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• STATE ID NUMBER 00000065097004 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> f 1 <br /> 01 NEW PERMIT ( 1 05 RENEWED PERMIT f ) 07 TANK CLOSED ( ) 09 DELETE FROM FILE (NO FEE) <br /> l ) 02 CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> ffm <br /> RPORATION.INDIVIDUAL OR UBLIC AGENCY( PUBLIC AGENCY ONLY <br /> ANG 0 ) O1 FED ( 1 02 STATE ( ) 03 LOCAL <br /> ADDRESSORNTON ROAD CITY STATE IIP <br /> STOCKTON CA 95209 <br /> II FACILITY <br /> FACILITY NAME <br /> WALTS AUTO REPAIR DEALER/FOREMAN/SUPERVISOR <br /> WALTER d ORR <br /> STREET ADDRESS <br /> 9170 THORNTON ROAD NEAREST CROSS STREET <br /> CONNIE <br /> CITY <br /> COUNTY <br /> STOCKTON ZIP <br /> SAN JOAQUIN 95209 <br /> MAILING ADDRESS CITY <br /> 9170 THORNTON ROAD STATE IIP <br /> STOCKTON CA 95209 <br /> PHONE W/AREA CODE TYPE OF BUSINESS <br /> 209-952-6419 (X) 01 GASOLINE STATION f ) 02 OTHER <br /> NUMBER OF CONTAINERS RURAL AREAS ONLY TOWNSHIP RANGE <br /> 4 SECTION <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 /> ORR, WALTER 202-952-6419 ORR, WALKER 209-478-7801 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( ) 04 OTHER: CONTAINER NUMBER A 104 <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: 1947 C. YEAR INSTALLED 1947 ( ) UNKNOWN <br /> D. CONTAINER CAPACITY: 200 GALLONS ( ) UNKNOWN E. DOES THE CONTAINER STORE: fX) 01 WASTE ( ) 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 /> ( ) 01 UNLEADED ( ) 02 REGULAR ( ) 03 PREMIUM ( ) 04 DIESEL (X) 05 WASTE OIL ( ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( ) GAUGE ( ) INCHES ( ) CM (X) UNKNOWN <br /> B. [ 101 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ( ) 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED (X) 02 SINGLE WALLED t ) 03 LINED <br /> D. f ) 01 CARBON STEEL ( 1 02 STAINLESS STEEL ( 1 03 FIBERGLASS f ) 04 POLYVINYL CHLORIDE ( ) 05 CONCRETE <br /> f ) 06 ALUMINUM ( 1 07 STEEL CLAD ( 1 08 BRONZE ( ) 09 COMPOSITE f ) 10 NON-METALLIC <br /> (X) 12 UNKNOWN ( ) 13 OTHER: <br /> NSC04-070185 (05/05/86) <br /> PAGE 1 <br />