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STATE ID NUMBER 00000038917003 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> j1 NEW PERMIT [ ) 05 RENEWED PERMIT ( ) 07 TANK CLOSED ( ) 09 DELETE FROM FILE (NO FEE) <br /> Tr-) 02 CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> W'E(COPPOP.ATION,INDIVIDU.AL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> ALBERT & ELEANOR W. DAVIDSON ( D 01 FED ( ) 02 STATE ( ) 03 LOCAL <br /> STREET tC7PESS CITY STATE �94612� <br /> 1212 BROADWAY OAKLAND CA <br /> II FACILITY <br /> FACILITY NAME DEALER/FCPEMAN/SUPERVISOR <br /> BEACON STATION #419 LARRY MORGADO <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 2350 WATERLOO ROAD SIERRA LANE <br /> CITY COUNTY ZIP <br /> STOCKTON SAN JOAQUIN 95205 <br /> N,I,L=NG .ADDRESS CITY STATE ZIP <br /> 525 W. THIRD STREET HANFORD CA 93230 <br /> PHONE W/AREA. CODE TYPE OF BUSINESS <br /> 209-582-0241 (X) O1 GASOLINE STATION ( ) 02 OTHER <br /> NUMBER OF CONTAINERS PUPAL AREAS ONLY : TOIJNSHIP RANGE SECTION <br /> 3 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAME(LAST NAME FIRST) AND PHONE W/A.PEA CODE NIGHTS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE <br /> MCCUTCHEN, JIM 209-582-0241 SHIFT SUPERVISOR 209-582-0246 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( l 04 OTHER: CONTAINERNUMBER 43-9-4- <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: C. YEAR INSTALLED 1959 ( ) UNKNOWN <br /> D. CONTAINER CAPACITY: 10000 GALLONS ( 1 UNKNOWNE. DOES THE CONTAINER STORE: f ) 01 WASTE (X) 02 PRODUCT <br /> - _JF. 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 (X) 03 PREMIUM ( J 04 DIESEL { ) 05 WASTE OIL ( ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: .025 ( ) GAUGE (X) INCHES ( ) CM ( ) UNKNOWN <br /> 8. ( J 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ( ) 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED (X) 02 SINGLE WALLED ( J 03 LINED <br /> D. (X) 01 CARSON STEEL ( ) 02 STAINLESS STEEL ( 1 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE ( ) 05 CONCRETE <br /> ( ) 06 ALUMINUM ( l 07 STEEL CLAD C J 08 BRONZE ( 1 09 COMPOSITE ( ) 10 NON-METALLIC <br /> ( J 12 UNKNOWN { ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br />