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STATE IO NU(tBER 00000038750006 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> (,r) 01 NEW PERMIT ( 1 05 RENEWED PERMIT ( ) 07 TANK CLOSED ( ) 09 DELETE FROM FILE (NO FEE) <br /> NDITIONAL PERMIT ( ) 06 AMENDED PERMIT ( ) 08 MINOR CHANGE fNO SURCHARGE) <br /> owr <br /> I OWNER <br /> NAM5(CORPORATICN,IN0IVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> PORT OF STOCKTON ( 1 01 FED ( ) 02 STATE ( ) 03 LOCAL <br /> STREET ADDRESS CITY STATE ZIP <br /> 2201 W. WASHINGTON ST. STOCKTON CA 95203 <br /> II FACILITY <br /> FACILITY N4'E DEALER/FOREMAN/SUPERVISOR <br /> PORT OF STOCKTON <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 8201 W. WASHINGTON ST. RD. 14 & RD. G <br /> CITY COUNTY ZIP <br /> STOCKTON SAN JOAQUIN 95203 <br /> MAILING ADDRESS CITY STATE ZIP <br /> P.0 BOX 2089 STKN. CA 95201 <br /> PHONE W/ATEA CODE TYPE OF BUSINESS <br /> 946-024-6 i l 01 GASOLINE STATION (X) 02 OTHER <br /> NWIBEP OF C NTAi.NERS RURAL AREAS ONLY . TOWNSHIP RANGE SECTION <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NA.ME(LA.ST NAME FIRST) AND PHONE W/AP.EA CODE NIGHTS: NAME(LAST NAME FIRSIT) AND PHONE }W/AAPIE�rAICODE <br /> a 209-946-0246 SAME <br /> � 1YL 1 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( l 04 OTHER: CONTAINER NUMBER 46 <br /> B. MANUFACTURER (IF APPROPRIATE): UNKNOWN YEAR MFG: C. YEAR INSTALLED 1979 ( 7 UNKNOWN <br /> D. CONTAINER CAPACITY: 20000 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 /> ( 1 01 UNLEADED ( 1 02 REGULAR ( ) 03 PREMIUM (X) 04 DIESEL ( 1 05 WASTE OIL ( 1 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: f ) GAUGE ( ) INCHES ( I CM (X) UNKNOWN <br /> B. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) ( 0 —VAULTED (X) 03 UNKNOWN <br /> C. [ ) 01 DOUBLE WALLED ( NGLE WALLED ( l 03 LINED <br /> D. ( ) 01 CARBON STEEL f ) 02 STAINLESS STEEL ( 1 03 FIBERGLASS ( l 04 POLYVINYL CHLORIDE ( ) 05 CONCRETE <br /> ( l 06 ALUMINUM (X) 07 STEEL CLAD ( 1 08 BRONZE ( ) 09 COMPOSITE ( 1 10 NON—METALLIC <br /> ( ) 12 UNKNOWN ( ) 13 OTHER: <br /> ISC04-070185 (10/18/85) PAGE 1 <br /> 0 <br />