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STATE ID NUMBER 0000003F,87�003 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> (41..01 NEW PERMIT ( l 05 RENEWED PERMIT ( 107 TANK CLOSED ( ) 09 DELETE FROM FILE (NO FEE) <br /> ( ) 02 CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> N.AME(CCP=CPATION,INDIVIDUAL OR PUBLIC AGENCY) <br /> ROY L. & CONNIE BECK PUBLIC AGENCY ONLY <br /> ( I O1 FED ( ) 02 STATE i 1 03 LOCuL <br /> STREET .ADDRESS <br /> 3900 LONGRIDGE AVE. rERMAN <br /> TY ;TATE TE <br /> SH <br /> OAKS CA 91423 <br /> II FACILITY <br /> FACILITY NAME <br /> BEACON STATION # 492 DEALEP/FOPEMAN/SUPEP.VISOP <br /> LAUREN RAUCHMAN <br /> STREET ADDRESS <br /> 470 NORTH MAIN STREET NEAREST CROSS STREET <br /> ALAMEDA STREET <br /> CITY <br /> MANTECA COUNTY ZIP <br /> SAN JOAQUIN 95336 <br /> MAILING ADDRESS CITY <br /> 525 W. THIRD STREET STATE ZIP <br /> HANFORD CA 93230 <br /> PHONE W/AREA CODE TYPE OF BUSINESS <br /> 204-582-0241 (X) 01 GASOLINE STATION ( ) 02 OTHER <br /> NUMBER OF CONTAINERS PUPAL AREAS ONLY . TOWNSHIP <br /> 3 RANGE SECTION <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> LAYS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE NIGHTS; NAME(L,AST NAME FIRST) AND PHONE W/AREA CODE <br /> ('1CCUTCHEN3 JIM 209-582-0241 SHIFT SUPERVISOR 209-592-0246 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (XI Oi TANK { ) 04 OTHER: JCONTAINER HUMBER 492-3 <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: C. YEAR INSTALLED 1964 ( ) UNKNOWN <br /> D. 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 ? (X) 01 YES ( ) 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br /> (X) 01 UNLEADED ( ) 02 REGULAR ( l 03 PREMIUM [ 1 04 DIESEL { ) 05 WASTE OIL ( ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: .025 f ) GAUGE (X) INCHES ( ] CM f ) UNKNCWN <br /> B ( ) 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 CARSON STEEL ( ) 02 STAINLESS STEEL ( 1 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE i ) 05 CONCRETE <br /> ( ) 06 ALUMINUM ( ) 07 STEEL CLAD f l 08 BRONZE ( ) 09 COMPOSITE ( ) 10 NON-METALLIC <br /> ( l 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) <br /> PAGE 1 <br /> • <br />