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STATE ID NUMBER 000000387.50003 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> ( ) 01 NEW PERMIT ( ) 05 RENEWED PERMIT ( ) 07 TANK CLOSED t ) 09 DELETE FROM FILE (NO FEE) <br /> l 0 CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT f } 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAME(CCPPORATION,INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> PORT OF STOCKTON f 1 01 FED ( ) 02 STATE ( ) 03 LOCAL <br /> 574E=_T ADDRESS CITY STATE ZIP <br /> 2201 W. WASHINGTON ST. STOCKTON CA 95203 <br /> II FACILITY <br /> FACILITY NA,' = DE.ALEP/FOREMAN/SUPERVISOR <br /> PORT OF STOCKTON <br /> STPEET ACDPESS NEAREST CROSS STREET <br /> 2201 W. WASHINGTON ST. RD. 14 & RD. G <br /> CITY COUNTY ZIP <br /> STOCKTON SAN JOAgUIN 95203 <br /> MAILING ADDRESS CITY STATE ZIP <br /> P.0 BOX 2089 STKN. CA 95201 <br /> PHONE W/AREA CODE TYPE OF BUSINESS <br /> 946-024-6 ( 1 01 GASOLINE STATION (X) 02 OTHER <br /> NUMBER OF�ONTAINERS RURAL AREAS ONLY TOWNSHIP RANGE SECTION <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: N.AME(LAST NAME FIRST) AND PHONE W/AREA CODE NIGHTS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE <br /> qq 209-946-0246 SAME 1 n( <br /> 1-01 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK E 1 04 OTHER: CONTAINER NUMBER #3 <br /> B. MANUFACTURER (IF APPROPRIATE): UNKNOWN YEAR MFG: C. YEAR INSTALLED (X) UNKNOWN <br /> 0. CONTAINER CAPACITY: 600 GALLONS ( ) UNKNOWN E. DOES THE CONTAINER STORE: C ) 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 (X) 02 REGULAR ( ) 03 PREMIUM ( ) 04 DIESEL f ) 05 WASTE OIL t ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( ) GAUGE (X) INCHES ( ) CM ( ) UNKNOWN <br /> B. ( 1 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) ON-VAULTED (XI 03 UNKNOWN <br /> C. f ) 01 DOUBLE WALLED ( ) SINGLE WALLED ( ) 03 LINED <br /> D. ( ) 01 CARBON STEEL ( ) 02 STAINLESS STEEL ( ) 03 FIBERGLASS ( 1 04 POLYVINYL CHLORIDE f 1 05 CONCRETE <br /> ( ) 06 ALUMINUM (X) 07 STEEL CLAD C ) 08 BRONZE f 1 09 COMPOSITE ( ) 10 NON-METALLIC <br /> f ) 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br />