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STATE TD NUMBER 00000043411003 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> ,( O1 NEW PERMIT ( ) 05 RENEWED PERMIT ( ) 07 TANK CLOSED t ) 09 DELETE FROM FILE (NO FEE) <br /> ( ) 02 CONDITIONAL PERMIT C ) 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAMEICOPPORATION,INDIVIDUAL OR PUBLIC AGENCY) YPUBLIC AGENCY ONLY <br /> CHAPIN BROS. INC. 1 01 FED f ) 02 STATE 2�1 03 LOCAL <br /> STREET ADDRESS CITY =S-7�ATTE F95203 <br /> IP <br /> 1766 MT DIABLO AVE STOCKTON <br /> II FACILITY <br /> FACILITY NAME DE.ALER�'FOREMAN/SUPERVISOR <br /> CHAPIN BROS INC R CHAPIN <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 1766 MT. DIABLO AVE. - <br /> COUNTY ZIP <br /> STOCKTON SAN JOAgUIN 95203 <br /> MAILING ADDRESS CITY STATE ZIP <br /> 1766 MT. DIABLO AVE. STOCKTON CA 95203 <br /> PHONE W/AREA CODE TYPE OF BUSINESS <br /> 209-466-5531 (X) 01 GASOLINE STATION f ) 02 OTHER <br /> NUM3ER OF ONTAINERS P,URAL AREAS ONLY : TOWNSHIP RANGE SECTION <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAME( LAST NAME FIRST) AND PHONE W/AREA CODE NIGHTS: N.AME( LAST NAME FIRST) AND PHONE W!AP.EA CODE <br /> CHAPIN, RUSSELL 209-464-4349 CHAPIN, RUSSELL 209-466-5531 - <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DFSCRIPTION <br /> A. (X) 01 TANK ( ) 04 OTHER: CONTAINER NUMBER T? <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: 1970 C. YEAR INSTALLED 1971 ( l UNKNOWN <br /> 0. CONTAINER CAPACITY= 4000 GALLONS ( l UNKNOWN E. DOES THE CONTAINER STORE: t ) 01 WASTE (X) 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? (XI 01 YES ( ) 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br /> (X) 01 UNLEADED ( ) 02 REGULAR f ) 03 PREMIUM ( ) 04 DIESEL f ) 05 WASTE OIL ( 1 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT= f ) GAUGE ( ) INCHES ( ) CM (X) UNKNOWN <br /> B. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ( ) 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED ( ) 02 SINGLE WALLED (X) 03 LINED <br /> D. (X) 01 CARBON STEEL f } 02 STAINLESS STEEL ( ) 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE ( ) 05 CONCRETE <br /> ( ) 06 ALUMINUM f ) 07 STEEL CLAD ( ) 08 BRONZE ( ) 09 COMPOSITE ( 1 10 NON-METALLIC <br /> ( ) 12 UNKNOWN ( ) 13 OTHER: <br /> PAGE 1 <br /> HSC04-070185 (10/18/85) <br />