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• . STATE ID NUMBER 00000063977001 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> ( 01 NEW PERMIT ( 1 05 RENEWED PERMIT07-�kNK,_CLOSEO __ ( l 09 DELETE FROM FILE (NO FEE) <br /> 02 CONDITIONAL PERMIT [ 1 06 AMENDED PERHIT ( 1 08 MINOR CHANGE (NO SURCHARGE) <br /> I'L OWNER <br /> NAME(CORPORATION,INDIVZDUAL OR PUBLIC AGENCY) PUBLICAGENCY ONLY fi <br /> SOUTHERN PACIFIC TRANSPORTATIO l 1 01 FED ( 1 02 STATE ( ) 03 LOCAL <br /> STREET ADDRESS CITYSTATE ZIP . <br /> ONE MARKET PLAZA, ROOM 1007 SAN FRANCISCO CA 94105 <br /> II FACILITY <br /> FACILITY NAME DEAALLER/FOREMAN/SUPERVISOR <br /> TRACY / r OLCk 0 ✓✓% <br /> 'STREET ADDRESS NEAREST CROSS STRE! <br /> 780 EAST 6TH m 0.c, <br /> CITY COUNTY ZIP <br /> TRACY SAN JOAQUIN 95376 <br /> MAILING A � �/Qz Idol <br /> CITY SE- STAT[ ZIP <br /> jk'a�-mac CA LOS <br /> PHONEPHONE <br /> _�/AREA_C rqK) s- k1 lL� T(PE OF BUSINESS <br /> ) 01 GASOLINE STATION (X) 02 OTHER RAILROAD <br /> NUMBER OF CONTAINERS [ RURAL AREAS ONLY TOWNSHIP RANGE SECTION <br /> 1 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAME(IAST NAME FIRST) AND PHONE W/AREA CODE NIGHTS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE <br /> 1}b-�86.Ay2.y -pEPPtETyy. 41S-541-1478 <br /> / <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( ) 04 OTHER: CONTAINER NUMBER 27 <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: C. YEAR INSTALLED (X) UNKNOWN <br /> 0. CONTAINER CAPACITY: 1000 GALLONS ( ! 11MCNOWN E. 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 ( ) 02 NO IF YES CHECK APPROPRIATE BOX(ES)! <br /> ( ) 01 UNLEADED (X) 02 REGULAR ( ) 03 PREMIUM ( 1 04 DIESEL l ) 05 WASTE OIL ( 1 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: 1 1 GAUGE ( ) INCHES ( ) CM (X) UNKNOWN <br /> B. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ( 1 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED (XI 02 SINGLE WALLED l 1 03 LINED <br /> D. l 101 CARBON STEEL f 7 02 STAINLESS STEEL f l 03 FIBERGLASS f 7 04 POLYVINYL CHLORIDE ( 105 CONCRETE <br /> ( ) 06 ALUHINUM ( ) 07 STEEL CLAD ( 1 08 BRONZE f ) 09 COMPOSITE ( 1 10 NON-METALLIC <br /> (X) 12 UNKNOWN ( ) 13 OTHER: <br /> SC04-070185 (10/18/85) PAGE 1 <br />