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STATE ID NUMBER 00000035653002 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> F( ) 01 NEW PERMIT ( l 05 RENEWED PERMIT ( ) 07 TANK CLOSED02 CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE)) 09 DELETE FROM FILE (NO FEEL <br /> I OWNER <br /> NAME(COF.PCP.ATION,INDIVIDU.AL OR PUBLIC AGENCY) <br /> ENI MENCONI PUBLIC AGENCY ONLY <br /> ( ) 01 FED ( ) 02 STATE ( 1 03 LOCAL <br /> STPEET ADDRESS <br /> 10799 S. WING LEVEE RD. CITY FCA <br /> TE F95206 <br /> STOCKTON <br /> II FACILITY <br /> FACILITY NAME <br /> ENI MENCONI DEALER/FOREM.AN/SUPERVISOR <br /> STREET ADDRESS <br /> 10799 S. WING LEVEE RD. NEAREST CROSS STREET <br /> CITY <br /> STOCKTON COUNTY ZIP <br /> SAN JOAQUIN 95206 <br /> MAILING ADDRESS <br /> 10799 S. WING LEVEE RD. CITY T <br /> r.ATE zIPSTOCKTON A 95206 <br /> RHONE W/APE.A CODE TYPE OF BUSINESS <br /> 209-465-8644 ( ) 01 GASOLINE STATION ( ) 02 OTHER <br /> NUMBER OF CONTAINERS RURAL AREAS ONLY TOWNSHIP <br /> 2 RANGE SECTION <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> [DAYS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODENIGHTS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE <br /> ENCONI, ENI 209-465-8644 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( l 04 OTHER: AJCONTAINER NUMBER 2 <br /> B. MANUFACTURER (IF APPROPRIATE): UNKNOWN YEAR MFG: C. YEAR INSTALLED (X) UNKNOWN <br /> D. CONTAINER CAPACITY: 300 GALLONS ( ) UNKNOWN E. DOES THE CONTAINER STORE: ( ) 01 WASTE ( l 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 ( ) 02 REGULAR ( ) 03 PREMIUM ( ) 04 DIESEL ( ) 05 WASTE OIL ( ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: 16 (X) 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 t ) 03 LINED <br /> D. (X) 01 CARBON STEEL ( ) 02 STAINLESS STEEL ( ) 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE ( ) 05 CONCRETE <br /> ( ) 06 ALUMINUM ( ) 07 STEEL CLAD ( ) 08 BRONZE ( ) 09 COMPOSITE ( ) 10 NON-METALLIC <br /> ( ) 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) <br /> PAGE 1 <br />