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STATE ID NUMBER 00000008404004 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> 01 NEW PERMIT C ) 05 RENEWED PERMIT ( ) 07 TANK CLOSED ( ) 09 DELETE FROM FILE (NO FEE) <br /> ( 1 02 CONDITIONAL PERMIT t 1 06 AMENDED PERMIT t 1 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> N.AME(CORPC .ATION INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> GEORGIA-PACIFIC CORPORATION ( 1 01 FED 4 1 02 STATE ( ) 03 LOCAL <br /> STREET 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 /> STREET ADDRESS NEAREST CROSS STREET <br /> 75 W. VALPICO ROAD TRACY BOULEVARD <br /> CITY COUNTY ZIP <br /> TRACT SAN JOAQUIN 95376 <br /> MAILING ADDRESS CITY STATE ZIP <br /> 75 W. VALPICO ROAD TRACT CA 95376 <br /> PHONE W/AREA CODE TYPE OF BUSINESS <br /> 209-836-2151 ( } 01 GASOLINE STATION (X) 02 OTHER CHEMICAL PKG. <br /> NUMBER OF CONTAINERS PUPAL AREAS CNLY TOWNSHIP RANGE SECTION <br /> 4 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAME(LAST NAME FIRST) AND PHONE W/AREA CCDE NIGHTS: N.AME( LAST NAME FIRST) AND PHONE W/AREA CCDE <br /> WHITNEY, LEROY 209-836-2151 - <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. t ) 01 TANK (X) 04 OTHER= SUMP CONTAINER NUMBER #3 <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: 1978 C. YEAR INSTALLED 1978 C ) UNKNOWN <br /> D. CONTAINER CAPACITY: 150 GALLONS C ] UNKNOWN E. DOES THE CONTAINER STORE= CX) 01 WASTE t ) 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? ( ) 01 YES (X) 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br /> ( ) 01 UNLEADED i ) 02 REGULAR ( ) 03 PREMIUM i ) 04 DIESEL ( ) 05 WASTE OIL ( ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> n <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( ) GAUGE i ) INCHES 1 ) CM (X) UNKNOWN <br /> B. t ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED f ) 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED (X) 02 SINGLE WALLED ( } 03 LINED <br /> D. ( l 01 CARBON STEEL i ) 02 STAINLESS STEEL t ) 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE (X) 05 CONCRETE <br /> 1 06 ALUMINUM f ) 07 STEEL CLAD C ) 08 BRONZE C J 09 COMPOSITE ( ) 10 NON-METALLIC <br /> [ ) 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br />