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`J STATE ID NUMBER 00000014147001 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> C ) 01 NEW PERMIT ( ) 05 RENEWED PERMIT ( 7 TANK CLOSED N ) 09 DELETE FROM FILE (NO FEE) <br /> ( i 02 CONDITICNAL PERMIT ( ) 06 AMENDED PERMIT (- ) 08 MINOR CHANGE (NO SURCHARCEl\ <br /> I OWNER <br /> NAME(COPPORATIDN.INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> TRADEWAY CHEV CO.e INC ! ) 01 FED ( ) 02 STATE [ ) 03 LOCAL <br /> STREET ADDRESS <br /> FMAMTECA <br /> STATE ZIP <br /> 1460 E. YOSEMITE AVE. CA 95336 <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREMAN/SUPERVISOR <br /> TRADEWAY CHEV. CO.) INC. TIM BLUMBERG <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 1460 E. YOSEMITE AVE. HWY 99 <br /> CITY COUNTY ZIP <br /> MANTECA SAN JOAQUIN 95336 <br /> MAILING ADDRESS CITY STATE ZIP <br /> P.O. BOX 872 MANTECA CA 95336 <br /> PHONE W/APER CODE TYPE OF BUSINESS <br /> 209-823-3167 ( ) 01 GASOLINE STATION (X) 02 OTHER <br /> NUMBER OF CONTAINERS RURAL 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. NAME(LAST NAME FIRST) AND PHONE W/AREA CODE <br /> BLUMBERG, TIM 209-823-3167 BLUMBERG, TIM 209-599-2719 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION _ <br /> A. (X) 01 TANK ( } 04 OTHER: CONTAINER NUMBER 101 <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: C. YEAR INSTALLED 1959 ( D UNKNOWN <br /> D. CONTAINER CAPACITY: 550 GALLONS ( D 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 /> (XD 01 UNLEADED ( ) 02 REGULAR ( ) 03 PREMIUM ( ) 04 DIESEL i 1 05 WASTE OIL C ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: i ) GAUGE ( ) INCHES ( ) CM (X) UNKNOWN <br /> B. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) ( ) 02 NON—VAULTED 03 UNKNOWN <br /> C. ( D 01 DOUBLE WALLED ) 02 SINGLE WALLED ( ) 03 LINED <br /> 0. ( ) 01 CARBON STEEL f ) 02 STAINLESS STEEL ( ) 03 FIBERGLASS F ) 04 POLYVINYL CHLORIDE ( ) 05 CONCRETE <br /> ( ) 06 ALUMINUM ( ) 07 STEEL CLAD ( 1 08 BRONZE ( ] 09 COMPOSITE ( ) 10 NON—METALLIC <br /> (X) 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br />