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STATE IO NUMBER 00000011196002 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> FFO ERMIT l } 05 RENEWED PERMIT ( 1 07 TANK CLOSED ( 1 09 DELETE FROM FILE (NO FEE) <br /> 1 02 CONDITIONAL PERMIT i ) 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> N=ME(COPPOPATIDN.INDIVIOUAL OR PUBLIC A.OENCY) PUBLIC AGENCY ONLY <br /> E-Z SERVE, INC. { 1 01 FED ( 1 02 STATE ( 1 03 LOCAL <br /> STREET AdDPESS AJASIYLENE <br /> STATE T.- <br /> CIT <br /> P <br /> 901 SOUTH 1ST. TX 602 <br /> II FACILITY <br /> FACILITY NOME DEALER/FOREMAN/SUPERVISOR <br /> MADSEN'S SUNRISE DAIRY �F <br /> STREET ADDPESS <br /> NEAREST CROSS STREE <br /> 239 SOUTH STOCKTON <br /> ZIP <br /> CITY COUN <br /> RIPON SAN JOAQUIN 95366 <br /> !•)AILING AOOPESS CITY r STATE ZIP <br /> P.O. BOX-3�J74 5 S� O/1't�-�`L o <br /> BUSINESS <br /> ;HONE z--APER CC^ C Q , TYRE OF <br /> (X) 01 GASOLINE STATION ( ) 02 OTHER <br /> 9S5-�la.Z2�b�1' �J�-1— <br /> NUI,SEP OF CONTAINERS PUPAL AREAS ONLY . TOWNSHIP RANGE SECTION <br /> 3 <br /> II1 24 HOUR EMERGENCY CONTACT PERSON <br /> C:,•s'S; NAME( LAST NAME FIRSTS AND PHONE W/A.REA CODE NIGHTS. NAME(LAST NAME FIRST) AND PHER <br /> /AREA CODE <br /> �*Y <br /> p r7 ;4 A R ICT'E F O R 7�I�FUt�E�C F1`�C ON <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( ) 04 OTHER- CONTAINER NUMBER 62 <br /> B. MANUFACTURER (IF APPROPRIATE): R 3 R YEAR MFG: C. YEAR INSTALLED 78 1 ) UNKNOW14 <br /> D. CONTAINER CAPACITY: 7896 GALLONS f ) UNKNOWN E. DOES THE CONTAINER STORE [ 1 01 WASTE (X) 02 PRODUCT <br /> F. DOES THE CCHTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? (X) 01 YES ( 1 02 NO IF YES CHECK APPROPRIATE BOXtES): <br /> (X) 01 UNLE4DED f 102 REGULAR ( 1 03 PREMIUM ( 1 04 DIESEL l 1 05 WASTE OIL ( 1 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( 1 GAUGE ( 1 INCHES ( ) CM (X) UNKNOWN <br /> B. f 1 01 VAULTED ILOCAT€D IN AN UNDERGROUND VAULT) IX) 02 NON-VAULTED ( 1 03 UNKNOWN <br /> C. ( 1 01 DOUBLE WALLED (X) 02 SINGLE WALLED ( ) 03 LINED _ <br /> D. (X) 01 CARBON STEEL ( 1 02 STAINLESS STEEL I ) 03 FIBERGLASS 4 1 04 POLYVINYL CHLORIDE f 1 05 CONCRETE <br /> ( ) 06 ALUMINUM ( ) 07 STEEL CLAD ( ) 08 BRONZE f 109 COMPOSITE ( 110 NON-METALLIC <br /> ( 1 12 UNKNOWN I 1 13 OTHER: _ <br /> PAGE 1 <br /> KSC04-070185 (10/18/85) <br />