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STATE ID NUMBER 00000038750005 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> ( 01 EW PERMIT ( l 05 RENEWED PERMIT ( l 07 TANK CL05ED ( ) 09 DELETE FROM FILE (NO FEE) <br /> ( CONDITIONAL PERMIT ( 1 06 AMENDED PERMIT ( 1 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAME(CO-PC-47I0'4.2402VIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> PORT OF STOCKTON ( ) 01 FED ( ) 02 STATE i J 03 LOCAL <br /> STREET ADOPESS CITY STATE ZIP <br /> 2201 W, WASHINGTON ST. STOCKTON CA 95203 <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREMAN/SUPEPVISOR <br /> PORT OF STOCKTON <br /> STREET ADDRESS NEAREST CROSS STPEET <br /> 2201 W. WASHINGTON ST. RD. 14 & RD. G <br /> CITY COUNTY ZIP <br /> STOCKTON SAN JOAQUIN 95203 <br /> MAILING ADDRESS CITYSTATE ZIP <br /> P.0 BOX 2089 STKN. CA 95201 <br /> PHONE W/.AREA CODE TYPE OF BUST-NESS <br /> 946-024-6 ( J 01 GASOLINE STATION (X) 02 OTHER <br /> NUMBER OOFF CONTAINERS RURAL AREAS ONLY TCWNSHIP RANGE SECTION <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAME( LAST NAME FIRST) AND PHONE WiAPEA CODE NIGHTS: NAME(LAST NAME FIRST) AND PHONE W!.ARE+A,CODE <br /> 209-946-0246 SAME I { Yt � �� [� 17+a <br /> COMPLETE THE FOLL014ING ON A SEPARATE FORA FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK t ) 04 OTHER: CONTAINER NUMBER #5 <br /> B. MANUFACTURER (IF APPROPRIATE): UNKNOWN YEAR MFG: C. YEAR INSTALLED 1979 ( ) UNKNOWN <br /> 0. CONTAINER CAPACITY: 20000 GALLONS ( ) UNKNOWNE. 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 (XI 04 DIESEL t ) 05 WASTE OIL ( ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( l GAUGE ( 1 INCHES ( ) CM (X) UNKNOWN <br /> B. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) 2-:14ON-VAULTED (X) 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED ( 'SINGLE WALLED ( ) 03 LINED <br /> D. f ) 01 CARBON STEEL C ) 02 STAINLESS STEEL i ) 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE ( ) 05 CONCRETE <br /> ( ) 06 ALUMINUM (X) 07 STEEL CLAD ( ) 08 BRONZE ( ) 09 COMPOSITE ( ) 10 NON-METALLIC <br /> ( ) 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br />