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STATE ID NUMBER 00000066587003 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> (j(S 01 NEW PERMIT ( ) 05 RENEWED PERMIT ( ) 07 TANK CLOSED ( ) 09 DELETE FROM FILE SND FEE) <br /> -tT 02 CONDITIONAL PERMIT ( 1 06 AMENDED PERMIT ( l 08 MINOR CHANGE (NO SURCHARGE) <br /> A OWNER <br /> NAME(CORPORATION,INDIVIDUAL CR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> PITT-DSS MOINES INC. ( 1 01 FED ( 1 02 STATEf <br /> ' 03 LOCAL <br /> STREET ADDRESS CITY =C_A95201 <br /> ZIP <br /> 3535 E. MYRTLE STREET STOCKTON <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREMAN/SUPERVISOR <br /> STOCKTON SERVICE CENTER ROD CAMPBELL <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 3535 E. MYRTLE STREET HWY 99 <br /> CITY COUNTY ZIP <br /> STOCKTON SAN JOAQUIN 95205 <br /> MAILING ADDRESS CITY STATE ZIP <br /> P.O. BOX 310 STOCKTON ICA 95201 <br /> PHONE W/AREA CODE TYPE OF BUSINESS <br /> 209-943-0513 ( ) 01 GASOLINE STATION (X) 02 OTHER STEEL SERVICE CENTER <br /> NUMBER OF CONTAINERS RURAL AREAS ONLY TOWNSHIP RANGE SECTION <br /> 4 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE NIGHTS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE <br /> CAMPBELL, ROD 209-943-0513 CAMPBELL, ROD 209-477-5664 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (XI 01 TANK ( ) 04 OTHER: [CONTAINER NUMBER 70-1WD <br /> B. MANUFACTURER (IF APPROPRIATE): N! <br /> YEAR MFG: C. YEAR INSTALLED (X) UNKNOW <br /> D. CONTAINER CAPACITY: )/06D GALLONS ( ) UNKNOWN E. DOES THE CONTAINER STORE: (X) 01 WASTE ( 1 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 /> f ) 01 UNLEADED I ) 02 REGULAR ( ) 03 PREMIUM ( 1 04 DIESEL (X) 05 WASTE OIL ( ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( ) GAUGE ( ) INCHES ( ) CM (X) UNKNOWN <br /> B. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) ( ) 02 NON-VAULTED (X) 03 UNKNOWN <br /> C. I ) 01 DOUBLE WALLED ( l 02 SINGLE WALLED t ) 03 LINED <br /> D. t ) 01 CARBON STEEL ( ) 02 STAINLESS STEEL E ) 03 FIBERGLASS ( 1 04 POLYVINYL CHLORIDE f l 05 CONCRETE <br /> ( ) 06 ALUMINUM ( ) 07 STEEL CLAD ( ) 08 BRONZE ( ) 09 COMPOSITE ( l 10 NON-METALLIC <br /> (X) 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (08/29/86) PAGE 1 <br />