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STATE ID NUMBER 00000003452001 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> 7 ) 01 NEW PERMIT ( 1 05 RENEWED PERMIT ( ) 07 TANK CLOSED ( ) 09 DELETE FROM FILE (NO FEE) <br /> 1 ) 02 CONDITIONAL PERMIT t l 06 AMENDED <br /> PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> N.4M!(CCPPOR.A71CN,ZN'DIVIDUAL. OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> ( ) O1 FED ( ) 02 STATE ( l 03 LOCAL <br /> 3B'S TRUCK & AUTO PLAZA <br /> CITY STATE ZIP <br /> STREET ADDRESS LODI CA 95240 <br /> 14749 N. THORTON ROAD <br /> II FACILITY <br /> FACILITY NAi:E DEALER/FDREM.AN/SUPERVISOR <br /> THREE 'B'S TEXACO <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 14749 N. THORNTON RD <br /> COUNTY ZIP <br /> CITY 'SAN JOAQUIN 95240 <br /> LODI <br /> CITY STATE ZIP <br /> MAILING ADDRESS CA 95240 <br /> 14749 N. THORNTON RD LODI <br /> PHONE W/AREA OCCE =TYP5 BUSINESS <br /> 209-943—Ob54 GASOLINE STATION ( 1 02 OTHER <br /> NUMBER OF CONTAINERS <br /> PUPAL AREAS ONLY TOWNSHIP PANGS SECTION <br /> 4 <br /> III 24 HOUR EMERGENCY CONTACT PERSON 4DAYS: NAME(LAST NAME FIRST) AND PHONE W/APEA CODE NIGHTS: NAME(LAST NAME FIRST) AND PH NE W/AREA CODE <br /> PERSON IN CHARGE 209-943-0654 iJd C �-4' <br /> �- COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION - <br /> A. (X) 01 TANK ( l 04 OTHER: CONTAINER NUMBER 1 <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG- C. YEAR INSTALLED (X) UNKNOWN <br /> 0. CONTAINER CAPACITY: 12000 GALLONS t l UNKNOWNE. DOES THE CONTAINER STORE' t ) 01 WASTE (X) 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? (X) 01 YES f 1 02 NO IF YES CHECK APPROPRIATE BOX(ES)= <br /> ( ) 01 UNLEADED ( ) 02 REGULAR ( ) 03 PREMIUM (X) 04 DIESEL ( ) 05 WASTE OIL ( ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( 1 GAUGE ( ) INCHES ( l CM (X) UNKNOWN <br /> B. ( } 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) ) 02 NON—VAULTED (X) 03 UNKNOWN <br /> C. ( 1 01 DOUBLE WALLED AOZ SINGLE WALLED ( 1 03 LINED <br /> D. (X) 01 CARBON STEEL ( ) 02 STAINLESS STEEL ( ) 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE i ) 05 CONCRETE <br /> ( ) 05 ALUMINUM ( ) 07 STEEL CLAD ( ) 08 BRONZE t 1 09 COMPOSITE ( ) 10 NON—METALLIC <br /> ( 1 12 UNKNOWN ( ) 13 OTHER: <br /> RAGE I <br /> HSC04-070185 (10/18/851 <br />