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• STATE ID NUMBER 00000059974003 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> ( 1 <br /> 01 NEW PERMIT ( 1 05 RENEWED PERMIT ( 07 TANK CLOSED ( ) 09 DELETE FROM FILE (NO FEE) <br /> f 1 02 CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT ( 1 08 M R CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAME(COPPOPATION.INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> WALTER E. BARBOUR ( ) 01 FED ( ) 02 STATE ( 1 03 LOCAL <br /> STFEET ADDRESS CITY STATE ZIP <br /> 913 PARKW00D DRIVE MODESTO CA 95350 <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREMAN/SUPERVISOR <br /> BOB'S MUFFLER & RADIATOR - ROBERT BREWER <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 466 MOFFAT BLVD. <br /> CITY COUNTY ZIP <br /> MANTECA SAN JOAgUIN 95336 <br /> MAILING ADDRESS CITY STATE ZIP <br /> 913 PARKWOOD DRIVE MODESTO 95350 <br /> PHONE W/AFEA CODE TYPE OF BUSINESS <br /> 209-522-3683 ( ) 01 GASOLINE STATION (X) 02 OTHER MUFFLER REPAIR SHOP <br /> NUMBER OF CONTAINERS RURAL AREAS ONLY TOWNSHIP RANGE SECTION <br /> 3 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAME(LAST NAME FIRST) AND PHONE W/AP.EA CODE NIGHTS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE <br /> BARBOUR, WALTER E. 209-522-3683 SAME - - <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK f ) 04 OTHER: CONTAINER NUMBER 01 <br /> B. MANUFACTURER (IF APPROPRIATE): PERKINS YEAR MFG: 1968 C. YEAR INSTALLED 1968 ( 1 UNKNOWN <br /> 0. CONTAINER CAPACITY: 6000 GALLONS ( ) UNKNOWN E. DOES THE CONTAINER STORE: ( ) 01 WASTE (X) 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? (X) 01 YES ( ) 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br /> ( 1 <br /> 01 UNLEADED ( ) 02 REGULAR C 1 03 PREMIUM ( ) 04 DIESEL ( ) 05 WASTE OIL (X) 06 OTHER UNKNOWN <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: 10 (X) GAUGE f ) INCHES ( ) CM ( 1 UNKNOWN <br /> B. ( 1 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ( ) 03 UNKNOWN <br /> C. ( 1 01 DOUBLE WALLED (X) 02 SINGLE WALLED ( 1 03 LINED <br /> D. (X) 01 CARBON STEEL ( ) 02 STAINLESS STEEL ( ) 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE f ) 05 CONCRETE <br /> ( ) 06 ALUMINUM ( ) 07 STEEL CLAD ( ) 08 BRONZE l 1 09 COMPOSITE ( ) 10 NON-METALLIC <br /> ( ] 12 UNKNOWN f ] 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br />