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STATE ID NUMBER 00000010781001 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> ) O1 NEW PERMIT ( ) 05 RENEWED PERMIT i ) 07 TANK CLOSED <br /> ( ONDITIONAL PERMIT ( ) 46 AMENDED PERMIT ( ) OS MINOR CHANGE (NO SURCHARGE)) 09 DELETE FROM FILE (NO FEE} <br /> I OWNER <br /> E1247 <br /> F.POPATION.INDIVIOUAI OR PUBLIC AGENCY) <br /> VATION ARMY A NORTHERN PUBLIC AGENCY ONLY <br /> ( ) O1 FED i ) 02 STATE f ) 03 LOCAL <br /> ADDRESS <br /> WILSON WAY CITY TCA <br /> E ZIP <br /> STOCKTON 95205 <br /> II FACILITY <br /> E1247S. <br /> A"E <br /> ION ARMY ADULT REHAB DEALER/FOP.EM.AN/SUPEP%'ISCR <br /> KEIT <br /> xEss <br /> LSON WAY NEAREST CROSS STREET <br /> CLAY ST. <br /> CITY <br /> STOCKTON COUNTY ZIP <br /> SAN JOAQUIN 95205 <br /> MAILIN3 ADDRESS <br /> SAME AS ABOVE CITY STATE ZIP <br /> STOCKTON CA 95205 <br /> PHONE W/APEA CODE J�( <br /> YPE OF BUSINESS <br /> 249-466-3871 ) 01 GASOLINE STATION (X) 02 OTHER <br /> NL'713ER OF CONTAINERSRU=� PAL AREAS ONLY : TOWNSHIP <br /> 2 tiANGE SECTION <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE <br /> NIGHTS: NAME( LAST NAME FIP.ST) AND PHONE W/AREA CODE <br /> 466-3$7-1 <br /> h4 <br /> 466-387-1 , <br /> C MPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CO TAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK i ) 04 OTHER: <br /> CONTAINER NUMBER 1 <br /> B. MANUFACTURER =APPROPRIATE): YEAR MFG: C. YEAR INSTALLED (X) UNKFJOWN <br /> D. CONTAINER CAPACITY: 10000 GALLONS ( } UNKNOWN E. DOES THE CONTAINER STORE: ( ) OI WASTE (X) 02 PRODUCT <br /> F. D S THE CONTAINER STORE MOTOR VEHICLE FUEL OR WAST OIL ? (X) 01 YES ( ) 02 NO IF YES CHECK APPROPRIATE BOX(Es): <br /> 01 UNLEADED ( ) 02 REGULAR ( ) 03 PREMIUM } DIESEL ( ) 05 WASTE OIL ( ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( ) GAUGE ( } INCHES ( ) CM (X) UNKNOWN <br /> B. (X) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) ( 1 02 NON-VAULTED ( ) 03 UNKNOWN <br /> C. f ) 01 DOUBLE WALLED ( ) 02 SINGLE WALLED ( ) 03 LINED <br /> 0. ( ) 01 CARBON STEEL (X) 02 STAINLESS STEEL f ) 03 FIBERGLASS i ) 04 POLYVINYL CHLORIDE ( ) 05 CONCRETE <br /> f ) 06 ALUMINUM ( l 07 STEEL CLAD ( } 08 BRONZE ( ) 09 COMPOSITE ( ) 10 NON-METALLIC <br /> ( ) 12 UNKNOWN ( ) 13 OTHER: <br />(SC04-070185 (10/18/85) <br /> PAGE I <br />