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c I.f c � � <br /> STATE IO NUMBER 00000048924003 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> f ) <br /> 01 NEW PERMIT ( 1 05 RENEWED 'PERMIT ( ) 07 TANK CLOSED (JC) 09 DELETE FROMFILE {NO FEE) <br /> ( ) 02 CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARG E <br /> I OWNER <br /> NAME(COP.PO'MATION.I.NDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> RYDER/PTE NATIONWIDE, INC. E ) 01 FED [ l 02 STATE ( ) 03 LOCAL <br /> STiEET ADDRESS CITY .. STATE Zip <br /> 2050 KINGS ROAD JACKSONVILLE FL 32203 <br /> II FACILITY <br /> PACIL:-,Y NAPIE DEALER/FOREMAN/SUPERVISOR <br /> RYDER/PIE NATIONWIDE, INC. W.E. HERRON <br /> STP_ET ADOPESS NEAREST CROSS STREET <br /> 2007 N. WILSCN WAY <br /> CITY COUNTY ZIP <br /> STOCKTON SAN JOAQUIN 95205 <br /> M.4iLiNG k0'DEESS CITY STATE Zip <br /> 2007 N. WILSON WAY STOCKTON CA 95205 <br /> FHONE W/A;EA CCDE TYPE OF BUSINESS <br /> 209-464-7704 ( ) 01 GASOLINE STATION (X)02 OTHER TRUCK TERMINAL <br /> NUYBEP. OF CONTAINERS RURAL ArEAS ONLY TOWNSHIP RANGE SECTION <br /> 3 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAi'E{LAST NAPE FIRSTl AND PHONE WlAF@A CODE NIGHTS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE <br /> HERRON, 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 E ) 04 OTHER: CONTAINER NUMBER 3 <br /> .j <br /> S. MA14UPACTURER (IF APPROPRIATE): YEAR MFG: TC. YEAR INSTALLED (X) UNKNOWN <br /> D. CONTAINER CAPACITY: GALLONS (X) UNKNOWN E. DOES THE CONTAINER STORE f 1 01 WASTE [X) 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? ( ) 01 YES ( ) .02 NO IF YES CHECK APPROPRIATE BOX(ES): <br /> ( ) 01 UNLEADED (X) 02 REGULAR [ ) 03 PREMIUM ( 1 04 DIESEL ( 1 05 WASTE OIL { ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: E f GAUGE [ ) INCHES f ) CM (X) UNKNOWN <br /> i <br /> B. ( 1 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) ( 1 02 NON-VAULTED (X) 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED f ) 02 SINGLE WALLED f ) 03 LINED <br /> 0. (X) 01 CARBON STEEL ( ) 02 STAINLESS STEEL ( ) 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE ( ) 05 CONCRETE <br /> ( ) 06 ALUMINUM { 1 07 STEEL CLAD ( ) 08 BRONZE { 1 09 COMPOSITE ( ] 10 NON-METALLIC <br /> ( ) 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br /> i <br />