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STATE ID NUMBER 00940003452002 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> ` i f l 05 RENEWED PERMIT ( l 07 TANK CLOSED ft )) 09 DELETE FROM FILE (NO FEE) <br /> " O1 NEW PERMIT <br /> I ) 02 CONDITIONAL PERMIT i ) 06 AMENDED PERMIT ( ) 48 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> PUBLICAGENCY ONLY <br /> NAME(COPPORATION,INDIVIOUAL OR PUBLIC AGENCY) ( ) O1 FED ( 1 02 STATE ( l 93 LOCAL <br /> 38'S TRUCK & AUTO PLAZA <br /> CITY STATE ZIP <br /> STREET ADDRESS LODI CA 95240 <br /> 14749 N. THORTON ROAD <br /> II FACILITY <br /> DEALER/FOREMAN/SUPERVISOR <br /> FACILITY K4. <br /> ME <br /> THREE 'B'S TEXACO <br /> NEAREST CROSS STREET <br /> STPEET ADDRESS <br /> 14749 N. THORNTON RD <br /> COUNTY ZIP <br /> CITY SAN JOAQUIN 95240 <br /> LODI <br /> CITY STATE ZIP <br /> MAILING ADDRESS LODI CA 95240 <br /> 14749 N. THORNTON RD <br /> PHONE WiAR°A CODE ;T(X) <br /> YPE CF BUSINESS <br /> 209-943-0654 01 GASOLINE STATION ( ) 0` OTHER <br /> N°JM3ER OF CONTAINERS <br /> RURAL AREAS OKLY TOWNSHIR RANGE SECTION <br /> 4 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> PAYS: NAME(LAST NAME FIRST) .AND PHONE W/AREA CODE NIGHTS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE <br /> PERSON IN CHARGE 209-943-0654 �� <br /> 5 - - _ <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOP. EACH CONTAINER <br /> IV DESCRIPTION <br /> A. IX) 01 TANK 04 OTHER( 1 CONTAINER NUMBER 2 <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: C. YEAR INSTALLED (X) UNKNOWN <br /> D. CONTAINER CAPACITY: 12000 GALLONS ( ) UNKNOWN E. DOES THE CONTAINER STORE' ( ) 01 WASTE (X) 02 PRODUCT <br /> F. DO) O1 <br /> SHE CONTAINER STORE <br /> R MOTOR <br /> VEHICLE <br /> FUEL <br /> PREFIOR WASTE OIL <br /> DIESEL 0( )YES <br /> 05 WASTE O iI) YES <br /> OCHECK APPROPRIATE BOX(ES)= <br />