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STATE ID NUMBER 00000018304004 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> 000 <br /> MEW PERMIT ( l 05 RENEWED PERMIT ( 1 07 TANK CLOSED f 1, 09 DELETE FROM FILE (NO FEE)CONDITIONAL PERMIT ( l 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARG ) <br /> -_.. _� <br /> I OWNER <br /> N.AME(COPPOPATION.INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> PACIFIC COAST PRODUCERS f ) 01 FED f ) 02 STATE [ } 03 LOCAL <br /> STPEET ACDPESS CITY STATE ZIP <br /> 1601 CIVIC CENTER DRIVE SANTA CLARA CA 95054 <br /> II FACILITY <br /> FACILITY NAME DEAL ER/FOREM.AN/SUPERVISOR <br /> P.C.P. LODI PLANT JIM SCARPACE <br /> STPEET ADDRESS NEAREST CROSS STREET <br /> 32 TOKAY ST. STOCKTON <br /> CITY COUNTY <br /> ZIP <br /> LODI SAN JOAQUIN 95240 <br /> MAILING ADDRESS CITY STATE ZIP <br /> P.O. BOX 880 LODI CA 95240 <br /> F?4SNE W/AREA CODE TYPE OF BUSINESS <br /> 209-334-3352 ( l 01 GASOLINE STATION (X) 02 OTHER FOOD PROCESSOR <br /> ti'CMBER OF CONTAINERS RURAL AREAS ONLY TOWNSHIP RANGE FSECTION <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAME(Lr"ST NAME FIRST) AND PHONE W/AP.EA CODE NIGHTS: NAME(LAST NAME FIRST) AND PHONE W/APEA CODE <br /> D 209-334-3352 GARRISON, RICHARD 209-368-1259 <br /> CO PLETE THE FOLLOWING ON A SEPARATE FORM F R EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( ) 04 OTHEP- CONTAINER NUMBER 4 <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: C. YEAR INSTALLED (X) UNKNOWN <br /> 0. CONTAINER CAPACITY: 10000 GALLONS ( 1 UNK ONON W14 E. DOES THE CONTAINER STORE: ( ) 01 WASTE (X) 02 PRODUCT <br /> F. DOES THE CONTAINER STOPT_'fOTCR-yfHn'L_ L OR WASTE OIL ? (X) 01 YES ( ) 02 NO IF YES CHECK APPROPRIATE BOXtES) <br /> ( 1 01 UNLEADED ( ) 02 REGULAR ( ) 03 PREMIUM (X) 04 DIESEL ( 1 05 WASTE OIL ( ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: 1/4 ( ) GAUGE (X) INCHES ( l CM ( } UNKNOWN <br /> B. ( l 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ( ) 03 UNKNOWN <br /> C. f 1 01 DOUBLE WALLED (X) 02 SINGLE WALLED ( ] 03 LINED <br /> D. (X) 01 CARBON STEEL ( l 02 STAINLESS STEEL ( ] 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE ( ) 05 CONCRETE <br /> ( ) 06 ALUMINUM ( l 07 STEEL CLAD ( ) 08 BRONZE ( ) 09 COMPOSITE ( 1 10 NON-METALLIC <br /> ( l 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/851 PAGE 1 <br />