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`w %"Of STATE ID NUMBER 00000013932006 <br />APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br />Q'Ir 01 NEW PERMIT ( ) 05 RENEWED PERMIT ( ) 07 TANK CLOSED ( ) 09 DELETE FROM FILE (NO FEE) <br />( 1 02 CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br />I OWNER <br />NAME(COPPORATION,INDIVIDUAL OR PUBLIC AGZNCY) PUBLIC AGENCY ONLY <br />R. W. L. INVESTMENTS, INC. ( ) 01 FED ( ) 02 STATE ( ) 03 LOCAL <br />STREET ADOP!SS CITY <br />STATE ZIP <br />660 MARIPOSA STREET SAN FRANCISCO CA 94107 <br />II FACILITY <br />FACILITY NAME <br />(X) 01 TANK f ) 04 <br />DEALER; FOREMAN/SUPERVISOR <br />( ) INCHES ( ) CM (X) UNKNOWN <br />DI SALVO TRUCKING CO. <br />05 <br />GEORGE MUNSON, TERMINAL MANAGE <br />-MANUFACTURER (IF APP <br />STREET ADDRESS <br />YEAR MFG: <br />NEAREST CROSS STREET <br />INSTALLED (X) UNKNOWN <br />1444 LATHROP ROAD <br />CONTAINER CAPACIT <br />l 2)000 <br />- L ( ) UNKNOWN <br />E. DOES THE CONTAINER STORE: ( ) 01 <br />CITY <br />F. <br />COUNTY <br />R VEHICLE FUEL OR <br />02 REGULAR ( 1 03 PREM <br />2IP <br />LATHROP <br />SAN JOAQUIN <br />UNKNOWN ( ) 13 OTHER: <br />95330 <br />MAILING ADOPESSCITY <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 fX) 02 OTHER <br />NU`IBER OF CONTAINERS <br />RURAL AREAS ONLY <br />TOWNSHIP <br />RANGE <br />SECTION <br />7 <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/APEA CODE <br />MUNSON, 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 f ) 04 <br />OTHER: <br />( ) INCHES ( ) CM (X) UNKNOWN <br />CONTAINER NUMB <br />05 <br />B. <br />-MANUFACTURER (IF APP <br />IATE): U/N <br />YEAR MFG: <br />C. YEAR <br />INSTALLED (X) UNKNOWN <br />D. <br />CONTAINER CAPACIT <br />l 2)000 <br />- L ( ) UNKNOWN <br />E. DOES THE CONTAINER STORE: ( ) 01 <br />WASTE (X) 02 PRODUCT <br />F. <br />DOESJHE CONTAINER S <br />J(�Y./-� LEADE ( ) <br />R VEHICLE FUEL OR <br />02 REGULAR ( 1 03 PREM <br />L ? (XI 1 YES ( ) 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br />04 DIESEL ( ) 05 WASTE OIL ( ) 06 OTHER <br />V CONTA4NER CONSTRUCTION <br />A. <br />THICKNESS OF PRIMARY CONTAINMENT: <br />( ) GAUGE <br />( ) INCHES ( ) CM (X) UNKNOWN <br />B. <br />( ) 01 <br />VAULTED (LOCATED IN AN UNDERGROUND VAULT) (,W 02 <br />NON -VAULTED �3 UNKNOWN <br />C. <br />( ) 01 <br />DOUBLE WALLED f 02 SINGLE WALLED ( <br />) 03 LINED <br />D. <br />( ) 01 <br />CARBON STEEL [ ] 02 STAINLESS STEEL f <br />l 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE ( ) 05 CONCRETE <br />( ) <br />06 ALUMINUM ( ) 07 STEEL CLAD ( 1 OB <br />BRONZE ( <br />) 09 COMPOSITE ( ) 10 NON-METALLIC <br />(X) 12 <br />UNKNOWN ( ) 13 OTHER: <br />MSC04-070185 (10/18/85) <br />PAGE 1 <br />