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STATE ID NUMBER 00000053238001 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE DELETE FROM FILE (NO FEE] <br /> ( ) O1 NEW PERMIT ( ) 05 RENEWED PERMIT ( 07 TANK CLOSED <br /> ( ) 02 CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT ( l OS MINOR CHANGE (NO SURCHARGE) <br /> 5NMYLt4AR <br /> OWNERPUBLIC AGENCY ONLY.TICN,INDIVIOUAL OR PUBLIC AGENCY) ( ) O1 FED ( ) 02 STATE ( l 03 LOCAL <br /> ROW STATE ZIP <br /> CITY CA 95336 <br /> SS MANTECA AVE <br /> II FACILITY <br /> DEALER/FOREMAN/SUPERVISOR <br /> FACILITY NAME PAUL T. FARROW <br /> NONE <br /> NEAREST CROSS STREET <br /> STREET ADDRESS ALAMEDA <br /> 440 N. MAIN ST ZIP <br /> COUNTY 95336 <br /> CITY SAN JOAQUIN <br /> MANTECA STATE ZIP <br /> CITY CA 95336 <br /> MAILING ADDRESS MANTECA <br /> 355 N MYLNAR AVE <br /> TYPE OF BUSINESS <br /> PHONE W/AREA CODE ( ) O1 GASOLINE STATION (X) 02 OTHER RENTAL BUILDINGS <br /> 209-823-1544 SECTION <br /> RURAL AREAS ONLY <br /> TOWNSHIP RANGE <br /> NUMBER OF CONTAINERS <br /> 1 <br /> III 24 HOUR EMERGENCY CONTACT PERSON NIGHTS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE <br /> DAYS: N.4ME(LAST NAME FIRST) AND PHONE W/AREA CODE FARROW, PAUL T. 209-823-5394 <br /> FARROWS SAMUEL C 209-823-1544 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION - - <br /> pDOaSCONTAINER NUMBER 1 <br /> j <br /> ( ) 04 OTHER: <br /> YEAR MFG ???9 C. YEAR INSTALLED (X) UNKNOWN <br /> R (IF APPROPRIATE D ????'•'•'•"•'•'•'•'•'•?yllNE <br /> ????? <br /> CAPACITY GALLONS (X) UNKNOES THE CONTAINER STORE: ( ) 01 WASTE (X) 02 PRODUCT <br /> IF <br /> ONTAINER STORE MOTORARVEHI;L03FUREMOR IUMWASTE 04LDIESEL O( 1E05 WASTE20IOL (X) 06SOTHERK EMPTYPRIATE BOX(ES)�EADED ( l 02 REGUL <br /> V CONTAINER CONSTRUCTION <br /> F( ) <br /> S OF PRIMARY CONTAINMENT: ( ) GAUGE ( l INCHES ( ) CM (X) UNKNOWN <br /> B. VAULTED (LOCATED IN AN UNDERGROUND VAULT) [ ) o2 NON-VAULTED (x) 03 UNKNOWN <br /> DOUBLE WALLED ( ) 02 SINGLE WALLED ( ) 03 LINED <br /> CARBON STEEL (( ))002SSTAINLESS S(EEL08(BRO03 NZEFIBERG009SCOMPOSITE S 04 P�L1V10YNON-METALLICL CHLORIDE ( ) 05 CONCRETE <br /> 06 ALUMINUMUNKNOWN ( ) 13 OTHER: PAGE 1 <br /> HSC04-070185 (10/18/85) <br /> f <br />