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• STATE I0 NUMBER 00000011196001 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> MIT ( 1 05 RENEWED PERMIT ( ) 07 TANK CLOSED ( ) 09 DELETE FROM FILE (NO FEE) <br /> 1 02 CONDITI AL PERMIT ( 1 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAME(CORPOPATION.INDIVIDVAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> E-2 SERVE, INC. ( ) 01 FED ( 1 02 STATE f 1 03 LOCAL <br /> STREET ADDRESS CITY STATE ZIP <br /> 901 SOUTH 1ST. ABILENE TX 79602 <br /> II FACILITY <br /> FACILITY NAME DE LER/FORE AN/SUPERVISOR/OF.Q�L0. <br /> MADSEN'S SUNRISE DAIRY ._ Cs,(-O .Se- <br /> STREET ADDRESS NEAREST CROSS STPEET <br /> 239 SOUTH STOCKTON 'se- <br /> CITY <br /> C _ <br /> CITY COUNTY ZIP <br /> RIPON SAN JOAQUIN 95366 <br /> MAILING ADDRESS <br /> P.O. BOX 25;9 3 S C.J. O CITY STATE ZIP II <br /> PHONE W/APER COD <br /> T l'Pf OF pVSINfSS <br /> 9i3 T ^31 IX) 01 GASOLINE STATION 1 l 02 OTHER <br /> NUMBER OF CONTAINERS RURAL AREAS ONLY : TOWNSHIP RANGE SECTION <br /> 3 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAME(LAST NAME FIRST) AND PHONE W/APEA CODE NIGHTS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE <br /> WEAVE ,1t RrT- WEAVER, RAY 6:; S61--:it3i - <br /> 7 B <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EAC <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( ) 04 OTHER: CONTAINER NUMBER 61 <br /> B. MANUFACTURER (IF APPROPRIATE): R A R YEAR MFG: C. YEAR INSTALLED 78 ( 1 UNKNOWN <br /> D. CONTAINER CAPACITY: 7896 GALLONS ( 1 UNKNOWN E. DOES THE CONTAINER STORE: ( I 01 WASTE (XI 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 /> ( 1 01 UNLEADED (XI 02 REGULAR ( ) 03 PREMIUM ( ) 04 DIESEL ( 1 05 WASTE OIL 1 1 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( I GAUGE l 1 INCHES 1 I CM (X) UNKNOWN <br /> B. ( 1 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ( 1 03 UNKNOWN <br /> C. ( 1 01 DOUBLE WALLED (X) 02 SINGLE WALLED f 1 03 LINED <br /> D. (X) 01 CARBON STEEL ( 1 02 STAINLESS STEEL f 1 03 FIBERGLASS ( 1 04 POLYVINYL CHLORIDE f 1 05 CONCRETE <br /> ( ) 06 ALUMINUM ( ) 07 STEEL CLAD ( ) 08 BRONZE ( 1 09 COMPOSITE ( 1 10 NON-METALLIC <br /> ( 112 UNKNOWN ( ) 13 OTHER: <br /> SC04-070185 (10/18/85) PAGE 1 <br />