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• • STATE ID NUMBER 00000059974002 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> P( <br /> ( 1 01 NEW PERMIT ( ) 05 RENEWED PERMIT IX1 071 <br /> CLOS EO f ) 09 DELETE FROM FILE (NO FEE) <br /> ) 02 CONDITIONAL PERMIT ( 1 06 AMENDED PERMIT f� 08 MINOR CHANGE,(NO SURCHARGE) <br /> I OWNER <br /> NAME(COP.PORATION,INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> WALTER E. BARBOUR ( ) 01 FED ( ) 02 STATE [ ) 03 LOCAL <br /> STPEET ADDRESS CITY STATE ZIP <br /> 913 PARKWOOD DRIVE MOOESTO CA 95350 <br /> II FACILITY <br /> FACILITY NAM' DE.ALEP/FOREMAN/SUPERVISOR <br /> BOB'S MUFFLER & RADIATOR ROBERT BREWER <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 466 MOFFAT BLVD. <br /> CITY COUNTY IP <br /> OAQUI95 <br /> 336 <br /> MANTECA SAJN <br /> MAILING ADDRESS CITY STATE ZIP <br /> 913 PARKW000 DRIVE MODESTO 95350 <br /> PHONE W/AREA CODE TYPE OF BUSINESS <br /> 209-522-3683 f ) 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 /> FDAYS: NAME(LAST NAME FIRST) AND PHONE W/AREA COBE 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 1 04 OTHER: CONTAINER NUMBER A3 <br /> B. MANUFACTURER (IF APPROPRIATE): PERKINS YEAR M�1968C. YEAR INSTALLED 1968 ( ] UNKNOWN <br /> D. CONTAINER CAPACITY: 300 GALLONS ( ) UNKNOWN E. DOES THE CONTAINER STORE: f ) 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 /> f 1 <br /> 01 UNLEADED ( 102 REGULAR ( 1 03 PREMIUM ( 1 04 DIESEL f 1 05 WASTE OIL (X) 06 OTHER UNKNOWN <br /> V CONTAINER CONSTRUCTION <br /> 0 <br /> A. THICKNESS OF PRIMARY CONTAINMENT: 10 (X) GAUGE f ) INCHES ( ) CM f ) UNKNOWN <br /> B. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ( ) 03 UNKNOWN <br /> C. ( 7 01 DOUBLE WALLED (X) 02 SINGLE WALLED ( ) 03 LINED <br /> D. (X) Ol CARBON STEEL f ) 02 STAINLESS STEEL ( ) 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE ( ) 05 CONCRETE <br /> ( ) 06 ALUMINUM f ) 07 STEEL CLAD f 1 08 BRONZE ( ) 09 COMPOSITE ( ) 10 NON-METALLIC <br /> ( 7 12 UNKNOWN ( ) 13 OTHER: <br /> PAGE 1 <br /> HSC04-070185 (10/18/85) <br />