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STATE ID NUMBER 00000048924002 <br /> . APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> 1 l 01 NEW PERMIT ( ) 05 RENEWED PERMIT E l 07 TANK CLOSED (.V 09 DELETE FROM FILE (NO FEE) <br /> E ) 02 CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT E ) 08 MINOR CHANGE ENO SURCHARG <br /> I OWNER <br /> NAME(CCR'PC-ATICN.INOIVICUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> RYDER/PIE NATIONWIDE, INC. ( ) 01 FED ( ) 02 STATE [ l 03 LOCAL <br /> ST;EET ADDRESS CITY STATE ZIP <br /> 2050 KINGS ROAD JACKSONVILLE FL 32203 <br /> II FACILITY <br /> FACILITY NAME DEALER/FCREMAN/SUPERVISOR <br /> RYDER/PIE NATIONWIDE, INC. W.L. HERRON <br /> STREET A07?ESS NEAREST CROSS STREET <br /> 2007 N. WILSON WAY <br /> CITY COUNTY ZIP <br /> STOCKTON SAN JOAgUIN 95205 <br /> i,AtLING A.CDR:S$ CITY STATE ZIP <br /> 2007 N. WILSON WAY STOCKTON CA 95205 <br /> PHONE W/AREA CODE TYPE OF BUSINESS <br /> 209-464-7704 ( J 01 GASOLINE STATION (X) 02 OTHER TRUCK TERMINAL <br /> NUMB:P OF CONTAINS;S RURAL AREAS ONLYTOWNSHIP RANGE SECTION <br /> 3 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAME(LAST NAME FIRSTS AND PHONE W/AP,EA CODE NIGHTS: NA.ME(LAST NAME FIRST) ANDPHONE W/APEA CCDE <br /> HEP.RON, W.L. 315-455-5657 HERRON, W.L. 209-952-2532 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK [ 1 04 OTHER- iCONTAINER NUMBER 2 <br /> B. MANUFACTURER (IF APPROPRIATE)* YEAR MFG = <br /> EAR INSTALLED (X) UNKNOWN <br /> 0. CONTAINER CAPACITY= GALLONS (X) UNKNOWN E. DOES THE CONTAINER STORE: ( } 01 WASTE (X) 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? (X) 01 YES ( ) 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br /> ( ) 01 UNLEADED (X) 02 REGULAR ( ) 03 PREMIUM f ) 04 DIESEL ( ) 05 WASTE OIL f l 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( l GAUGE ( } INCHES ( ) CM (X) UNKNOWN <br /> B. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) ( ) 02 NON-VAULTED (X) 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED [ J 02 SINGLE WALLED ( } 03 LINED <br /> 0. (X) 01 CARBON STEEL ( 7 02 STAINLESS STEEL ( } 03 FIBERGLASS [ l 04 POLYVINYL CHLORIDE ( l 05 CONCRETE <br /> f ) 06 ALUMINUM [ 1 07 STEEL CLAD ( ) 08 BRONZE ( l 09 COMPOSITE ( ) 10 NON-METALLIC <br /> [ ) 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br /> w <br /> i <br />