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0 0 <br /> STATE ID NUMBER 00000062064001 <br /> APPLICATION FOR PER.MIT TO OPERATE UNDERGROUND STORAGE TANK <br /> (X] 01 NEW PERMIT ( ) 05 RENEWED PERMIT ( ). 07 TANK CLOSED ( ) 09 DELETE FROM FILE (NO FEE) <br /> ( CTS�ITSSNAL PERMIT ( 1 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NArE(COPPORATZON,iNDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> CHEVRON U.S.A. INC. ( ) 01 FED ( ) 02 STATE ( ) 00G3 LOCAL <br /> STFEET ADDRESS �/ O CITY J(1� �lOn STATE ZIP /ySv? <br /> 2 fin?'? tanfz ui 20 CA <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREMAN/SUPERVISOR <br /> 91452 PARKS, BILL JR <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 334 E. MAIN ST. HWY 99 <br /> CITY COUNTY ZIP <br /> RIPON SAN JOAgUIN 95366 <br /> MAILING AODP.ESS CITY STATE ZIP <br /> 334 E. MAIN ST. RIPON CA 95366 <br /> PHONE W/APEA CODE TYPE OFBUSINESS <br /> 209-599-2313 (X) 01 GASOLINE STATION f ) 02 OTHER <br /> NUMBER. OF CONTAINEP,S RURAL AREAS ONLY TOWNSHIP RANGE SECTION <br /> 4 <br /> IIS 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAM'-(LAST NAME FIRST) AND 'PHONE W/AREA CODE NIGHTS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE <br /> MAINTENANCE DISPATCH 415-877-0244 - - <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: 1969 C. YEAR INSTALLED 1969 ( ) UNKNOWN <br /> 0. CONTAINER CAPACITY: 10000 GALLONS ( ) UNKNOWN E. DOES THE CONTAINER STORE: ( ) 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 ) 02 REGULAR ( ) 03 PREMIUM ( ) 04 DIES ( 5 WASTE OIL ( l 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: 0000250 f ) GAUGE ( ) INCHES ( ) CM ( ] UNKNOWN <br /> B. ( l 01 VAULTED (LOCATED IN AN.UNDERGROUND VAULT) (X) 02 NON-VAULTED ( ) 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED (X) 02 SINGLE WALLED ( ) 03 LINED <br /> D. (X) 01 CARBON STEEL ( L 02 STAINLESS STEEL ( l 03 FIBERGLASS ( l 04 POLYVINYL CHLORIDE ( 105 CONCRETE <br /> ( ) 06 ALUMINUM ( ] 07 STEEL CLAD Fl 08 BRONZE ( ) 09 COMPOSITE f ) 10 NON-METALLIC <br /> f l 12 UNKNOWN f ) 13 OTHER: <br /> HSC04-070185 (1.0/18/85) PAGE 1 <br />