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`w STATE ID NUMBER 00000013932002 <br />APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br />O1 NEW PERMIT ( ) 05 RENEWED PERMIT ( ) 07 TANK CLOSED f ) 09 DELETE FROM FILE (NO FEE) <br />02 CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br />I OWNER <br />IAME(COPPORATION,INDIVIOUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br />!. W. L. INVESTMENTS, INC. ( ) 01 FED ( ) 02 STATE ( ) 03 LOCAL <br />;TPEET ADDPESS CITY STATE ZIP <br />160 MARIPOSA STREET SAN FRANCISCO CA 94107 <br />II FACILITY <br />FACILITY NAME <br />(X) 01 TANK ( ) 04 <br />DEALER/FOREMAN/SUPERVISOR <br />CM X1 KNOWN <br />DI SALVO TRUCKING CO. <br />B. <br />GEORGE MUNSON, TERMINAL MANAGE <br />YEAR MFG: <br />STREET ADDRESS <br />YEAR INSTALLED (X) UNKNOWN <br />NEAREST CROSS STREET <br />( ) <br />1444 LATHROP ROAD <br />DOUBLE WALLED f <br />) 02 SINGLE WALLED f <br />) 03 LINED <br />CITY <br />/ <br />COUNTY <br />01 <br />( ) <br />12 <br />ZIP <br />LATHROP <br />- <br />12000 G ONS f ) UNKNOWN <br />SAN JOAQUIN <br />1 01 WASTE fX) 02 PRODUCT <br />95330 <br />MAILING ADDRESS <br />TOR OR VEHICLE FUEL OR WA <br />CITYSTATE <br />IF YES CHECK APPROPRIATE BOX(ES): <br />ZIP <br />P.O. BOX 3765 <br />) 02 REGULAR ( ) 03 PREMIUM (X) <br />SAN FRANCISCO <br />CA <br />94119 <br />PHONE W/AREA CODE <br />TYPE OF BUSINESS <br />209-hb-2531 <br />( ) 01 GASOLINE STATION (X) 02 OTHER <br />NUMBER OF CONTAINERS <br />RURAL AREAS ONLY <br />TOWNSHIP <br />RANGE <br />SECTION <br />7 <br />III 24 HOUR EMERGENCY CONTACT PERSON <br />'AYS: NAME(LAST NAME FIRST A AND PHONE W/ARCA CODE NIGHTS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE <br />IUNSON, GEORGE 209-858-2531 DAVENPORT, DEAN 415-992-2875 <br />COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br />IV DESCRIPTION <br />A. <br />(X) 01 TANK ( ) 04 <br />OTHER: <br />CM X1 KNOWN <br />CONTAINER NUMBER O1 <br />B. <br />MANUFACTURER (IF APPROPR E): UNKNOWN <br />YEAR MFG: <br />C. <br />YEAR INSTALLED (X) UNKNOWN <br />C. <br />( ) <br />01 <br />DOUBLE WALLED f <br />) 02 SINGLE WALLED f <br />) 03 LINED <br />/ <br />( ) <br />(X) <br />01 <br />( ) <br />12 <br />D. <br />CONTAINER CAPACITY <br />- <br />12000 G ONS f ) UNKNOWN <br />E. DOES THE CONTAINER STORE: ( <br />1 01 WASTE fX) 02 PRODUCT <br />F. <br />DOES THE CONTAINER <br />TOR OR VEHICLE FUEL OR WA <br />OIL ) 01 YES ( ) 02 NO <br />IF YES CHECK APPROPRIATE BOX(ES): <br />( ) 01 UNLEADED ( <br />) 02 REGULAR ( ) 03 PREMIUM (X) <br />04 DIESE ( ) 05 WASTE OIL ( <br />) 06 OTHER <br />V CONTAINER CONSTRUCTION <br />A. <br />THICKNESS OF PRIMARY CONTAINMENT: <br />( ) GAUGE ( ) INCHES f 1 <br />CM X1 KNOWN <br />B. <br />( ) <br />01 <br />VAULTED (LOCATED <br />IN AN UNDERGROUND VAULT) ( ) 02 NON -VAULTED (X1 <br />03 UNKNOWN <br />C. <br />( ) <br />01 <br />DOUBLE WALLED f <br />) 02 SINGLE WALLED f <br />) 03 LINED <br />D. <br />( ) <br />(X) <br />01 <br />( ) <br />12 <br />CARBON STEEL f <br />06 ALUMINUM ( ] <br />UNKNOWN ( ) 13 <br />l 02 STAINLESS STEEL f <br />07 STEEL CLAD ( ) 08 <br />OTHER: <br />l 03 FIBERGLASS ( 1 04 POLYVINYL CHLORIDE ( l 05 CONCRETE <br />BRONZE ( 1 09 COMPOSITE ( ) 10 NON-METALLIC <br />. HSC04-070185 (10/18/85) <br />PAGE 1 <br />