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STATE ID NUMBER 00000012781002 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> f 1 01 NEW PERMIT �) o <br /> RENEWED PERMIT ( ) 07 TANK CLOSED ( ) 09 DELETE FROM �FILEJQ FEET <br /> 1 02 ONDITIONAL PERMIT AMENDED PERMIT ( 1 OS MINOR CHANGE (NO SURCHARGE) <br /> �J <br /> I OWNER <br /> NAME(COPFOPATION.INDIVIOUAL OR PUBLIC AGENCYF PUBLIC AGENCY ONLY <br /> THE SALVATION ARMY A NORTHERN ( ) 01 FED t ) 02 STATE ( ) 03 LOCAL <br /> STREET AGGRESS - <br /> 1247 S. WILSON WAY FCSTOT, <br /> STATE 2IP <br /> CKTON CA 95205 <br /> II FACILITY <br /> FACILITY N4ME <br /> THE SALVATION ARMY ADULT REHAB DEALER/FOR€MAN/suPEPUIsO <br /> S7rEET ADPESS <br /> NEAREST CROSS STREET <br /> 1247 S. WILSON WAY CLAY ST. <br /> CITY <br /> COUNTY <br /> STOCKTON IP <br /> SAN JOAQUIN 2yp <br /> 95205 <br /> MAILING ADDRESS FCST <br /> Y <br /> SAME AS ABOVE STATE ZIP <br /> CKTON CA 95205 <br /> PHONE L:/AREA CODE =i TYPE CF BUSINESS <br /> 209-466-3371 ( l 01 GASOLINE STATION (X) 02 OTHER <br /> NUMBER OF CONTAIN€PS PUPAL AREAS <br /> 2 ONLY : TOWNSHIP RANGE <br /> SECTION <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> OA)S: NAME(LAST NAME FIRST) AND PHONE W/APEA CODE NIGHTS: NAME( LAST NAME FIRST? AND PHONE W/AREA CCDE <br /> "LaEQ QN, YE)T+I---- 466-387-1 466-387-1 <br /> J <br /> V\9\. <br /> C MPLETE THE FOLLOWING ON A SEPARATE FOR EACH CONTAI <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( 1 04 OTHER: CCNTAIFJER NUMBER 2 <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: C. YEAR INSTALLED (X) UNKNOWN <br /> D. CONTAINER CAPACITY-:-�C5ALLONS ( ) UNKNOWN E. DOES THE CONTAINER STORE: { l 01 WASTE (X) 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? (X) 01 YES ( ) 02 ND IF YES CHECK APPROPRIATE BOXJES): <br /> ( 1 01 UNLEADED (X) 02 REGULAR ( ) 03 PREMIUM ( 1 04 DIESEL ( 1 05 WASTE OIL ( l 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) ( l 02 NON-VAULTED ( ) 03 UNKNOWN <br /> C. ( 1 01 DOUBLE WALLED ( ) 02 SINGLE WALLED ( l 03 LINED <br /> D. ( l 01 CARBON STEEL (X) 02 STAINLESS STEEL ( 1 03 FIBERGLASS f ) 04 POLYVINYL CHLORIDE ( 1 05 CONCRETE <br /> ( ) 06 ALUMINUM ( ) 07 STEEL CLAD ( l 08 BRONZE ( ) 09 COMPOSITE ( ) 10 NDN-METALLIC <br /> f l 12 UNKNOWN ( 1 13 OTHER: <br /> HSC04-070185 (10/18/851 <br /> PAGE 1 <br />