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STATE ID NUMBER <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK o0000065D97ooz <br /> ( ) <br /> 01 NEW PERMIT f ) 05 RENEWED PERMIT f ) 07 TAM( CLOSED <br /> ( ) 02 CONDITIONAL PERMIT f ) 06 AMENDED PERMITf ) 08 MINOR CHANGE (NO SURCHARGE)) 09 DELETE FROM FILE (NO FEE) <br /> I OWNER <br /> ENAME(CORPORATIOEN.XNEDIVID)UALOR PUBLIC AGENCY)NG PUBLIC AGENCY ONLY <br /> O1 FED f ) 02 STATE f ) 03 LOCAL <br /> DDRESSRNTON RCITY STATE IIP <br /> STOCKTON CA 95209 <br /> II FACILITY <br /> FACILITY NAME <br /> WALTS AUTO REPAIR DEALER/FOREMAN/SUPERVISOR <br /> WALTER 9 ORR <br /> STREET ADDRESS <br /> 9170 THORNTON ROAD NEAREST CROSS STREET <br /> CONNIE <br /> CITY <br /> STOCKTON COUNTY <br /> SAN JOAQUIN ZIP <br /> MAILING ADDRESS 95209 <br /> 9170 THORNTON ROAD CITY STATE ZIP <br /> STOCKTON <br /> PHONE W/AREA CODE CA 95209 <br /> 209-952-6419 TYPE OF BUSINESS <br /> (X) 01 GASOLINE STATION ( ) 02 OTHER <br /> NUMBER OF CONTAINERS RURAL AREAS ONLY : TOWNSHIP <br /> 4 RANGE SECTION <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> kx::_�Rs <br /> (LAT) AND PHONE W/AREA CODE NIGHTS: NAME(LAST NAME FIRST) ANO PHONE W/AREA CODE <br /> R202-952-6419 <br /> �R' WALKER 209-478-7801 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( ) O4 OTHER: <br /> CONTAINER NUMBER A 102 <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: 1947 C. YEAR INSTALLED 1947 ( ) UNKNOWN <br /> D. CONTAINER CAPACITY: 4000 GALLONS f ) UNKNOWN E. DOES THE CONTAINER STORE: ( ) 01 WASTE (X) 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? <br /> ( ) 01 UNLEADED (X) 02 REGULAR f ) 03 PREMIUM ( ) 04 DIESEL Of IE05 f 02ND <br /> fI) YES06 OCHECK APPROPRIATE BOX(ES): <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( ) GAUGE ( ) INCHES ( ) CM (X) UNKNOWN <br /> B. ( 1 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED f ) 03 UNKNOWN <br /> C. f ) 01 DOUBLE WALLED ( ) 02 SINGLE WALLED ( ) 03 LINED <br /> D. ( ) 01 CARBON STEEL [ ) 02 STAINLESS STEEL f ) 03 FIBERGLASS f ) 04 POLYVINYL CHLORIDE f 1 05 CONCRETE <br /> ( ) 06 ALUMINUM f ) 07 STEEL CLAD ( 1 08 BRONZE f ) 09 COMPOSITE ( ) 10 NON-HETALLIC <br /> (X) 12 UNKNOWN ( ) 13 OTHER: <br /> iSC04-070185 (05/05/86) <br /> PAGE 1 <br />