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`W '�Pr STATE ID NUMBER 00000013932003 <br />APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br />1 01 NEW PERMIT ( ) 05 RENEWED PERMIT ( ) 07 TANK CLOSED ( ) 09 DELETE FROM FILE (NO FEE) <br />02 CONDITIONAL PERMIT ( 1 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br />I OWNER <br />IAME!COFFCPATION,INDIVIOUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br />!. W. L. INVESTMENTS, INC. ( ) 01 FED ( 102 STATE ( ) 03 LOCAL <br />;TPEET ADDRESS CITY STATE ZIP <br />i60 MARIPOSA STREET SAN FRANCISCO CA 94107 <br />II FACILITY <br />FACILITY NAME <br />(X) 01 TANK ( 1 <br />DEALER/FOREMAN/SUPERVISOR <br />B. <br />DI SALVO TRUCKING CO. <br />CONTAINER NUMBE 02 <br />GEORGE MUNSON, TERMINAL MANAGE <br />MANUFACTURER (IF <br />STREET ADDRESS <br />U/N <br />NEAREST CROSS STREET <br />C. YEAR INSTALLED (X) UNKNOWN <br />1444 LATHROP ROAD <br />CONTAINER CAPACIT <br />12000 G <br />LLONS ( <br />CITY <br />E. GOES THE CONTAINER STORE: f ) 01 WASTE (X) 02 PRODUCT <br />COUNTY <br />DOES THE CONTAINE <br />1 ) 01 UNLEADED <br />ZIP <br />LATHROP <br />FUEL OR WA,STE"OIL ? f O1 YES ( ) 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br />PREMIU� (X1 04 DIESEL ( 105 WASTE OIL ( ) 06 OTHER <br />SAN JOAQUIN <br />95330 <br />MAILING ADDRESS <br />CITY <br />STATE <br />ZIP <br />P.O. BOX 3765 <br />SAN FRANCISCO <br />CA <br />94119 <br />PHONE W/AREA CODE <br />TYPE OF BUSINESS <br />209-858-2531 <br />( ) 01 GASOLINE STATION (XI 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 />r <br />' DAYS: NAME(LPST NAME FIRST) AND PHONE W/AREA CODE NIGHTS: NAME(LAST NAME FIRST) AND PHONE W/AR[A CODE <br />MUNSON, GEORGE 209-858-2531 ,uu 41�—,-a-2e." r <br />COMPLETE THE FOLLOWING ON A SEPARATE FORM FO EAC CO TAINER <br />IV DESCRIPTION <br />A. <br />(X) 01 TANK ( 1 <br />04 OTHER: <br />B. <br />( ) <br />CONTAINER NUMBE 02 <br />S. <br />MANUFACTURER (IF <br />APPROPRIATE): <br />U/N <br />YEAR MFG: <br />C. YEAR INSTALLED (X) UNKNOWN <br />D. <br />CONTAINER CAPACIT <br />12000 G <br />LLONS ( <br />) UNKNOWN <br />E. GOES THE CONTAINER STORE: f ) 01 WASTE (X) 02 PRODUCT <br />F. <br />DOES THE CONTAINE <br />1 ) 01 UNLEADED <br />R <br />( ) 02 REGULAR <br />VEHICLE <br />( 1 03 <br />FUEL OR WA,STE"OIL ? f O1 YES ( ) 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br />PREMIU� (X1 04 DIESEL ( 105 WASTE OIL ( ) 06 OTHER <br />V CONTAINER CONSTRUCTION <br />A. <br />THICKNESS OF PRIMARY CONTAINMENT: ( ) GAUGE ( ) INCHES ( <br />) CM (XI UNKNOWN <br />B. <br />( ) <br />01 <br />VAULTED (LOCATED <br />IN AN UNDERGROUND VAULT 2 NON—VAULTED ( <br />) 03 UNKNOWN <br />C. <br />( ) <br />01 <br />DOUBLE WALLE <br />02 SINGLE WALLED ( ] 03 LINED <br />0. <br />( ) <br />(X) <br />01 <br />( ) <br />12 <br />CARBON STEEL ( <br />06 ALUMINUM ( ) <br />UNKNOWN ( ) 13 <br />) 02 STAINLESS STEEL ( 1 03 FIBERGLASS ( 104 <br />07 STEEL CLAD ( ) 08 BRONZE ( ) 09 COMPOSITE <br />OTHER: <br />POLYVINYL CHLORIDE ( 1 05 CONCRETE <br />( ] 10 NON—METALLIC <br />KSC04-070185 (10/18/85) <br />NNW vow <br />PAGE 1 <br />