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STATE ID NUMBER 00000038750001 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STOR E TANK <br /> C ) 01 NEW PERMIT i ) 05 RENEWED PERMIT ( l 07 TANK CLOSED ( 1 09 DELETE FROM FILE (NO FEE) <br /> t CONDITIONAL PERMIT ( 1 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAMF(CCPPCP,-TiCN,INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> PORT OF STOCKTON f ) 01 FED ( 1 02 STATE ( 1 03 LOCAL <br /> STREET ADDRESS CITY STATE ZIP <br /> 2201 W. WASHINGTON ST. STOCKTON CA 95203 <br /> II FACILITY <br /> FACZLI7Y NAME DEALER/FOREMAN/SUPERVISOR <br /> PORT OF STOCKTON <br /> STPEET ADDRESS NEAREST CROSS STREET <br /> 2201 W. WASHINGTON ST. RD. 14 & RD. G <br /> C:TY COUNTY ZIP <br /> STOCKTON SAN .JOAQUIN 95203 <br /> MA:L:N3 'IDDPESS CITY STATEF9952701 <br /> P.0 BOX 2089 STKN. CA <br /> PHCNE W/.AREA CODE TYPE OF BUSINESS <br /> 946-024-6 i 1 01 GASOLINE STATION (X) 02, OTHER <br /> NL'MBEP CF CONTAINERS AURAL AREAS ONLY :TOWNSHIP RANGE SECTION <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/APEA CODE <br /> 209-946-0246 SAME (V\ 1 rn_OL _ <br /> Lo I l Y\L <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( ) 04 OTHER: CONTAINER NUMBER 41 <br /> B. MANUFACTURER (IF APPROPRIATE). UNKNOWN YEAR MFG: C. YEAR INSTALLED (Xl UNKNOWN <br /> D. CONTAINER CAPACITY: 12000 GALLONS ( ) UNKNOWN JE. 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 /> (X) 01 UNLEADED ( ) 02 REGULAR ( ) 03 PREMIUM ( ) 04 DIESEL { 1 05 WASTE OIL ( ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( ) GAUGE ( ) INCHES ( 1 CM (X) UNKNOWN <br /> B. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) NON-VAULTED (X) 03 UNKNOWN <br /> C. ( 1 01 DOUBLE WALLED ( 12�NGLE WALLED ( 1 03 LINED <br /> 0. ( l 01 CARBON STEEL ( ) 02 STAINLESS STEEL ( ) 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE i 3 05 CONCRETE <br /> t ) 06 ALUMINUM (X) 07 STEEL CLAD ( l 08 BRONZE f l 09 CCMPCSITE ( 1 10 NDN-METALLIC <br /> ( 1 12 UNKNOWN t l 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br />