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STATE ID NUMBER 00000003452003 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> O1 NEW PERMIT ( 1 05 RENEWED PERMIT ( ) 07 TANK CLOSED ( 1 09 DELETE FROM FILE (NO FEE) <br /> 02 CONDITIONAL PERMIT f D 06 AMENDED PERMIT ( ) 09 MINOR CHANGE tNO SURCHARGE) <br /> I OWNER <br /> NAME(COPPOPATION.INDIVIDUAL OR PUBLIC AGENCY) PUBLICAGENCY ONLY <br /> 3B'S TRUCK & AUTO PLAZA ( l 01 FED ( ) 02 STATE i 1 03 LOCAL <br /> STREET ADDRESS CITY STATE ZIP <br /> 14749 N. THORTON ROAD LODI ICA 95240 <br /> II FACILITY <br /> FACILITY NarE DEALER/FOREMAN/SUPERVISOR <br /> THREE 'B'S TEXACO <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 14749 N. THORNTON RD <br /> CITY COUNTY ZIP <br /> LODI SAN JOAQUIN 95240 <br /> MAILING ADDRESS CITY STATE ZIP <br /> 14749 N. THORNTON RD LODI CA 95240 <br /> PHONE W/APER CODE 7Y FE OF BUSINESS <br /> 209-943-0654 (X) 01 GASOLINE STATION ( 1 02 OTHER <br /> NUMBER OF CONTAINERS RURAL AREAS ONLY : TOWNSHIP RANGE SECTION <br /> 4 <br /> I1I 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAME(LAST NAME FIRST) AND PHONE W/AREA COOE NIGHTS: NAME(LAST NAME IRST) AND PHONE W/ RE.Ar/CODE <br /> PERSON IN CHARGE 209-943-0654 �( y1 - 7 3 <br /> 1 ��. . � <br /> -� `D1 LETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( ) 04 OTHER: CONTAINER NUMBER 3 <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR NFG:7 C. YEAR INSTALLED (X) UNKNOWN <br /> D. CONTAINER CAPACITY: 12000 GALLONS t ) UNKNOWN E. DOES THE CONTAINER STORE: ( l 01 WASTE (X) 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? iXl 01 YES 4 1 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br /> ( i 01 UNLEADED (X) 02 REGULAR ( ) 03 PREMIUM ( ) 04 DIESEL ( l 05 WASTE OIL ( } 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( l GAUGE ( ) INCHES ( ) CM (X) UNKNOWN <br /> B. ( l 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) .02 NON-VAULTED i77 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLEDf 02 SINGLE WALLED ( 1 03 LINED <br /> 0. (X) 01 CARBON STEEL ( ) 02 STAINLESS STEEL ( ) 03 FIBERGLASS i ) 04 POLYVINYL CHLORIDE ( 1 05 CONCRETE <br /> l 06 ALUMINUM t ) 07 STEEL CLAD ( l 08 BRONZE ( ) 09 COMPOSITE ( 1 10 NON-METALLIC <br /> ( ) 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br />