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STATE ID NUMBER 00000018681001 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> 7vNEW PERMIT ( 1 05 RENEWED PERMIT ( ) 07 TANK CLOSED 9 DELETE FROM FILE (NO FEE) <br /> ve CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHA <br /> I OWNER <br /> NAMEtCOPPORATION,INDIVIOVAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> ENTERPRISE 13 ( ) 01 FED ( ) 02 STATE i ) 03 LOCAL <br /> STREET ADDRESS CITY STATE ZIP <br /> 4000 WAGNER HTS RD STOCKTON CA 95209 <br /> II FACILITY <br /> FACILITY NAME OEALEY)OREMAN/SUPERV SO <br /> EMERGENCY GENERATOR SAT r <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 4000 WAGNER HTS RD Lon Aizg, <br /> CITY COUNTY ZIP <br /> STOCKTON SAN JOAQUIN 95209 <br /> ML,ILINu ADDRESS CITY FCA <br /> TE ITP <br /> BOX 8130 STOCKTON 95208 <br /> PHONE W/AF.EA CODE TYPE OF BUSINESS <br /> 209-466-6000 ( ) 01 GASOLINE STATION (X) 02 OTHER GENERATOR <br /> NUMBER, OF CONTAINERS RURAL AREAS ONLY TDWNSHIP RANGE SECTION <br /> 1 <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/ARE.A CODE <br /> HOLT, PARKER 209-466-6000 HOLT, PARKER 209-477-0543 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X1 01 TANK ( 1 04 OTHER= CONTAINER NUMBER i <br /> S. MANUFACTURER (IF APPROPRIATE) ?????????????????????????????? YEAR MFG: 1982 C. YEAR INSTALLED 1982 ( ) UNKNOWN <br /> D. CONTAINER CAPACITY= 5.50 GALLONS ( } UNKNOWN E. DOES THE CONTAINER STORE: ( ) 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 /> ( ) 01 UNLEADED ( ) 02 REGULAR ( ) 03 PREMIUM (X) 04 DIESEL [ } 05 WASTE OIL ( } 06 OTHER <br /> V CONTAINER CONSTRUCTION o <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( } GAUGE ( ) INCHES ( } CM (X) UNKNOWN <br /> B. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) ( ) 02 NON-VAULTED (X) 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED ( ) 02 SINGLE WALLED ( } 03 LINED <br /> D., ( 1 01 CARBON STEEL ( l 02 STAINLESS STEEL t ) 03 FIBERGLASS f ) 04 POLYVINYL CHLORIDE ( 1 05 CONCRETE <br /> ( ) 06 ALUMINUM ( ) 07 STEEL CLAD ( 1 08 BRONZE ( ) 09 COMPOSITE { ) 10 NON-METALLIC <br /> (X) 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE I <br />