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STATE ID NUMBER OOD00035194004 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> ( 1 01 NEW PERMIT [ ) 05 RENEWED PERMIT ( 1 07 TANK CLOSED [ ) 09 DELETE FROM FILE (NO FEE) <br /> ( ) 02 CONDITIONAL PERMIT i ) 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAME4COPPOP.A,TION,INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> VAN 8 BOB' S INC. ( ) 01 FED ( 1 02 STATE 03 LOCAL <br /> STREET ADDRESS CITY STATE ZIP <br /> 45 E. HARDING WAY STOCKTON CA 95204 <br /> II FACILITY <br /> FACILITY NAME DEALER/FDREMAN/SUPERVISOR <br /> WALLY'S CHEVRON WALLY LEE <br /> STREET A.'OORESS 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 Rif STOCKTON CA 95205 <br /> PHONE W/AREA CODE TYPE OF BUSINESS <br /> 209-.465-6825 (X) 01 GASOLINE STATION [ ) 02 OTHER <br /> NUMBEP OF CkINERS RURAL AREAS ONLY TOWNSHIP RANGE SECTION <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAME LAST NAME FIRST) AND PHONE W/AREA CCDE NIGHTS: NAME(LAST NAME FIRST) AND PHONE W/AR�CODE <br /> WALLY LEE 209-4656825 1 - <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( ) 04 OTHER CONTAINER NUMBER 4 <br /> B. MANUFACTURER fIF APPROPRIATE): YEAR MFG: 1975 C. YEAR INSTALLED 1975 ( ) UNKNOWN <br /> D. CONTAINER CAPACITY: 2000 GALLONS ( ) UNKNOWN E. DOES THE CONTAINER STORE: ( ) 01 WASTE (X) 02 PRODUCT <br /> F. DOES THE CCNTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? (X) 01 YES ( ) 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br /> ( 1 01 UNLEADED f ) 02 REGULAR (X) 03 PREMIUM [ ) 04 DIESEL ( l 05 WASTE OIL ( ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( ) GAUGE ( 1 INCHES ( ) CM (X) UNKNOWN <br /> B_ (X) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) ( ) 02 NON-VAULTED ( l 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED ( ) 02 SINGLE WALLED ( ) 03 LINED <br /> D. 01 CARBON STEEL ( 1 02 STAINLESS STEEL ( ) 03 FIBERGLASS ( 1 04 POLYVINYL CHLORIDE ( ) 05 CONCRETE <br /> ( 106 ALUMIMFf ) 07 STEEL CLAD ( 1 08 BRONZE ( 1 09 COMPOSITE ( ) 10 NON-METALLIC <br /> ( ) 13 OTHER: <br /> HSC04-070185 (10./18/85) PAGE 1 <br />