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STATE ID NUMBER 00000021136001 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> F�I O1 NEW PERMIT ( ) 05 RENEWED PERMIT �)-0NK CLOSED ( ) 09 DELETE ROM FILE (N0 FEE)0CDTaDITIONAL PERMIT i ) 06 AMENDED PERMIT 1 08 MINOR CHANGE t(JO SURCHARGE) <br /> I OWNER <br /> NAME(COPPCPATIO .INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> 01 FED ff ) 02 STATE € 1 03 LOCAL <br /> STPEcT ADDRESS ( /� CITY "Lf STATE �ZTP <br /> CA <br /> i rcl �C alb t <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREMAN/SUPERVISOR <br /> UNION OIL SS;#6348 D. FERGUSON/R. NEWHARD JR. <br /> STREET ADCPESS NEAREST CROSS STREET <br /> 3788 TRACY BLVD. HIGHWAY 205 A <br /> COUNTY ZIP <br /> CITY <br /> TRACY SAN JOAQUIN 95376 <br /> MAILINu ADOPESS CITY ,�� STATE ZIP r�r <br /> cE, ! /I�JJIGG� CA <br /> PHONE W/APEA CODE TYPE OF BUSINESS �(/ <br /> 209-836-0646 (X1 01 GASOLINE STATION ( ) 02 OTHER <br /> NUMBER OF CONTAINERS PUPAL AREAS ONLY : TOWNSHIP RANGE SECTION <br /> 4 <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 /> JAURIGUI� L.J. 415-x}56- 699 UNION OIL CO. 415-5,�3£e <br /> —� <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( ) 04 OTHER: CONTAINER NUMBER 63#3=I=I <br /> B. MANUFACTURER (IF APPROPRIATE). YEAR MFG: 1972 C. YEAR INSTALLED 1972 f 1 UNKNOWN <br /> D. CONTAINER CAPACITY: TMM GALLONS ( ) UNKNOWN E. DOES THE CONTAINER STORE: ( 1 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 ( 1 02 REGULAR [ 1 03 PREMIUM [ l 04 DIESEL ( 105 WASTE OIL ( l 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT ( ) GAUGE ( 1 INCHES ( 1 CM (XI UNKNOWN <br /> B. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON—VAULTED ( ) 03 UNKNOWN <br /> C. ( 1 01 DOUBLE WALLED (X) 02 SINGLE WALLED ( ) 03 LINED <br /> 0. (X) 01 CARBON STEEL ( 1 02 STAINLESS STEEL ( l 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE ( ) 05 CONCRETE <br /> ( ) 06 ALUMINUM ( ) 07 STEEL CLAD ( 1 08 BRONZE i 1 09 COMPOSITE ( 1 10 NON—METALLIC <br /> b ) 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br /> i +� <br />