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` 1 <br /> STATE IO NUMBER 00000035194002 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> ( } <br /> 01 NEW PERMIT ( l 05 RENEWED PERMIT ( l 07 TANK CLOSED ( l 09 DELETE FROM FILE (NO FEE) <br /> [ 1 02 CO(IDITIONAL PERMIT ( 1 06 AMENDED PERMIT [ ) 08 MINOR CHANGE tN0 SURCHARGE3 <br /> I OWNER <br /> NAME(COPPOPATION,INDIVIDUAL OR PUBLIC AGENCY) PUBLICAGENCY ONLY <br /> VAN & BOB' S INC. ( ) O1 FED ( 1 02 STATE 03 LOCAL <br /> STPEET ADDRESS CITY STATE ZIP <br /> 45 E. HARDING WAY STOCKTON CA 9504 <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREMAN/SUPERVISOR <br /> WALLY'S CHEVRON WALLY LEE <br /> STF.EET ADDRESS NEAREST CROSS STREET <br /> 2088 MARIPOSA RD 8TH ST. <br /> CITY COUNTY ZIP <br /> STOCKTON SAN JOAQUIN 95205 <br /> MAILING ADDRESS CITY STATE ZIP <br /> 2088 MARIPOSA RD STOCKTON CA 95205 <br /> PHONE W/APER CODE TYPE OF BUSINESS <br /> 209-465-6825 4X1 01 GASOLINE STATION ( ] 02 OTHER <br /> NUMBER OF <br /> C WAINERS RURAL AREAS ONLY : TOWNSHIP RANGE SECTION <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAME(LAST NAME FIRST) AND PHONE W/A.PEA CODE NIGHTS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE <br /> WALLY LEE 209-465-6825 - - <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION _ <br /> A. (X) 01 TANK ( ) 04 OTHER: 1CCNTAINER NUMBER 2 <br /> B. MANUFACTURER (IF APPROPRIATE): <br /> YEAR MFG: 197�EAR INSTALLED 1975 ( 1 UNKNOWN <br /> D. CONTAINER CAPACITY: 3000 GALLONS ( l UNKNOWN E. DOES THE CONTAINER STORE: ( 101 WASTE (X) 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? (X) 01 YES f } 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br /> t ) 01 UNLEADED ) 02 REGULAR ( l 03 PREMIUM (X) 04 DIESEL f ) 05 WASTE OIL f } 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( i GAUGE ( ) INCHES [ l CM (X) UNKNOWN <br /> B. (X) 01 VAULTED (LOCATED IN AN UHDERGP,OUND VAULT) ( ) 02 NON-VAULTED [ 1 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED ( 1 02 SINGLE WALLED [ 1 03 LINED <br /> D. jxl 01 CARBON STEEL ( ) 02 STAINLESS STEEL ( 103 FIBERGLASS ( } 04 POLYVINYL CHLORIDE [ 1 05 CCNCP.ETE <br /> ( ) 07 STEEL CLAD ( 1 08 BRONZE [ ) 09 COMPOSITE ( ) 10 NON-METALLIC <br /> } 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br />