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STATE 20 NUMBER 00000018304002 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> ( J 41 NEW PEP.MTT ( 1 05 RENEWED PERMIT 1 ) 07 TANK CLOSED <br /> OtiDITIONAL PERMIT ( ) O6 AMENDED PERMIT ( J oe MINOR CHANGE (NO SURCF(ARGE1 ) 09 DELETE FROM FILE crag FEEL <br /> I OWNER <br /> E <br /> CPATION,INDIVIDUAL OP PUBLIC AGENCY) <br /> OAST PRODUCERS PUBLIC AGENCY ONLY <br /> ( ) 01 FED ( l 02 STATE ( } 03 LOCAL <br /> DRESS <br /> C CENTER OR CITY STATE ZIP <br /> SANTA CLARA CA 95054 <br /> II FACILITY <br /> FACILITY NAME <br /> DEALER/FOPEMAN/SUPERVISOR <br /> P.C.P. LODI PLANT JIM SCAR PACE <br /> STPEET ADOPESS <br /> 32 TOKAY ST. NPAPEST CROSS STREET <br /> STOCKTON <br /> CITY <br /> LODI COUNTY ZIP <br /> SAN JOAQUIN 95240 <br /> MAILING ADDPESS CITY <br /> P.O, BOX 860 STATE zIP <br /> LODI CA 95240 <br /> PHONE W/APER CODE TYPE OF BUSINESS <br /> 209-334-3352 ( ) 01 GASOLINE STATION (X] 02 OTHER FOOD PR0CE5SQR <br /> NU'ISEP OF CONTAINERS PUPAL AREAS ONLY . TOWNSHIP RANGE <br /> f-8— SECTION <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NA.ME(LaST NAME FIPST) AND PHONE W/AREA CODE i <br /> HTS: "ME( <br /> NAME FIRST) AND PHONE W;AREA CODE <br /> 6C$BSf3t(, (�IflIAA�- 209-334-3352 <br /> COM LET OLLOWING ON A SEPARAT FORM R <br /> IV DESCRIPTION <br /> A. (X) 01 TANK 1 ) 04 OTHER: CONTAINER NUMBER 2 <br /> B. MANUFACTURER (IF APPROPRIATE): PERKINS WELDING YEAR MFG: 1978 C, YEAR INSTALLED 1978 ( ) UNKNOWN <br /> D. CONTAINER CAPACITY 20000 GALLONS ( I UNKNOWN E. DOES THE CONTAINER STORE ( ) 01 WASTE (X} 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? �JftO1 YES ) IF YES CHECK APPROPRIATE BOX(ESI: <br /> ( ) 01 UNLEADED ( ) 02 REGULAR ( ) 03 PREMIUM (X) 04 DIESEL ( I f ) 06 OTHER <br /> U CONTAINER CONSTRUCTION <br /> A. OF PRIMARY CONTAINMENT. 5116 ( ) GAUGE (X) INCHES f ) CM ( 1 UNKNOWN <br /> ULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NONE-VAULTED ( ! 03 UNKNOWN <br /> C. ( ] 01 DOUBLE WALLED (X) 02 SINGLE WALLED ( ) 03 LINED <br /> D. (X) 01 CARBON STEEL ( ) 02 STAINLESS STEEL ( ) 03 FIBERGLASS ( } 04 POLYVINYL CHLORIDE ( J 05 CONCRETE <br /> ( ) 06 ALUMINUM ( ) 07 STEEL CLAD [ ) 08 BRONZE f ) 09 COMPOSITE ( ) 10 NON-METALLIC <br /> ( ) 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) <br /> PAGE I <br />