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STATE ID NUMBER 00900008404001 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> ( l 01 NEW PERMIT ( 1 05 RENEWED PERMIT ( 1 07 TANK CLOSED ( ) 09 DELETE FROM FILE (NO FEE) <br /> { J 02 CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT ( l 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAME(COP.PORATION.INDIVIOUA.L OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> GEORGIA-PACIFIC CORPORATION ( ) 01 FED ( ) 02 STATE ( } 03 LOCAL <br /> STPEET ADDRESS CITY STATE ZIP <br /> 133 PECHTREE STREET, N.E. ATLANTA GA 30303 <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREMAN/SUPERVISOR <br /> GEORGIA-PACIFIC CORPORATION LEROY WHITELY, PLANT MANAGER <br /> STPEET ADOPESS NEAREST CROSS STREET <br /> 75 W. VALPICO ROAD TRACY BOULEVARD <br /> CITY COUNTY ZIP <br /> TRACY SAN JOAQUIN 95376 <br /> MAItING ADDRESS CITY STATE ZIP <br /> 75 W. VALPICO ROAD TRACY CA 95376 <br /> PHONE W/ATEA CODE TYPE OF BUSINESS <br /> 209-836-2151 ( l 01 GASOLINE STATION (X) 02 OTHER CHEMICAL PKG. <br /> NUJMBER OF CONTAINERS PUPAL AREAS ONLY TOWNSHIP RANGE SECTION <br /> 4 <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 /> WHITNEY, LEROY 209-836-2151 - - <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. ( ) 01 TANK (X) 04 OTHER: SUMP CONTAINER NUMBER 44 <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG; 1978 C. YEAR INSTALLED 1978 t ) UNKNOWN <br /> 0. CONTAINER CAPACITY: 75 GALLONS f ) UNKWOWN E. DOES THE CONTAINER STORE: (X) 01 WASTE ( ) 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? t ) 01 YES (X1 02 NO IF YES CHECK APPROPRIATE SOX(ES)' <br /> t ) 01 UNLEADED ( ) 02 REGULAR ( ) 03 PREMIUM ( ) 04 DIESEL f ) 05 WASTE OIL t l 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: f ) GAUGE (X) INCHES ( l CM ( l UNKNOWN <br /> B. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ( ) 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED (X) 02 SINGLE WALLED ( ) 03 LINED <br /> D. ( ) 01 CARBON STEEL ( ) 02 STAINLESS STEE { 1 03 FIBERGLASS { ) 04 POLYVINYL CHLORIDE (X) 05 CONCRETE <br /> ( ) 06 ALUMINUM f 1 07 STEEL CLAD t )\08 BRONZE ( ) 09 COMPOSITE f 1 10 NON-METALLIC <br /> ( l 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br />