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• STATE ID NUMBER 00000035194003 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> ( ) O1 NEW PERMIT ( ) Ob RENEWED PERMIT t ) 07 TANK GLOSSO ( ) 09 DELETE FROM FILE (NO FEET <br /> ( 1 02 CGNDITIONAL PERMIT ( ) 06 AMENDED PERMIT [ ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAME(COPPOPATION,INDIVIDUAL OR PUBLIC AGENCY) <br /> TU !lCBLAGENCY ONLY <br /> VAN 8 BOB` S INC. ED i ) 02 STATE 03 LOCAL <br /> STREET ADOPESS FSTOCKTON <br /> STATE ZIP <br /> 45 E. HARDING WAY CA 95204 <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREMAN/SUPERVISOR <br /> WALLY'S CHEVRON WALLY LEE <br /> STREET ADDRESS NEAREST CPCSS STEEET <br /> 2088 MARIPOSA RD 8TH ST. <br /> CIT'r 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 BUSINISS <br /> 209-465-6825 (X) 01 GASOLNE STATION ( ) 02 OTHER <br /> NUM3EP, OF CONTAINEPS PUPAL AREAS ONLY TOWNSHIP RANGE SEC :CN <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> [DAYS: NAME(LAST NAME FIRST) AND PHONE W/APFA CODE NIGHTS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE <br /> ALLY 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' CONTAINER NUMBER 3 <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: 1975 C. YEAR INSTALLED 1975 ( 1 UNKNOWN <br /> D. CONTAINER CAPACITY: 6000 GALLONS ( ) UNKNOWN E. DOES THE CONTAINER STORE i 1 01 WASTE (X) 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? (X) 01 YES [ 1 02 NO IF YES CHECK APPROPRIATE BOX(ES)- <br /> (X) 01 UNLEADED ( ) 02 REGULAR ( ) 03 PREMIUM [ ) 04 DIESEL [ 1 05 WASTE OIL ( 1 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> i <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( ) GAUGE ( ) INCHES ( ) CM (X) UNKNOWN <br /> B. (X) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) t 1 02 NON-VAULTED ( 1 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED ( 1 02 SINGLE WALLED ( 1 03 LINED <br /> D. (,W 01 CARBON STEEL ( l 02 STAINLESS STEEL ( 1 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE ( ) 05 CONCRETE <br /> --T_]__06_ALUffrNUM ( 1 07 STEEL CLAD t 1 08 BRONZE [ 1 09 COMPOSITE t Y 10 NON-METALLIC <br /> ( ) 13 OTHER: <br /> HSC04-070185 (10/18%85) PAGE i <br />