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M �fJ M <br /> rTE <br /> STATE ID NUMBER 00000065 qjAPPLICATION FOR PERMIT TO OP UNDERGROUND STORAGE TANK <br /> ( 1 <br /> 01 NEW PERMIT (. ) 05 RENEWED PERMIT- 07 TAMC CLOSED ( ) 09 DELETE FROM FILE (NO FEE) <br /> ( 1 02 CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT Q-) 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAME(CORPORATION.INOIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> JOHN SANDERS ( ) 01 FED ( ) 02 STATE ( 1 03 LOCAL <br /> STREET ADDRESS CITY STATE ZIP <br /> 140 S. WALNUT RIPON CA 95366 <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREMAN/SUPERVISOR <br /> THE BODY SHOP <br /> STREET ADDRESS - NEAREST CROSS STREET <br /> 140 S. WALNUT FIRST ST. <br /> CITY COUNTY ZIP <br /> RIPON .� j SAN JOAQUIN 95366 <br /> MASLING ADDRESS. ,-�� CITY STATE ZIP <br /> 140 S. WALNUT / t RIPON CA 95366 <br /> PHONE W/AREA CODE- TYPE OF BUSINESS <br /> 209-599-2.0.56 ( ) 01 GASOLINE STATION (X) 02 OTHER AUTO BODY REPAIR <br /> NUMBER OF CONTAINERS RURAL AREAS ONLY TOWNSHIP RANGE SECTION <br /> 1 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> LDAYS: NAME(LAST NAME FIRS=J-ANU PHONE. W/AR CA ODE NIGHTS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE <br /> SANDERS. J.S. C 209.0634-7825 IYI�s,�-�`�, -/ SAME - <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK [ ) 04 OTHER: CONTAINER NUMBER 1 <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG= C. YEAR INSTALLED (X) UNKNOWN <br /> 0. CONTAINER CAPACITY: GALLONS IX) UNKNOWN E. DOES THE CONTAINER STORE: (X) 01 WASTE ( ) 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 ( ) 04 DIESEL (X) 05 WASTE OIL ( ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: f ) GAUGE f 1 INCHES l ) CM (X) UNKNOWN <br /> B. ( ) Ol VAULTED (LOCATED IN AN UNOERGROUHD VAULT) ( ) 02 NON-VAULTED (X) 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED ( 1 02 SINGLE WALLED f ) 03 LINED <br /> D. ( ) 01 CARBON STEEL ( 1 02 STAINLESS STEEL ( ) 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE ( ) 05 CONCRETE <br /> ( 1 06 ALUMINRM ( ) 07 STEEL CLAD f 1 08 BRONZE ( ) 09 COMPOSITE ( ) 10 NON-METALLIC <br /> (X) 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (05/05/86) PAC <br />