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STATE ID NUMBER 00000045998001 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> ( ) 01 NEW PERMIT ( ) 05 RENEWED PERMIT ( 1 07 TANK CLOSED ( ) 09 DELETE FROM FILE (NO FEE) <br /> ( l 02 CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT ( 1 08 MINOR CHANGE (NO SURCHARGE) <br /> i I OWNER <br /> I <br /> iNAME(CORPCRATION,INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> EDWARD E. PITTS ( ) 01 FED ( ) 02 STATE ( ) 03 LOCAL <br /> STFEET ADDRESS CITY STATE ZIP <br /> 203 SO. LINCOLN AV. MANTECA 95336 <br /> II FACILITY <br /> I <br /> FACILITY NAM! DEALER/FOREMAN/SUPERVISOR <br /> EDWARD E. PITTS <br /> STF.SET ADDRESS NEAREST CROSS STREET <br /> i 203 SO. LINCOLN AV. <br /> iCITY COUNTY ZIP <br /> MANTECA SAN JOAQUIN 95336 <br /> MAILING ADDRESS CITY STATE ZIP <br /> I 203 SO. LINCOLN AV. MANTECA 95336 <br /> PHONE W/ARE.A CODE TYPE OF 5USINESS <br /> 209-823-5728 ( ) 01 GASOLINE STATION (X) 02 OTHER PRIVATE <br /> i NUMBER OF CCNTAINERS RURAL AREAS ONLYTOWNSHIP RANGE SECTION <br /> 1 <br /> i III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAMQ(LAST NAME FIRST) AND PHONE W/AREA CODE NIGHTS: NAME(lAST NAME FIRST)-AND TPHONE W/AREA CODE <br /> PITTS, EDWARD 209-823-5728 SAME <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK E 1 04 OTHER: CONTAINER NUMBER MCMLXXXIV <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: 1942 C. YEAR INSTALLED 1942 ( 1 UNKNOWN <br /> 0. CONTAINER CAPACITY: 350 GALLONS ( ) UNKNOWN JE. DOES THE CONTAINER STORE: t ) 01 WASTE (X) 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? (X) 01 YES ( 1 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br /> ( ) 01 UNLEADED (X) 02 REGULAR ( ) 03 PREMIUM ( ) 04 DIESEL ( 1 05 WASTE OIL ( ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: 1/4 ( ) GAUGE (X) INCHES ( ) CM ( ) UNKNOWN <br /> B. ( 1 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ( 1 03 UNKNOWN <br /> C. ( l 01 DOUBLE WALLED (X) 02 SINGLE WALLED ( ) 03 LINED <br /> O. (X) 01 CARBON STEEL t 1 02 STAINLESS STEEL ( ) 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE f ) 05 CONCRETE <br /> ( l 06 ALUMINUM ( l 07 STEEL CLAD ( ) OS BRONZE ( ) 09 COMPOSITE ( l 10 NON-METALLIC <br /> ( ) 12 UNKNOWN ( ) 13 OTHER: <br /> I� HSC04-070185 (10/18/85) PAGE 1 <br /> E <br />