS OF PRIMARY CONTAINMENT: 1/4 ( 1 GAUGE (X) INCHES ( ) CM ( ) UNKNOWN <br /> B. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X1 02 NON-VAULTED ( ) 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED (X) 02 SINGLE WALLED t ) 03 LINED <br /> LORIDE <br /> 0., (X)(01 Q6RALUMINUMSTEEL <br /> (( 1)0725TEELSTAINLESS <br /> CLAD S(E1L08(BRONZEFIBERGLASS <br /> COMPOSITE POLYVINYL <br /> NONHMETALLIC( 1 OS CONCRETE <br /> ( ) 12 UNKNOWN ( 1 13 OTHER: <br /> PAGE 1 <br /> HSC04-070185 (10/18/85) <br /> i • <br />