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STATE ID NUMBER 00000013166003 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> h}1 01 NEW P.MIT ( 1 05 RENEWED PERMIT ( ) 07 TANK CLOSED ( ) 09 DELETE FROM FILE (NO FEE) <br /> ( ) 0 ITIONAL PERMIT { ) 06 AMENDED PERMIT f 1 03 MINOR CHANGE (NO SURCHARGE) <br /> OWNER <br /> NAME(CORPORATION.INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> J.C. SHAUGHNESSY ( 1 01 FED i ) 02 STATE (X) 03 LOCAL <br /> r <br /> PEET ASO=ESS CITY STATE795202 <br /> 1 EA57 MINER AVE STOCKTON CA <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREMAN/SUPERVISOR <br /> SHAUGHNESSY'S CAR WASH SHELL OIL <br /> STPEET ADOPESS NEAREST CROSS STREET <br /> 601 EAST MINER AVE AMERICAN <br /> CITE COUNTY ZIP <br /> STOCKTON SAN JOAQUIN 95202 <br /> MAILING ADDRESS CITY STATE ZIP <br /> 601 EAST MINER AVE STOCKTON CA 95202 <br /> PHONE W/.AREA CODE TYPE OF BUSINESS <br /> 209-465-2542 (X) 01 GASOLINE STATION ( 1 02 OTHER <br /> NUMBER OF CONTAINERS RURAL AREAS ONLY TOWNSHIP RANGE SECTION <br /> 3 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAY'S: NAM'e(LAST NAME FIRST) AND PHONE W/AREA CODE NIGHTS:. NAME(LAST NAME FIRST) AND PHONE W/ARE.A CODE <br /> SHAUGHNESSY J.C. 209-465-2542 SHAUGHNESSY J.C. 209-957-0740 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( l 04 OTHER: CONTAINER NUMBER 2 <br /> B. MANUFACTURER CIF APPROPRIATE): UNKNOWN YEAR MFG: C. YEAR INSTALLED ( ) UNKNOWN <br /> 060 <br /> 0. CONTAINER CAPACITY: ( l UNKNOWN JE. DOES THE CONTAINER STORE: ( l 01 WASTE (X) 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? (X) 01 YES ( ) OZ NO IF YES CHECK APPROPRIATE BOX(ES): <br /> (X) 01 UNLEADED ( ) 02 REGULAR ( ) 03 PREMIUM ( l 04 DIESEL { ) 05 WASTE OIL ( ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: { ] GAUGE ( ) INCHES ( ) CM (X) UNKNOWN <br /> B. t ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ( ) 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED (X) 02 SINGLE WALLED f ) 03 LINED <br /> D. ( 1 01 CARBON STEEL t ) 02 STAINLESS STEEL C ) 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE [ 1 05 CONCRETE <br /> i 1 06 ALUMINUM ( 1 07 STEEL CLAD C ) 08 BRONZE ( ) 09 COMPOSITE { 1 10 NON-METALLIC <br /> (X) 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br /> It <br />