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�3 STATE ID NUMBER <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> f 1X1 01 NEN PERMIT t 105 RENEWED PERMIT l 1 07 TANK CLOSED l 1 09 DELETE FROM FILE tNO FEE: <br /> 1 _)_02 CONDITIONAL PERMIT 1 ) 06 AMENDED PERMIT1 1 OB MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAY.E(COPPORATZON.INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLI <br /> 1 1 01 FED ( 1 02 STATE ( 1 03 LOCA) <br /> Modesto Tallow Company <br /> STREET AO9RESS CITY STATE ZIP <br /> 925 Crows Landing Road Modesto <br /> II FACILITY <br /> FACIL•Tr NAME OFALFR/FOREMEN/SUPERVISOR <br /> Modesto Tallow Companv,Stockto n Plant Tack Allan <br /> _ TFEFT <CC�ESS__ _ NEAREST CROSS STREET <br /> 4221 E. Mariposa Road _Munford <br /> IC•TY COUNTY ZIP <br /> _Stockton_ San Joa uin 95205 <br /> OFMAILI4G ADOPESS CITY STATE ZIP <br /> _P .O. _Box 5035 Stockton CA. 95205 <br /> RHONE W•APLA COD! TYP! OF lVSINESS <br /> _ _209-948-0209 ( ) 01 GASOLINE STATION 1X11102 OTHER <br /> NVYEER CF CONTAINERS PUPAL AREAS ONLY TOWNSHIP RANG! SECTION <br /> 1 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NA r.F(lA3T NAME FIRST) AND PHONE W/AREA CODE NIGHTS: HAME(LAST NAME FIRST) ♦ND PNO NE W/AREA CODE <br /> LAllan1 Jack 209-948-0209 Allan, Jack 209-948=4438 _ <br /> r COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> ` IV DESCRIPTION — <br /> A. (XI 01 TANK ( 1 02 OTHER: CONTAINER NUMBER <br /> 1973 <br /> B. MANUFACTURER (IF APPROPRIATE): unknown YEAR MFG: C. YEAR INSTALLED 1973 ( ) UNKNOWN <br /> 0_CONTAINER CAPACITY: 240 GALLONS t ) UWNM44 E. DOES THE CONTAINER STORE: ( 1 01 WASTE 1 ) 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? (X) 01 YES 1 1 02 NO IF TES CHECK APPROPRIATE BOX(ES): <br /> 1 1 <br /> 01 UNLEADED 1 ) 02 REGULAR 1 1 03 PREMIUM 1X1 04 DIESEL ( 1 OS WASTE OIL 1 ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( I GAUGE 1 ) INCHES ( ) CM (X) UNKNOWN _ <br /> S. ( 1 01 VAULTED ILOCATED IN AN UNOERGROUNO VAULT) CK) 02 HON-VAULTED ( ) 03 UNKNOWN —_ <br /> i It C. 1 ) 01 DOUBLE WILLED (X) 02 SINGLE WALLED 1 1 03 LINED <br /> D. 170 01 CARBON STEEL ( ) 02 STAINLESS STEEL 1 1 03 FIBERGLASS 1 1 04 POLYVINYL CHLORIDE 1 1 05 CONCRETE <br /> 1 l 1 06 ALUMINUM ( 1 07 STEEL CLAD l 1 OB BRO)4E ( 1 09 COMPOSITE ( 1 10 NON-METALLIC <br /> ( ) 12 UNKNOWN) l 1 13 OTHER: <br /> HSC04-070185 PAGE <br /> *1000 _.. _ <br />