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9 <br />APPLICATION FOR PERMIT TO <br />01 NEW PERMIT ( ) 05 RENEWED PERMIT <br />02 CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT <br />I OWNER <br />STATE ID NUMBER 00000004680002 <br />0 RATE UNDERGROUND STORAGE TANK <br />07 TANK CLOSED ( ) 09 DELETE FROM FILE (NO FEE) <br />( ) 08 MINOR CHANGE (NO SURCHARGE) <br />4-'IE(CCPPOPATZ:CN,INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br />(ES DAY ENTERPRISES ( 1 01 FED ( ) 02 STATE ( ) 03 LOCAL <br />.TPEET ADDRESS CITY STATE F95210 <br />'400 N. WEST LANE STOCKTON CA <br />II FACILITY <br />FACILITY NAME <br />(X) 01 TANK ( ) 04 OTHER <br />DEALER/FOREM.AN/SUPERVISOR <br />WES DAY ENTERPRISES <br />CONTAINER <br />WESLEY D. DAY <br />STREET ADDRESS <br />MANUFACTURER (IF APPROPRIATE): PERKINS <br />NEAREST CROSS STREET <br />7400 N. WEST LANE <br />C. <br />HAMMER LANE <br />CITY <br />CONTAINER CAPACITY: 2000 GALLONS ( <br />COUNTY <br />ZIP <br />STOCKTON <br />F. <br />SAN JOAQUIN <br />95210 <br />MAILING ADDRESS <br />CITY <br />STATE <br />ZIP <br />P.O. BOX 9170 <br />STOCKTON <br />CA <br />95208 <br />PHONE W/AREA CCDE <br />TYPE OF BUSINESS <br />209-951-4445 <br />( ) 01 GASOLINE STATION (X) 02 OTHER GARAGE DOOR CO. <br />NUMBER OF CONTAINERS <br />RURAL .AREAS ONLY : <br />TOWNSHIP <br />RANGE <br />SECTION <br />2 <br />III 24 HOUR EMERGENCY CONTACT PERSON <br />SAYS: NA.ME(L.AST NAME FIRST) AND PHONE W/AREA CODE NIGHTS: N.AME(L.AST NAME FIRST).AND PHONE W/.AREA CODE <br />,AY, WES 209-951-4445 DAY, WES 209-951-5381 <br />COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br />IV DESCRIPTION <br />A. <br />(X) 01 TANK ( ) 04 OTHER <br />) GAUGE (X) INCHES ( <br />) CM ( ) UNKNOWN <br />CONTAINER <br />NUMBER 2 <br />B. <br />MANUFACTURER (IF APPROPRIATE): PERKINS <br />WELDING <br />YEAR MFG: 1979 <br />C. <br />YEAR INSTALLED 1979 ( ) UNKNOWN <br />D. <br />CONTAINER CAPACITY: 2000 GALLONS ( <br />) UNKNOWN IE. <br />DOES THE CONTAINER STORE: ( <br />) 01 WASTE (X) 02 PRODUCT <br />F. <br />DOES THE CONTAINER STORE MOTOR VEHICLE <br />(X) 01 UNLEADED ( ) 02 REGULAR ( ) 03 <br />FUEL OR WASTE OIL ? (X) 01 YES ( ) 02 NO <br />PREMIUM ( ) 04 DIESEL ( ) 05 WASTE OIL ( <br />IF YES CHECK APPROPRIATE BOX(ES): <br />) 06 OTHER <br />V CONTAINER CONSTRUCTION <br />A. <br />THICKNESS OF PRIMARY CONTAINMENT: 3/16 ( <br />) GAUGE (X) INCHES ( <br />) CM ( ) UNKNOWN <br />B. <br />( ) 01 <br />VAULTED (LOCATED IN AN UNDERGROUND VAULT) <br />(X) 02 NON -VAULTED ( <br />1 03 UNKNOWN <br />C. <br />( ) 01 <br />DOUBLE WALLED (X) 02 SINGLE WALLED f ) <br />03 LINED <br />D. <br />(X) 01 <br />( ) <br />( ) 12 <br />CARBON STEEL ( l 02 STAINLESS STEEL ( l <br />06 ALUMINUM ( 1 07 STEEL CLAD ( ) 08 BRONZE <br />UNKNOWN ( ) 13 OTHER: <br />03 FIBERGLASS ( ) 04 <br />( l 09 COMPOSITE <br />POLYVINYL CHLORIDE ( ) 05 CONCRETE <br />( ) 10 NON-METALLIC <br />h5C04-070185 (10/18/85) <br />9 9 <br />PAGE 1 <br />