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swool 1140 <br />STATE ID NUMBER 00000013932001 <br />APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br />r[mu, t ) v, '.rv' t. LUP [U t ) VY UCLLIC rKUI1 E1LC tNU MCC) <br />.') 02 CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br />I OWNER <br />AME(CORPORATION,INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br />I. W. L. INVESTMENTS, INC. ( ) 01 FED ( ) 02 STATE ( ) 03 LOCAL <br />TREET ADDRESS CITY STATE ZIP <br />60 MARIPOSA STREET SAN FRANCISCO CA 94107 <br />II FACILITY <br />FACILITY NAME <br />(XI 01 TANK ( ) 04 OTHER: <br />DEALER/FOREMAN/SUPERVISOR <br />CONTAINER NUMBER 07 <br />DI SALVO TRUCKING CO. <br />B. <br />GEORGE MUNSON, TERMINAL MANAGE <br />YEAR MFG: <br />STREET ADDRESS <br />/ <br />J�17 UNKNOWN <br />NEAREST CROSS STREET <br />C. <br />1444 LATHROP ROAD <br />01 <br />0. <br />CONTAINER CAPACITYGA LO (X):TUNKNO <br />CITY <br />02 PRODUCT <br />COUNTY <br />DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OI ? (X) O1 YES ( ) 02 NO YES CHECK APPROPRIATE BOXES ): <br />ZIP <br />LATHROP <br />) 04 ESEL (X) 0 ASTE OIL ( 106 OTHER <br />SAN JOA(R)IN <br />95330 <br />MAILING ADDRESS <br />CITY <br />STATE <br />IIP <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 (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) AND PHONE W/AREA 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 />(XI 01 TANK ( ) 04 OTHER: <br />) GAUGE ( ) INCHES <br />CONTAINER NUMBER 07 <br />B. <br />B. <br />MANUFACTURER (IF APPROPRIATE): U/N <br />YEAR MFG: <br />C. YEAR INSTALLED <br />/ <br />J�17 UNKNOWN <br />(X) 03 UNKNOWN <br />C. <br />( ) <br />01 <br />0. <br />CONTAINER CAPACITYGA LO (X):TUNKNO <br />E. DOES Typ.LONTAINER STOR(X) 1 WASTE ( ) <br />02 PRODUCT <br />F. <br />DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OI ? (X) O1 YES ( ) 02 NO YES CHECK APPROPRIATE BOXES ): <br />01 <br />( ) <br />12 <br />( 1 01 UNLEADED ( ) 02 REGULAR ( ] 03 PREMIUM ( <br />) 04 ESEL (X) 0 ASTE OIL ( 106 OTHER <br />POLYVINYL CHLORIDE ( ) 05 CONCRETE <br />( 1 10 NON-METALLIC <br />V CONTAINER CONSTRUCTION <br />A. <br />THICKNESS OF PRIMARY CONTAINMENT: ( <br />) GAUGE ( ) INCHES <br />( ) CM (X) UNKNOWN <br />B. <br />( ) <br />01 <br />VAULTED (LOCATED <br />IN AN UNDERGROUND VAULT) <br />( ) 02 NON -VAULTED <br />(X) 03 UNKNOWN <br />C. <br />( ) <br />01 <br />DOUBLE EO ( <br />) 02 SINGLE WALLED ( 1 <br />03 LINED <br />D. <br />( ) <br />(X) <br />01 <br />( ) <br />12 <br />CARBON STEEL f <br />06 ALUMINUM [ ) <br />UNKNOWN ( ) 13 <br />1 02 STAINLESS STEEL ( 103 FIBERGLASS ( ) 04 <br />07 STEEL CLAD ( 1 08 BRONZE t ) 09 COMPOSITE <br />OTHER: <br />POLYVINYL CHLORIDE ( ) 05 CONCRETE <br />( 1 10 NON-METALLIC <br />HSC04-070185 (10/18/85) <br />AI NNW <br />PAGE 1 <br />