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• 0 STATE ID NUMBER 00000066122001 <br /> APPLICATION FOR PERMIT TO 0 ERATE UNDERGROUND STORAGE TANK <br /> .4"01 NEW PERMIT ( 1 05 RENEWED PERMIT '144 07NK CLOSED ( ) 09 DELETE FROM FILE (NO FEE) <br /> ( ) 02 CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT ( 1 OT MI HANGE (NO SURCHARGE) <br /> I OWNER <br /> NAME(CORPORATION.INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> THE ROBERT MONDAVI CORPORATION ( ) 01 FED f ) 02 STATE ( ) 03 LOCAL <br /> STREET ADDRESS CITY STATE ZIP <br /> 5950 E. WOODBRIDGE ROAD ACAMPO CA 95220 <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREMAN/SUPERVISOR <br /> ROBERT MONDAVI WINERY-WOOOBRIOC PAUL MAYER <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 5950 E. WOODBRIDGE ROAD KENEFICK ROAD <br /> CITY COUNTY IIP <br /> ACAMPO SAN JOAQUIN 95220 <br /> MAILING ADDRESS CITY STATE ZIP <br /> P.O. BOX 1260 WOODBRIDGE CA 95258 <br /> PHONE W/AREA CODE TYPE OF BUSINESS <br /> 209-369-5861 1 ) 01 GASOLINE STATION (X) 02 OTHER WINERY <br /> NUMBER OF CONTAINERS RURAL AREAS ONLY TOWNSHIP RANGE SECTION <br /> 2 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAMEf LAST NAME FIRST) AND PHONE W/AREA CODENIGHTS: NAME AST NAME FIRST) AND PHONE W/AREA CODE <br /> 209-369-5861 0.Aj IqQ 289-369-09i3- <br /> SSR 4 aa95b <br /> MPLETE THE FOLLOWING ON A SEPARATE FORM FOR EA H CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK f ) 04 OTHER: CONTAINER NUMBER 1 <br /> B. MANUFACTURER (IF APPROPRIATE): MONTCALM VTRS. YEAR MFG: 1973f C. YEAR INSTALLED 1973 ( ) UNKNOWN <br /> D. CONTAINER CAPACITY: 8000 GALLONS f ) UNKNOWN E. DOES THE CONTAINER STORE: Mff 01 WASTE ( ] 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WAST OIL ? 01 YES ( ) 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br /> [ ) 01 UNLEADED ( 1 02 REGULAR ( ) 03 PREMIUM _gL 04 DIESEL ( ) 05 WASTE OIL ( ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: /16 2 ( ) GAUGE (X) INCHES ( ) CM ( ) UNKNOWN <br /> B. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ( ) 03 UNKNOWN <br /> C. 1 ) 01 DOUBLE WALLED (X) 02 SINGLE WALLED ( ) 03 LINED <br /> 0. (X) 01 CARBON STEEL ( ) 02 STAINLESS STEEL l 1 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE ( ) 05 CONCRETE <br /> f ) 06 ALUMINUM f ) 07 STEEL CLAD f 1 08 BRONZE I 1 09 COMPOSITE ( ) 10 NON-METALLIC <br /> ( 1 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (08/29/86) PAGE <br />