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STATE ID NUMBER <br /> - - APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> 1 01 NEW PERMIT ( 1 05 RENEWED PERMIT ( 1 07 TANK CLOSED <br /> ( ) 02 CONDITIONAL PERMIT ( 1 06 AMENDED PER(1IT ( 1 08 MINOR CHANGE (NO SURCHARGE) <br /> �- -� -- -- ( ) 09 Ol LETE' FROM FILE (NO FEE] <br /> I OWNER <br /> NAP'! COPPORATION, N <br /> I DIVIOU4l OR FU9LIC AGE7.CY1 <br /> FPUBiIC AGENCY ONLYTTRpE O1 F <br /> T ED f 1 02 STATE f 1 03 LOCAL <br /> AC�4E.;S <br /> 88.32 E. Hwy. 12 CITYLo i ---._ <br /> STAT- <br /> FACILITY <br /> TAT_£FACILITY <br /> F <br /> NAMEAA' s riut0 Repair g Gas 0EALER/FOPEMEN/SUPERVISOP2 CX Andy Pombala <br /> C'ESS F. HwTT - 12 NEAPEST CROSS STREET <br /> C I T�YT i- "� <br /> Y iCter COUNTY <br /> San Joaquin ZIP <br /> �1 MAILING ACOPESS <br /> 95253 <br /> CITY <br /> STATE ZIP <br /> W, J <br /> FMOh'� Ar€7,A CODSQ - <br /> _� 6�J-.]6r77 TYPE OF OUSINESS <br /> - 11 ( 1 01 GASOLINE STATION ( ) 02 OTHER <br /> NUF'6ER CF CONTAINERS <br /> 3 PUPAL AREAS ONLY ; TrJWNShIF <br /> -- RAMC£ SECTION <br /> - ----- _ 3N 7� <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS; NAME[LAST NAME FIPST I AND/�PHONE W/AREA CODE <br /> Charles A. Lewis -209 334-1309 NIGHTS.' NAME(LAST NAME FIRST) AND PHONE W/AREA CODE <br /> ;4 �— V Charles A. Lewis -20,9 334-1309 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. 1X) 01 TAi(K ( ) 02 OTHER: <br /> — -- -� CONTAINER NUMBER 1 <br /> 8. MANUFACTURER (IF APPROPRIATE): <br /> --- --- ---_ YEAR MFG:81 C, YEAR 1��31 <br /> INSTALLED f 1 UNKNOWN <br /> ------ <br /> C. CONTAINER CAPACITY: 8000 L( )GALLONSU �E. ES THECONTAINENNDW)1OR STORE: 1 1 01 WASTE DC ) 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? 0EZNO - A —` <br /> ` 1 ) O1 UNLEADED 1 02 REGULAR f D 03 PREMIUM 1 1 04 DIESEL 1 i05 WASTE OIL II1 06OTHER <br /> APPROPRIATE 80?(fESI:' <br /> V � CONTAINER CONSTRUCT-ION _—� '---�--� <br /> A. THICKNESS OF PP,IMARY CONTAINMENT` ----�-f )-GAUGE f J IIrCHES ( 1 CM tg 1 UNKNOWN `-- -- Y- - <br /> B.-f 101 VAULTED (LOCATED TH AN UNDERGROUND VAULTIf xl OZ NDN-VAULTED 1 ) 03 UNKNOWN - -- u- - - <br /> fC_ ( ) 01 DOUBLE WILLED fX) 02 SINGLE WAILED 1 ) 03 LINED <br /> D• 1 01 CARBON STEEL ( 1 02 STAINLESS STEEL ( 103 FI6ERGLASS ( 104 POLYVINYL CHLORIDE ( ! QS CONCRETE- <br /> ! 1 06 ALUMINUM I ) 07 STEEL CLAD ( 1 08 BRONZE f ) 09 COMPOSITE ( ) 10 NON-METALLIC <br /> I 12 U11KNO14H f ) 13 OTHER: <br /> PAGE: 1 <br />