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STATE ID NUMBER 00000006823002 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> ( ) D1 NEW PERMIT ( ) 05 RENEWED PERMIT ( ) 07 ( } 09 DELETE FROM FILE (NO FEE) <br /> ( 1 02 CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAME(CORPOR.ATION.INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> DOUGLAS J. TROTTER ( 3 01 FED ( l 02 STATE ( 1 03 LOCAL <br /> ------------------- <br /> STREET ADDRESS CITY STATE �95202�� <br /> P <br /> 125 50. BUTTER STREET STOCKTON CA <br /> II FACILITY <br /> FACIL'TY NAME DEALER/FOREMAN/SUPERVISOR <br /> CLARK GARAGE DOUGLAS J. TROTTER <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 125 SO. SUTTER STREET WASHINGTON ST. <br /> CITY COUNTY ZIP <br /> STOCKTON SAN JOAQUIN 95202 <br /> L <br /> MAILING ADDRESS CITY STATE ZIP <br /> 125 SO. SUTTER STREET STOCKTON CA 95202 <br /> PHONE W/AP.EA CODE TYPE OF BUSINESS <br /> 209-946-9183 [ ) 01 GASOLINE STATION (X) 02 OTHER GARAGE <br /> NUMBER OF CONTAINERS =[R <br /> URAL AREAS ONLY TOWNSHIP PANGS SECTION <br /> 2 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> [TROTTER, <br /> : NAME(LAST NAME FIRST) AND PHONE W/AP.EA CODE NIGHTS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE <br /> DOUGLAS 209-946-9183 TROTTER, DOUGLAS 209-477-7855 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( ) 04 OTHER= s CONTAINER NUMBER TWO <br /> B. MANUFACTURER (IF APPROPRIATE). YEAR MFG: 1947 C. YEAR INSTALLED 1947 ( 1 UNKNOWN <br /> D. CONTAINER CAPACITY: 500 GALLONS ( I UNKNOWN FEMES THE CONTAINER STORE: ( I 01 WASTE (X) 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? (X) 01 YES ( 3 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br /> (X) 01 UNLEADED ( ) 02 REGULAR ( ) 03 PREMIUM ( l 04 DIESEL ( 1 05 WASTE OIL ( 106 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: 1/2 i 1 GAUGE (X) INCHES ( 1 CM ( ) UNKNOWN <br /> B. (X) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) ( ) 02 NON-VAULTED C ) 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED (X) 02 SINGLE WALLED ( l 03 LINED <br /> 0. (X) 01 CARBON STEEL f ) 02 STAINLESS STEEL 4 ) 03 FIBERGLASS [ ) 04 POLYVINYL CHLORIDE ( ) 05 CONCRETE <br /> ( ) 06 ALUMINUM ( 1 07 STEEL CLAD ( ) 08 BRONZE ( 1 09 COMPOSITE ( ) 10 NON-METALLIC <br /> C ) 1.2 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br />