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ftSTATE ID NUMBER 00000027085004 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> ( 01 NEW PERMIT ( ) 05 RENEWED PERMIT ( ) 07 TANK CLOSED ( ) 09 DELETE FROM FILE (NO FEE) <br /> l 02 CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAME(CORcOPATION,INDIVIDUAL OR PUBLIC .AGENCY) PUBLIC AGENCY ONLY <br /> ARCO PETROLEUM PRODUCTS CO. ( ) 01 FED ( ) 02 STATE ( ) 03 LOCAL <br /> STREET ADDRESS CITY STATE ZIP <br /> 515 SOUTH FLOWER STREET LOS ANGELES CA 90071 <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREMAN/ UPE�RyISOR <br /> Iq'2� O l b IQ�L4�rd 4) k c�e.a L e� S <br /> STREET ACDPESS NEAREST CROSS ST v T <br /> 25775 S PATTEP,SON PASS RD �yL-f p e �(pD <br /> CITY COUNTY ZIP <br /> TRACY SAN JOAQUIN 95376 <br /> MAILING ADDRESS ''ll Q� CITY STATE ZIP (r <br /> S �i U A S� �TRA;*-EA 50-, CA <br /> PHONE W/APEA C DEq TYPE OF BUSINESS <br /> ) (X) 01 GASOLINE STATION ( ) 02 OTHER <br /> NUMBER OF CONTAINERS RURAL .AREAS ONLY : TOWNSHIP RANGE SECTION <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAME(LAST NAME FIRST) AND PHONE W/AP.E.A CCDE NIGHTS: NAME(L.AST NAME FIRST) AND PHONE W/APE.A CODE <br /> A 68-Rfi @tEutt-'PRQ9H v_G_g21=T45 ARCO PETROLEUM PRODUCTS C 800-421-7457 <br /> C04 LETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( l 04 OTHER: CONTAINER NUMBER 0000000004 <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: Tc, EAR INSTALLED 1969 ( ) UNKNOWN <br /> �oo o <br /> D. CONTAINER CAPACITY: C4Oet—GALLONS ( ) UNKNOWN TE. DOES THE CONTAINER STORE: ( l 01 WASTE (X) 02 PRODUCT <br /> F. POJS THE CONTAINER STORE MOTOR. VEHICLE FUEL OR WASTE OIL ? (X) 01 YES ( ) 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br /> t , l UNLEADED t ) 02 REGULAR t ) 03 PREMIUM ( ) 04 DIESEL ( l 05 WASTE OIL (X) 06 OTHER GASOLINE <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: 0000167 ( ) GAUGE (X) INCHES ( ) CM ( ) UNKNOWN <br /> B. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ( ) 03 UNKNOWN <br /> C. ( l 01 DOUBLE WALLED (X) 02 SINGLE WALLED ( ) 03 LINED <br /> D. (X) 01 CARBON STEEL ( ) 02 STAINLESS STEEL ( ) 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE ( l 05 CONCRETE <br /> t ) 06 ALUMINUM ( l 07 STEEL CLAD ( l 08 BRONZE ( ) 09 COMPOSITE ( l 10 NON-METALLIC <br /> t ) 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br />