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STATE ID NUMBER 00000043411002 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> �1E PERMIT I ] OS RENEWED PERMIT ( ) 07 �TANKLOSED ( 1 09 DELETE FROM FTLE (NO FEE) <br /> DITIONAL PERMIT I 1 06 AMENDED PERMIT i ) 08 CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAME(GORPCRATION,INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> CHAPIN BROS. INC. i ) 01 FED I ) 02 STATE 03 LOCAL <br /> IV <br /> STREET ADDRESS CITY STATE ZIP <br /> 1766 MT DIABLO AVE <br /> STOCK ON ICA 95203 <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREMAN/SUPERVISOR <br /> CHAPIN BROS INC R CHAPIN <br /> STFEET AODPESS NEAREST CROSS STREET <br /> 1766 MT. DIABLO AVE. <br /> CITY COUNTY ZIP <br /> S70CKTON SAN JOAQUIN 95203 <br /> MAILING ADDRESS CITY STATE ZIF <br /> 1766 MT. DIABLO AVE. 5TOCKTON CA 95203 <br /> PHONE W/AREA CODE TYPE OF BUSINESS <br /> 209-466-5531 (X) 01 GASOLINE STATION ( ) 02 OTHER <br /> NUMBER, OF CONTAINERSRURAL AREAS ONLY TOWNSHIP RANGE SECTION <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> FDAYS: .A <br /> NAME( LAST NAME FIRST) AND PHONE W/AREA CODE NIGHTS: NME(LAST NAME FIRST) AND PHONE W/APEA CODE <br /> PIN, RUSSELL 209-464-4349 CHAPIN, RUSSELL 209-466-5531 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( 1 04 OTHER: CONTAINER NUMBER f <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: 1960 C. YEAR INSTALLED 1962 f ) UNKNOWN <br /> D. CONTAINER CAPACITY: 8000 GALLONS ( ) UNKNOWN E. DOES THE CONTAINER STORE= ( 1 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 /> ( ) 01 UNLEADED (X) 02 REGULAR ( ) 03 PREMIUM f ) 04 DIESEL ( 1 05 WASTE OIL ( 1 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( ) GAUGE f 1 INCHES ( l CM (X) UNKNOWN <br /> B. I 1 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) ,-(X) 02 NDN-VAULTED ( 1 03 UNKNOWN <br /> C. (X) 01 DOUBLE WALLED ( ) 02 SINGLE WALLED [ ) 03 LINED <br /> D. (X) 01 CARBON STEEL ( ) 02 STAINLESS STEEL i ) 03 FIBERGLASS ( 1 04 POLYVINYL CHLORIDE f ) 05 CONCRETE <br /> ( ) 06 ALUMINUM [ 1 07 STEEL CLAD ( ) 08 BRONZE I ) 09 COMPOSITE i ) 10 NON-METALLIC <br /> t 1 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE I <br />