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' • *STATE ID NUMBER 00000001870002 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> ( ) <br /> 01 NEW PERMIT ( 1 05 RENEWED PERMIT ( ) 07 TANK CLOSED ( ) 09 DELETE FROM FILE (NO FEE) <br /> ( 1 02 CONDITIONAL PERMIT ( 1 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAME(CORPORATION.INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> MOORE EQUIPMENT CO.. INC. ( ) 01 FED ( ) 02 STATE f ) 03 LOCAL <br /> STREET ADDRESS CITY STATE ZIP <br /> 4546 N. WILSON WAY STOCKTON CA 95204 <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREMAN:SUPERVISOR <br /> MOORE EQUIPMENT CO.. INC <br /> STREET A=PESS NEAREST CROSS STREET <br /> 4546 N. WILSON WAY NEWTON RD., <br /> CITY COUNTY ZIP <br /> STOCKTON SAN JOAQUIN 95204 <br /> MAIL Z':G ADDRESS CITY STATE <br /> ZIP <br /> P. 0. BOX 8098 STOCKTON CA 95208 <br /> PHONE W/AREA CCOE TYPE OF BUSINESS <br /> 209-466-5135 ( ) 01 GASOLINE STATION (X) 02 OTHER <br /> NUMBER OF CONTAINERS PUPAL AREAS ONLY TOWNSHIP RANGE SECTION <br /> 2 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE NIGHTS: NAMEfLAST NAME FIRST) AND PHONE W/AREA CODE <br /> RVSKER�-'W'IttIAM^ 209-466-5135 209-369-4540 <br /> f\ t ( nv <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( ) 04 OTHER: CONTAINER NUMBER 1 <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: 1946 C. YEAR INSTALLED 1946 ( ) UNKNOWN <br /> D. CONTAINER CAPACITY: 8000 GALLONS ( 1 UNKNOWN E. DOES THE CONTAINER STORE: f 101 WASTE (X) 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? (X) 01 YES ( 1 02 NO IF YES CHECK APPROPRIATE BOX(ES); <br /> ( ) <br /> 01 UNLEADED (X) 02 REGULAR f 1 03 PREMIUM f 1 04 DIESEL ( 1 05 WASTE OIL f 106 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: 1/4 ( ) GAUGE ( ) INCHES ( ) CM ( ) UNKNOWN <br /> B. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ( ) 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED (X) 02 SINGLE WALLED ( 1 03 LINED <br /> D. fX) 01 CARBON STEEL f l 02 STAINLESS STEEL f 103 FIBERGLASS ( l 04 POLYVINYL CHLORIDE I ) 05 CONCRETE <br /> f ) 06 ALUMINUM f ) 07 STEEL CLAD ( ) 08 BRONZE ( ) 09 COMPOSITE ( ) 10 NON-METALLIC <br /> ( 1 12 UNKNOWN ( 1 13 OTHER: <br /> SC04-070185 (10/18/85) PAGE 1 <br /> 0 1* <br />