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STATE ID NUMBER 00000010994003 <br />APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br />O1 NEW PERMIT ( ) 05 RENEWED PERMIT ( ) 07 TANK CLOSED <br />( ) 09 DELETE FROM FILE (NO FEE) <br />02 CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br />I OWNER <br />FNAMEE(CCIPPORATIONtINDIVIDUAL OR PUBLIC AGENCY) <br />RUCKING INC <br />DDRESS <br />VICTOR ROAD <br />PUBLIC AGENCY ONLY <br />( ] <br />01 FED ( ) 02 STATE ( ) 03 LOCAL <br />CITY STATE IIP <br />LODI CA 95240 <br />II FACILITY <br />,.n., ...,.. <br />CONTAINMENT: <br />( l GAUGE f ) INCHES ( <br />NAME(LAST NAME <br />` <br />DEALER/FOREMAN/SUPERVISOR <br />NIGHTS: NAME <br />NAINGLSERV <br />FACILITY N _� <br />ABOVE- -(r A f <br />I/ <br />I Y1 <br />JOHN TERESI/PRES <br />MANUFACTURER (IF APPROPRIATE): <br />�- <br />OR 8 2472PHONE <br />NEAREST CROSS STREET <br />) 03 LINED <br />STREET ADOPESS <br />D. <br />BECKMAN ROAD <br />D. <br />900 1/2 VICTOR ROAD <br />E. DOES THE CONTAINER STORE: ( <br />) 01 WASTE (X) 02 PRODUCT <br />F. <br />DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? (X) 01 YES ( ) 02 NO <br />IF YES CHECK APPROPRIATE BOX(ES): <br />COUNTY <br />(X) 01 UNLEADED ( 102 REGULAR ( 1 03 PREMIUM ( <br />IIP <br />CITY <br />( 7 10 NON-METALLIC <br />SAN JOAQUIN <br />( 1 <br />95240 <br />LODI <br />13 OTHER: <br />STATE <br />IIP <br />MAILING ADOPESS7� <br />-7 <br />CITY <br />LODI <br />CA <br />95241 <br />P.O. BOX $t 4- a-D <br />PHONE W/AREA CODE <br />TYPE OF BUSINESS <br />( ) 01 GASOLINE STATION (X) 02 OTHER PRIVATE FUEL <br />FACILIT <br />209-368-2472 <br />NU:'B!R OF CONTAINS PS <br />R UPAL AREAS ONLY : <br />TOWNSHIP <br />RANGE <br />SECTION <br />4 <br />e..eercurV rnMTACT PFRSnN <br />.11 GY nUUn . ... ..._. . _____.- <br />,.n., ...,.. <br />CONTAINMENT: <br />( l GAUGE f ) INCHES ( <br />NAME(LAST NAME <br />FIRST) AND PHONE W/AREA CODE <br />(X) 01 TANK ( ) 04 OTHER: <br />NIGHTS: NAME <br />NAINGLSERV <br />FIRST)AND W/AREA CODE <br />)AVS: <br />.IM SCHMIDKE TERMINAL <br />MGR 209-368-2472 <br />MANUFACTURER (IF APPROPRIATE): <br />ASK SERVICE <br />OR 8 2472PHONE <br />COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br />A Y <br />,.n., ...,.. <br />CONTAINMENT: <br />( l GAUGE f ) INCHES ( <br />) CM (X) UNKNOWN <br />A. <br />(X) 01 TANK ( ) 04 OTHER: <br />01 <br />CONTAINER <br />NUMBER 3 <br />B. <br />MANUFACTURER (IF APPROPRIATE): <br />YEAR MFG:1973 <br />C. <br />YEAR INSTALLED 1973 ( ) UNKNOWN <br />) 03 LINED <br />QlIC? _. <br />D. <br />(X) <br />D. <br />CONTAINER CAPACITY: -2999^ GALLONS ( 1 UNKNOWN <br />E. DOES THE CONTAINER STORE: ( <br />) 01 WASTE (X) 02 PRODUCT <br />F. <br />DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? (X) 01 YES ( ) 02 NO <br />IF YES CHECK APPROPRIATE BOX(ES): <br />) <br />(X) 01 UNLEADED ( 102 REGULAR ( 1 03 PREMIUM ( <br />1 04 DIESEL f ] 05 WASTE OIL <br />( 1 06 OTHER <br />V CONTATAIGD f nmcZTRIICTTnN <br />A. <br />THICKNESS OF PRIMARY <br />CONTAINMENT: <br />( l GAUGE f ) INCHES ( <br />) CM (X) UNKNOWN <br />B. <br />[ ) <br />01 <br />VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X1 02 NON -VAULTED ( <br />) 03 UNKNOWN <br />C. <br />( 1 <br />01 <br />DOUBLE WALLED <br />(TwI2 SINGLE WALLED ( <br />) 03 LINED <br />D. <br />(X) <br />01 <br />CARBON STEEL <br />( ] 02 STAINLESS STEEL [ <br />1 03 FIBERGLASS 1 ) 04 <br />POLYVINYL CHLORIDE ( l 05 CONCRETE <br />( <br />) <br />06 ALUMINUM <br />( 1 07 STEEL CLAD ( 1 08 <br />BRONZE ( 1 09 COMPOSITE <br />( 7 10 NON-METALLIC <br />( 1 <br />12 <br />UNKNOWN ( ) <br />13 OTHER: <br />HSC04-070185 (10/18/85) <br />,no <br />PAGE 1 <br />