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STATE ID NUMBER 00000031604001 <br />APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br />01 NEW PERMIT ( 1 05 RENEWED PERMIT ( 1 07 TANK CLOSED f ) 09 DELETE FROM FILE (NO FEE) <br />( ) 02 CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT l ) 03 MINOR CHANGE (NO SURCHARGE) <br />I 0 W N E R <br />NAME(COP,PORATICN.INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY ,C� <br />CITY OF MANTECA ( ) O1 FED ( ) 02 STATE U' 03 LOCAL <br />STREET ADOP.=_SS CITY STATE ZIP <br />1001 WEST CENTER ST. MANTECA CA 95336 <br />II FACILITY <br />t-CIL:TY NAME <br />THICKNESS OF PRIMARY CONTAINMENT: 10 (X) GAUGE ( ) INCHES ( <br />) CM ( ) UNKNOWN <br />DEALER/FOREMAN/SUPERVISOR <br />( ) 01 <br />CITY OF MANTECA <br />) 03 UNKNOWN <br />RAY ZUNINO <br />STREET ADDRESS <br />C. <br />C ) 01 <br />NEAREST CROSS STREET <br />210 EAST WETMORE AVE. <br />(X) 01 <br />CAR)3ON STEEL ( 1 02 STAINLESS STEEL t ) 03 FIBERGLASS f ) 04 <br />SO. MAIN ST. <br />CITY <br />06 ALUMINUM ( 1 07 STEEL CLAD C 1 08 BRONZE ( 1 09 COMPOSITE <br />( ] 10 NON-METALLIC <br />COUNTY <br />( l 12 <br />ZIP <br />MANTECA <br />SAN JOAQUIN <br />95336 <br />MAILING ADDRESSCITY <br />Cx 3oe-e <br />STATE <br />CA <br />ZIP <br />95336 <br />.i3 <br />MANTECA <br />PHONE W/AREA COTE <br />TYP€ <br />OF BUSINESS <br />209-239-9-9n209-239-7 '":5-C> <br />( l <br />01 GASOLINE STATION (X) 02 OTHER <br />NUMBER OF CONTAINERS <br />RURAL AREAS <br />CNLY: <br />TOWNSHIP <br />RANGE <br />I <br />SECTION <br />3 <br />I <br />III 24 HOUR EMERGENCY CONTACT PERSON <br />DAYS: NAME(LAST NAME FIPST) AND PHONE W/AREA CODE NIGHTS: NAME(LAST NAME FIRST) AND PHCNE W/AREA CODE <br />DAVID 209-239-95-3 T-ffe O JINKENS, DAVID 209-239-9511 <br />COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br />IV DESCRIPTION <br />A. (X) 01 TANK ( ) 04 OTHER= <br />B. MANUFACTURER (IF APPROPRIATE): MODESTO WELDING <br />CONTAINER NUMBEP. CY _v'�)_ <br />YEAR MFG. 19761 C. YEAR INSTALLED 1976 ( ) UNKNOWN <br />D. CONTAINER CAPACITY: GALLONS ( 1 UNKNOWN E. DOES THE CONTAINER STORE: [ ) 01 WASTE (X) 02 PRODUCT <br />F. DOES THE CONTAIN((XS) <br />TORE MOTOR V I LE FUEL OR WASTE OIL ? (X) 01 YES ( l 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br />( l 01 UNLEADED 02 REGULAR [y) 03 PREMIUM ( ) 04 DIESEL ( 1 05 WASTE OIL ( ) 06 OTHER <br />V CONTAINER C TION <br />A. <br />THICKNESS OF PRIMARY CONTAINMENT: 10 (X) GAUGE ( ) INCHES ( <br />) CM ( ) UNKNOWN <br />B. <br />( ) 01 <br />VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON -VAULTED f <br />) 03 UNKNOWN <br />C. <br />C ) 01 <br />DOUBLE WALLED (X) 02 SINGLE WALLED ( 1 03 LINED <br />0. <br />(X) 01 <br />CAR)3ON STEEL ( 1 02 STAINLESS STEEL t ) 03 FIBERGLASS f ) 04 <br />POLYVINYL CHLORIDE ( 1 05 CONCRETE <br />f ) <br />06 ALUMINUM ( 1 07 STEEL CLAD C 1 08 BRONZE ( 1 09 COMPOSITE <br />( ] 10 NON-METALLIC <br />( l 12 <br />UNKNOWN ( ) 13 OTHER: <br />■ HSC04-070185 (10/18/85) <br />40 0 <br />PAGE 1 <br />