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STATE ID NUMBER 00000047797002 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> �( ) 01 NEW PERMIT ( ) 05 RENEWED PERMIT ()e 09 DELETE FROM FILE (NO FEE) <br /> ) 02 CONDITIONAL PERMIT t ) 06 AMENDED PERMIT t ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> N-ME(COPPOP.ATION,INDIVIOUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> TEXACO U.S.A. ( ) 01 FED ( ) 02 STATE ( 1 03 LOCAL <br /> STREET ADDRESS CITY STATE Zip <br /> P.O. BOX 3756-3350 WILSHIRE BL LOS ANGELES CA 90010 <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREMAN/SUPEPVISOR <br /> TEXACO CONTRACTOR OPERATED <br /> STREET ADDR,ESS� NEAREST CROSS STREET <br /> 440 W. CHARTER WAY & LINCOLN <br /> CITY COUNTY ZIP <br /> STOCKTON SAN JOAQUIN 95206 <br /> MA:L:NG ADDRESS CITY STATE ZIP <br /> 440 W. CHARTER WAY &LINCOLN STOCKTON CA 95206 <br /> PHONE W/AREA CODE TYPE OF BUSINESS <br /> 209-943-9319 (X) 01 GASOLINE STATION ( ) 02 OTHER <br /> NUMBER OF CONTAINERS RURAL .AREAS ONLY TOWNSHIP RANGE SECTION <br /> 6 N/A N/A N/A <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAME(LAST NAME FIRST) AND PHONE W/APEA CODE NIGHTS: NAME(LAST NAME FIRST) AND PHONE W/.ARE.A CODE <br /> TEXACO USA CUSTOMER SERVI 800-231-3102 HEINRICH, DAVID 916-966-3790 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> I <br /> A. (X) 01 TANK ( ) 04 OTHER: CONTAINER NUMBER. 2 <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: I <br /> YEAP, INSTALLED 1960 ( ] UNKNOWN <br /> D. CONTAINER CAPACITY: 10000 GALLONS ( ) UNKNOWN JE. DOES THE CONTAINER STORE: ( ) 01 WASTE (X) 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? (X) 01 YES ( ) 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br /> (X) 01 UNLEADED ( ) 02 REGULAR ( ) 03 PREMIUM ( l 04 DIESEL ( l 05 WASTE OIL ( ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( ) GAUGE ( ) INCHES ( ) CM (X) UNKNOWN <br /> B. ( l 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ( ) 03 UNKNOWN <br /> C. ( l 01 DOUBLE WALLED (X) 02 SINGLE WALLED ( 1 03 LINED <br /> 0. (X) 01 CARBON STEEL ( l 02 STAINLESS STEEL ( 1 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE ( ) 05 CONCRETE <br /> ( ) 06 ALUMINUM ( ) 07 STEEL CLAD ( ) 08 BRONZE ( 1 09 COMPOSITE ( ) 10 NON-METALLIC <br /> ( ) 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br />