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00 <br /> STATE ID NUMBER <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> (X) 01 NEW PERMIT t ) 05 RENEWED PERMIT ( D 07 TANK CLOSED ( ) 09 DELETE FROM FILE (NO FEED <br /> t D 02 CONDITIONAL PERMIT t ) 06 AMENDED PERMIT t ) 04 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER Landmark Development <br /> NAME(COPPORATION.INDEVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> Landmark Development t ) 01 FED t D 02 STATE t ) 03 LOCAL <br /> STREET ADDRESS CITY STA <br /> 125 Bridge Place, Suite 203 Stockton C� ID5zip202 <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREMEN/SUPERVISOR <br /> Econo Lube N' Tune Lessee <br /> STREET ADDZESS NEA.EST CROSS STREET <br /> 440 Westlane �iammertown <br /> CITY COUNTY ZIP <br /> Stockton 1 95202 <br /> MAILING ADDPESS CYT ST ZIP <br /> P.O. Box 2470 Newport Beach `�/ 92658 <br /> PHONE W/AVEA CODE TYPE OF BUSINESS <br /> -714- 851-2259 ( D 01 GASOLINE STATION (X ) 02 OTHER Automotive Servi ce <br /> NUMBER CF CONTAINERS RURAL AREAS ONLY TOWNSHIP RANGE SECTION <br /> one <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE FNGHTS: NAME(LAST NAME FIRST) AND Pffy / A CODE <br /> Bell , Larr 714851-2259 ell , Larry _714 - 2 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( ) 02 OTHER: CONTAINER NUMBER N/A <br /> NEW NEW <br /> B. MANUFACTURER (IF APPROPRIATE): Joo r Mfg. YEAR MFG: 87 C. YEAR INSTALLED 87 t D UNKNOWN <br /> D. CONTAINER CAPACITY: 500 GALLONS ( ) UNKNOWN E. DOES THE CONTAINER STORE: (X) 01 WASTE t D 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 /> ( ) 01 UNLEADED t ) 02 REGULAR ( ) 03 PREMIUM ( ) 04 DIESEL (X) 05 WASTE OIL ( D 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: 12 (XX GAUGE t ) INCHES ( ) CM ( ) UNKNOWN <br /> B. ( I 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED t D 03 UNKNOWN <br /> C. (X) 01 DOUBLE WALLED ( ) 02 SINGLE WALLED ( ) 03 LINED <br /> D. (X ) 01 CARBON STEEL ( D 02 STAINLESS STEEL ( ) 03 FIBERGLASS ( D 04 POLYVINYL CHLORIDE ( ) 05 CONCRETE <br /> ( ) 06 ALUMINUM ( ) 07 STEEL CLAD ( D 08 BRONZE ( ) 09 COMPOSITE ( ) 10 NON-METALLIC <br /> t D 12 UNKNOWN ( ) 13 OTHER: <br /> ISC04-070185 PAGE 1 <br />