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STATE ID NUMBER 00004043411004 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> (x) 01 NEW PERMIT ( 1 05 RENEWED HERMIT ( 1 07 TANK CLOSED ( ) D9 DELETE FROM FILE (NO FEE) <br /> ( ) 02 CONDITIONAL PERMIT ( 1 06 Ah7Er1DED PERMIT i ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NA;!E(COPPORATION,INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> ( I O1 FED ( 1 02 STATE ) 03 LOCAL <br /> CHAPIN EROS. INC. <br /> ESITTOCKTON <br /> Y STATE ZIP <br /> STPEET A.DCPESs ICA 95203 <br /> 1766 MT DIABLO AVE <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREMAN;SUPERVISOR <br /> CHAPIN BROS INC R CHAPIN <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 1766 MT. DIABLO AVE. <br /> COUNTY ZIP <br /> CITY 95203 <br /> STOCKTON SAN JOAGIUIN <br /> CITY STATE ZIP <br /> MAILING ADDRESS CA 95203 <br /> 1766 MT. DIABLO AVE. EESTOCKTON <br /> PHONE W%AREA CODE TOF BUSINESS <br /> 209-466-5531 (X) 01 GASOLINE STATION ( 1 02 OTHER <br /> NUMBER/0 C TAINERS RURAL AREAS ONLY : TOWNSHIP RANGE SECTION <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> RAYS: NAhE(LAST NAME FIRST) AND PHONE WIAREA CODE NIGHTS: NAME( LAST NAME FIRST) AND PHONE W/A=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 DESCRIPTION f <br /> A. (X) 01 TANK ( ) 04 OTHER: CONTAINER NUMBER 4 <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: 1960 C. YEAR INSTALLED 1962 ( ) UNKNOWN <br /> D. CONTAINER CAPACITY: 8000 GALLONS [ l UNKNOWN E. DOES THE CONTAINER STORE: ( ) 01 WASTE (X) 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR V LE FUEL OR WASTE OIL ? (X) 01 YES ( ) 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br /> ( ) 02 REGULAR (X) 03 PREMIUM ( ) 04 DIESEL [ ) 05 WASTE OIL t ) 06 OTHER <br /> V CONTAINER CONSTRUCTION " <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( ) GAUGE t ) INCHES ( 1 CM (X) UNKNOWN <br /> B. ( ) of VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ( ) 03 UNKNOWN <br /> C. (X) 01 DOUBLE WALLED ( 102 SINGLE WALLED ( ) 03 LINED <br /> D.- (X) 01 CARBON STEEL [ ) 02 STAINLESS STEEL ( ) 03 FIBERGLASS C ) 04 POLYVINYL CHLORIDE ( ) 05 CONCRETE <br /> ( ) 06 ALUMINUM [ ) 07 STEEL CLAD ( 1 08 BRONZE ( ) 09 COMPOSITE ( 1 10 NON-METALLIC <br /> t 1 12 UNKNOWN i l 13 OTHER: <br /> PAGE 1 <br /> KSC04-070155 (10/18/85) <br />