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STATE ID NUMBER 00000035874002 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> [4�0_tj7EW PERMIT ( l 05 RENEWED PERMIT t ) 07 TANK CLOSED NDITIONAL PERMIT E ) 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) ) 09 DELETE FROM FILE (NO FEE) f <br /> I OWNER �Jf <br /> NAME(COPPOPATION,INDIVIDUAL OR PUBLIC AGENCY) <br /> ROY L. & CONNIE BECK TBLIC AGENCY ONLY) 01 FED ( ) 02 STATE ( l 03 LOCAL <br /> STPEET AGGRESS <br /> 3900 Lot OG <br /> AVE. �SHERMAN <br /> STATE zIP <br /> ICA 91423 <br /> II FACILITY <br /> FACE4DDP!Ss <br /> BEA492 DEALER/FOREMAN/SUPERVISOR <br /> LAUREN RAUCHMAN <br /> STP470TREET NEAREST CROSS STREET <br /> ALkMEDA STREET <br /> CITY <br /> MANTECA COUNTY ZIP <br /> SAN JOAQUIN 95336 <br /> MAILIN3 ADDPESS <br /> 525 W. THIRD STREET CITY STATE ZIP <br /> HANFORD CA 93230 <br /> PHONE W/AFE.4 CODE TYPE OF BUSINESS <br /> 209-582-0241 (X) 01 GASOLINE STATION ( 1 02 OTHER <br /> NUMBEP OF CCNTAINEFS PUPAL AREAS ONLY : TOWNSHIP <br /> 3 RANGE SECTION <br /> rrr 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 /> MCCUTCHEN> JIM 209-582-0241 SHIFT SUPERVISOR <br /> 209-582-0246 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) O1 TANK. ( 1 04 OTHER: <br /> CONTAINER NUMBER 4`9 -2 <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: C. YEAR INSTALLED 1964 ( ) UNKNOWN <br /> D. CONTAINER CAPACITY: 10000 GALLONS ( ) UN({NOWN E. DOES THE CONTAINER STORE: ( ) 01 WASTE (X) 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? (Xl 01 YES ( ) 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br /> ( ) 01 UNLEADED (X) 02 REGULAR ( ) 03 PREMIUM ( 104 DIESEL f 1 05 WASTE OIL 4 ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: .025 ( ) GAUGE (X) INCHES ( ) CM ( D UNKNOWN <br /> B. ( 1 O1 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NDN-VAULTED ( ) 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED (X) 02 SINGLE WALLED ( 7 03 LINED <br /> D. (X) 01 CARBON STEEL ( l 02 STAINLESS STEEL ( ) 03 FIBERGLASS ( l 04 POLYVINYL CHLORIDE ( ) 05 CONCRETE <br /> ( ) 06 ALUMINUM ( l 07 STEEL CLAD ( J 08 BRONZE ( ) 09 COMPOSITE ( l 10 NON-METALLIC <br /> ( 1 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070165 (10/18/85) <br /> PAGE 1 <br />