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STATE ID NUMBER 00000018272001 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> O1NEW PERMIT ( ) 05 RENEWED PERMIT ( ) 07 TANK CLOSED ( 1 09 DELETE FROM FILE (NO FEE) <br /> 02 CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAME(CORPORATION,INOIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> LARRY H. MOORMAN ( ) 01 FED ( ) 02 STATE ( l 03 LOCAL <br /> STPEET ADDRESS CITY STATE ZIP <br /> 4243 CHERRYLAND STOCKTON CA 95205 <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREMAN/SUPERVISOR <br /> MOORM.AN'$ WATER SYSTEMS LARRY MOORMAN <br /> STP.EET ADDRESS NEAREST CROSS STREET <br /> 2120 WILCOX ROAD HIWAY 88-(WATERLOO RD) <br /> CITY COUNTY ZIP <br /> STOCKTON SAN JOAQUIN 95205 <br /> MAILING .ADDRESS CITY STATE ZIP <br /> 2120 WILCOX ROAD S OCKTON CA 95205 <br /> PHONE W/AREA CODE TYPE OF BUSINESS <br /> 209-931-3210 t l 01 GASOLINE STATION (X) 02 OTHER WATER SYSTEMS CONTRA <br /> NUMBER OF CCNTAINERS RURAL AREAS ONL=TOWNSHIP RANGE SECTION <br /> 1 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> FMOORMAN,MLARRY <br /> : NAE(LAST NAME FIRST) AND PHONE W/AREA CODE NIGHTS: NAME(LAST NAME F^IRST) ND PH NE W/AREA?CODESr <br /> 209-931-3359 SAME )r rLZM J c7 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( ) 04 OTHER: CONTAINER NUMBER 2120 <br /> B. MANUFACTURER (IF APPROPRIATE): STOCKTON MFG YEAR MFG: 1981 C. YEAR INSTALLED 1981 ( ) UNKNOi1N <br /> D. CONTAINER CAPACITY: 1000 GALLONS ( ) UNKNOWN E. DOES THE CONTAINER STORE: { ) 01 WASTE (X) 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? (X) 01 YES ( l 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br /> ( ) 01 UNLEADED (X) 02 REGULAR ( l 03 PREMIUM ( ) 04 DIESEL ( ) 05 WASTE OIL ( l 06 OTHER <br /> V CONTAINER, CONSTRUCTION <br /> �A. THICKNESS OF PRIMARY CONTAINMENT: 10 (X) GAUGE ( ) INCHES ( ) CM ( l UNKNOWN <br /> JB. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 2 NON-VAULTED ( ) 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED M 02 SINGLE WALLED ( ) 03 LINED <br /> D. (X) 01 CARBON STEEL ( ) 02 STAINLESS STEEL ( 1 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE ( ) 05 CONCRETE <br /> ( ) 06 ALUMINUM ( ) 07 STEEL CLAD ( ) 08 BRONZE ( 1 09 COMPOSITE ( ) 10 NON-METALLIC <br /> ( 1 12 UNKNOWN ( ) 13 OTHER: _ <br /> HSC04-070185 (10/18/85) PAGE 1 <br />