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STATE ID NUMBER 00000021136002 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> 0�) �012 <br /> NEW PEFMIT ( 1 05 RENEWED PERMIT ( 1 07 TANK CLOSED ( 1 09 DELETE FROM FILE (NO FEE) <br /> CO�JBITIOldAL PERMIT ( l 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAME(COPPOPA,TION,ZNDIVIDUAL OR PUBLIC AGENCY) PU$LIC AGENCY ONLY <br /> ( ) 01 FED ( ) 02 STATE ( ) 03 LOCAL <br /> STREET ADDRESS CITY ��((�� STATE ZIP <br /> � CA <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREMAN/SUPERVISOR <br /> UNION OIL SS#6348 D. FERGUSON/R. NEWHARD JR. <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 3788 TRACY BLVD. HIGHWAY 205 A <br /> CITY COUNTY ZIP <br /> TRACY SAN JOAQUIN 95376 <br /> "",AILING ADDRESS <br /> �VT <br /> TY `, ,� ,� STATE ZIP <br /> a f 7✓ (.�' II L. Lice CA <br /> PHONE W/AREA CODE TYPE OF BUSINESS <br /> 209-836-0646 (X) 01 GASOLINE STATION f 1 02 OTHER <br /> NUMBER OF CONTAINERS P.URAL AREAS ONLY TOWNSHIP RANGE SECTION <br /> 4 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> FDAYS: NA.rE( LAST NAME FIRST) AND PHCNE W/AREA CODE NIGHTS: NAME(LAS�TN MEFIP.ST) AND PHO NE W/AP.EA CODE <br /> URIGUIs L.J. 415—�� yj UNION OIL CO. 415-56t" � <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TAMC ( l 04 OTHER: <br /> CONTAINER NUMBER 6348—t—t— <br /> B. MANUFACTURER (IF APFROPRIATE): YEAR MFG: 1972 C. YEAR INSTALLED 1972 i 1 UNKNOWN <br /> D. CONTAINER CAPACITY: 8.G- GALLONS t ) UNKNOWN E. DOES THE CONTAINER STORE: ( 1 01 WASTE (X) 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL Y (X) 01 YES { 1 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br /> ( ) 01 UNLEADED ( ) 02 REGULAR (X) 03 PREMIUM ( ) 04 DIESEL ( 1 05 WASTE OIL { ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: t 1 GAUGE ( ) INCHES [ 1 CM (X) UNKNOWN <br /> B. ( ] 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON—VAULTED [ 1 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED (X) 02 SINGLE WALLED ( ) 03 LINED <br /> D. (X) 01 CARBON STEEL ( ) 02 STAINLESS STEEL ( ) 03 FIBERGLASS ( 1 04 POLYVINYL CHLORIDE ( ) 05 CONCRETE <br /> t ) 06 ALUMINUM ( ) 07 STEEL CLAD ( ) 08 BRONZE ( ) 09 COMPOSITE ( ) 10 NON—METALLIC <br /> t ) 12 UNKNOWN ( 1 13 OTHER: <br /> PAGE I <br /> HSC04-070185 (10/18/85) <br /> i � <br />