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• STATE ID NUMBER 00000018682001 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> ( l 01 NEW PERMIT ( ) 05 RENEWED PERMIT ( 1 07 TANK CLOSED LETE FROM FILE (NO FEE) <br /> ( ) 02 CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHA <br /> I OWNER <br /> NAME(CORFOPATZON,INDIVIOUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> STANFORD 0. HANSEN ( ) 01 FED ( ) 02 STATE [ 7 03 LOCAL <br /> STREET ADDRESS CITY STATE ZIP <br /> 28450 N. THORNTON RD. GALT CA 95632 <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREMAN/SUPEPVISOR <br /> RESIDENCE <br /> STPEET ADDRESS NEAREST CROSS STREET <br /> 28450 N. THORNTON RD. BARBER RD. <br /> CITY COUNTY ZIP <br /> THORNTON SAN JOAQUIN 95686 <br /> MAILING ADDRESS CITY STATE ZIP <br /> 28450 N. THORNTON RD. GALT CA 95632 <br /> PHONE W/APER CODE TYPEOF BUSINESS <br /> 209-794-2507 ( ) 01 GASOLINE STATION (X) 02 OTHER RESIDENCE <br /> NUMBER OF CONTAINERS RURAL AREAS ONLY TOWNSHIP RANGE SECTION <br /> 1 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE NIGHTS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE <br /> HANSEN, STANFORD 209-794-2507 HANSEN, STANFORD 209-794-2507 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( ) 04 OTHER: CONTAINER NUMBER 1 <br /> B. MANUFACTURER (IF APPROPRIATE): PERKINS YEAR MFG: 1979 C. YEAR INSTALLED 1979 ( 1 UNKNOWN <br /> 0. CONTAINER CAPACITY: 550 GALLONS ( ) UNKNOWN E. DOES THE CONTAINER STORE: ( ) 01 WASTE (X) 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? (X) 01 YES ( ) 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br /> (X) 01 UNLEADED ( ) 02 REGULAR f ) 03 PREMIUM ( 7 04 DIESEL ( 1 05 WASTE OIL ( 1 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: 12 (X) GAUGE ( ) INCHES ( 7 CM f l UNKNOWN <br /> B. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) 1X1 02 NON-VAULTED ( 1 03 UNKNOWN <br /> C. ( 1 01 DOUBLE WALLED (X) 02 SINGLE WALLED ( ) 03 LINED <br /> 0. (X) 01 CARBON STEEL ( ) 02 STAINLESS STEEL ( ) 03 FIBERGLASS [ ) 04 POLYVINYL CHLORIDE ( l 05 CONCRETE <br /> f 1 06 ALUMINUM ( 1 07 STEEL CLAD ( ) 08 BRONZE f ) 09 COMPOSITE ( l 10 NON-METALLIC <br /> ( 7 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br /> 0 <br />