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STATE ID NUMBER 00000013259001 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> f 05 RENEWED PERMIT 07 TANK <br /> ( ) 02 ONDITIONAL PERMIT ( ) 06 AMENDED PERMIT ( 1 08 MINORCCHANGE (NO SURCHARG( ) 09 DELETE FROM FILE (NO FEE) <br /> I OWNER <br /> NAME(CORPOP.ATION.INDIVIDUAL OR PUBLIC AGENCYI PUBLIC AGENCY ONLY <br /> 'S�✓L�0. ( (' ( ) 01 FED ( ) 02 STATE f ) 03 LOCAL <br /> STREET ADDRESS <br /> 1515 W. WEBER CITY STATE ZIP <br /> STOCKTON CA 95203 <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREMAN/SUPERVISOR <br /> FARMERS BAG AND SUPPLY CO. <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 1515 W. WEBER WASHINGTON <br /> CITY <br /> STOCKTON COUNTY ZIP <br /> SAN JOAQUIN 95203 <br /> MAILING ADDRESS CITY <br /> P.O. BOX 2107 STATE ZIP <br /> ESTOCK70N CA 95201 <br /> PHONE W/AREA CODE TYPE OF BUSINESS <br /> 209-462-2276 ( ) 01 GASOLINE STATION (X) 02 OTHER PRODUCE PACKING SUPP <br /> NUMBER OF CONTAINERS RURAL AREAS ONLY : TOWNSHIP RANGE SECTION <br /> 1 <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/AREA CODE <br /> WEESNER, STEPHEN 209-462-2276 WEESNER> STEPHEN 209-477-6009 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( ) 04 OTHER: CONTAINER NUMBER 1 <br /> S. MANUFACTURER (IF APPROPRIATE): YEAR MFG: C. YEAR INSTALLED (X) UNKNOWN <br /> D. CONTAINER CAPACITY: 2000 GALLONS ( ) UNKNOWN E. DOES THE CONTAINER STORE: ( ) 01 WASTE (X) 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WAg7t OIL ? (X) 01 YES f 1 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br /> 01 UNLEADED ( 1 02 REGULAR f 1 03 PREMIUM ) 04 DIESEL ( ) 05 WASTE OIL ( ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( 1 GAUGE ( ) INCHES ( 7 CM (X) UNKNOWN <br /> h <br /> B. f 7 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) f 02 NON-VAULTED fX) 03 UNKNOWN <br /> C. f ) 01 DOUBLE WALLED ) 02 SINGLE WALLED f ) 03 LINED <br /> D. ( 1 01 CARBON STEEL ( ) 02 STAINLESS STEEL ( 1 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE ( ) 05 CONCRETE <br /> f ) 06 ALUMINUM ( ) 07 STEEL CLAD ( ) 08 BRONZE ( ) 09 COMPOSITE ( l 10 NON-METALLIC <br /> (X) 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) <br /> PAGE 1 <br />