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• 1 /a STATE ID NUMBER 00000037266002 <br /> APPLICATION FOR PERMIT TO OPER TE UNDERGROUND STORAGE TANK <br /> ( ) <br /> ( ) 09 DELETE FROM FILE (NO <br /> O1 NEW PERMIT <br /> ( ) OS RENEWED PERMIT 0 FEEL <br /> ( ) 02 CONDITIONAL PERMIT f 1 06 AMENDED PERMIT ( ) D8 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> PUBLIC AGENCY ONLY <br /> NAME(CORPORATION,INDIVIDUAL OR PUBLIC AGENCY) ( ) 01 FED ( ) 02 STATE ( ) 03 LOCAL <br /> WOODBRIDGE VINEYARD ASSOCIATIO <br /> STATE ZIP <br /> CITY <br /> STREET ADDRESS LODI CA 95240 <br /> 4614 W. TURNER RD. <br /> II FACILITY <br /> DEALER/FOREMAN/SUPERVISOR <br /> FACILITY NAME - BILL WIELAND <br /> SAME AS ABOVE <br /> NEAREST CROSS STREET <br /> STPEET ADDRESS RAY RD. <br /> 4614 W. TURNER RD. <br /> IIP <br /> COUNTY <br /> CITY SAN JOAOUIN 95240 <br /> LODI <br /> STATE IIP <br /> MAILING ADDRESS CITY CA 95240LODI <br /> 4614 W. TURNER RD. <br /> PHONE W/AREA CODE <br /> TYPE OF BUSINESS <br /> 209-369-2614 ( ) 01 GASOLINE STATION lXl 02 OTHER FARMERS' COOPERATI <br /> VE <br /> NUMBER OF CONTAINERS PUPAL AREAS ONLY TOWNSHIP <br /> RANGE SECTION <br /> 2 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> NIGHTS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE <br /> DAYS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE <br /> MpNZDLL TEPHEN 209-368-7634 <br /> MANILOI, STEPHEN 209-369-2614 <br /> S <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> CONTAINER NUMBER 2 <br /> A. (X) 01 TANK f ) 04 OTHER: <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: C. YEAR INSTALLED 1946 f 1 UNKNOWN <br /> D. CONTAINER CAPACITY: 9000 GALLONS ( ) UNKNOWN E. DOES THE CONTAINER STORE: f l 01 WASTE (X) 02 PRODUCT <br /> F. DOESDTHE CONTAINER STORE <br /> ERMOTOR VEHICLE <br /> FUEL ORMDIE <br /> WASTE OIL (XI 0( )E05 t ) 020IOL (I) YES <br /> OCHECK APPROPRIATE BOX(ES): <br /> 02 <br /> SEL <br /> V CONTAINER CONSTRUCTION <br /> F) 01 <br /> F PRIMARY CONTAINMENT: ( l GAUGE ( 1 INCHES ( ) CM (X) UNKNOWN <br /> E E E I <br /> TED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ( ) 03 UNKNOWN <br /> BLE WALLED f ) 02 SINGLE WALLED ( ) 03 LINED <br /> AOLUMINUML STAINLESS <br /> S(EEL08f03 BRONZEFIBERG09SCOMPOSITE POLYVIOYL CHLORIDE NON-METALLICIXI05 CONCRETE <br /> NOWN ( ) 13 OTHER: <br /> PAGE 1 <br /> HSC04-070185 (10/18/85) <br /> 0 <br />