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/ w ' STATE ID NUMBER 00000042548001 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> ( l <br /> 01 NEW PERMIT f 1 05 RENEWED PERMIT ( ) 07 TANK CLOSED <br /> ( ) 09 DELETE FROM FILE (NO FEE) <br /> ( ) 02 CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT ( ) 08 MINOR CHANGE fNO SURCHARGE) <br /> I OWNER <br /> NAMPUBLIC AGENCY ONLY <br /> STOCKTON-EAST <br /> ENOIISTRI OR PUBLIC AGENCY) ( ) 01 FED ( ) 02 STATE f 1 03 LOCAL <br /> STOCKTON-EAST WATER DISTRICT <br /> CITY STATE ZIP <br /> STPEET ADDRESS STOCKTON LA 95205 <br /> P.O. BOX 5157 <br /> II FACILITY <br /> DEALER/FOPEMAN/SUPERVISOR <br /> FACILITY NAME <br /> STOCKTON-EAST WATER DISTRICT <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 6767 EAST MAIN STREET NEW WATER LANE <br /> COUNTY ZIP <br /> CITY SAN JOAQUIN 95205 <br /> STOCKTON <br /> CITY STATE ZIP <br /> MAILING ADDRESS STOCKTON CA 95205 <br /> P.O. BOX 5157 <br /> PHONE W/AF.EA CODE TYPE OF BUSINESS <br /> 209-948-0537 l ) 01 GASOLINE STATION (X) 02 OTHER WATER TREATMENT PLAN <br /> NUM3E P. OF CONTAINERS <br /> RURAL AREAS ONLY : TOWNSHIP RANGE SECTION <br /> 4 <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 /> STEFFANI, ED 209-948-0537 SAME " <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) O1 TANK f 7 04 OTHER: CONTAINER NUMBER T16 <br /> B. MANUFACTURER (IF APPROPRIATE): OWENS/CORNING FIBERGLASS YEAR MFG: 1975 C. YEAR INSTALLED 1977 ( l UNKNOWN <br /> D. CONTAINER CAPACITY: 10000 GALLONS ( 1 UNKNOWN E. DOES THE CONTAINER STORE: f 7 01 WASTE (X) 02 PRODUCT <br /> F. DOES CONTAINER <br /> EMOTOR <br /> LAR03PREMIUM <br /> VEHICLE <br /> FUEL <br /> WASTE) 04OIL <br /> DIESEL O( 1YES <br /> 05 WASTE2NO OILL fIl 06YES <br /> OTHERCHECK <br /> APPROPRIATE 80X(ES): <br /> 01 UNLEADED X) 02REGU <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: f ) GAUGE ( ) INCHES ( ) CM (X) UNKNOWN <br /> B. f ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ( ) 03 UNKNOWN <br /> C. f ) O1 DOUBLE WALLED ( 1 02 SINGLE WALLED f ) 03 LINED <br /> D. ( ) 01 CARBON STEEL ( 1 02 STAINLESS STEEL (X) 03 FIBERGLASS f ) 04 POLYVINYL CHLORIDE ( 1 05 CONCRETE <br /> ( ) 06 ALUMINUM ( l 07 STEEL CLAD ( 1 08 BRONZE ( 1 09 COMPOSITE f ) 10 NON-METALLIC <br /> ( ) 12 UNKNOWN f ) 13 OTHER: <br /> PAGE 1 <br /> HSC04-070185 (10/18/85) <br />