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`-� STATE ID NUMBER 00000018453001 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> (1Cl 01 NEW PERMIT ( ) 05 RENEWED PERMIT ' t ) 07 TANK CLOSED ( ) 09 DELETE FROM FILE (NO FEE) <br /> [) 02 CO`(OITIONAL PERMIT ( 1 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) i <br /> OWNER � <br /> -E(CO?POP.AT:CN.TNOIVIOUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> °'GY PETROLEUM INC. ( 1 01 FED ( f 02 STATE ; ) 03 LOCAL <br /> =MET AC9PaS5 _ CITY STATE ZIP <br /> to�'r Z STOCKTON CA " ' 952 03 [ <br /> ( t9 F <br /> FACILITY <br /> --:ITY .SAME - DEALER/FOREMAN/SUPEP.VISOP. <br /> ERGY 'PETROLEUM INC. <br /> =ET AOC?=_SS q NEAREST CROSS STREET <br /> Ru <br /> s COUNTY ZIP <br /> ::CKTO:7 SAN JOAQUIN 95203 <br /> =L=NO ADDRESS CITY STATE <br /> ]_ BOX 744 STOCKTON CA 95201 t <br /> INe ;frpn:A C07! TYPE OF BUSINESS }. <br /> 9-464-4836 ( ) O1 GASOLINE STATION (X) 02 OTHER WHOLESALE <br /> "BEP Of CONTA_N!?S • RURAL AREAS ONLY TOUNSMIP RA.NGe SEC7iON f <br /> 4 <br /> I .24 HOUR EMERGENCY CONTACT PERSON <br /> !S: NAME(LAST NAY._ F ST) AND PMC.`!! W/AFEA CCDE - NIGHTS: NAME(LAST NAME FIRST) AND PHONE W ARIA CCDE <br /> ARM SYSTEMQ 209-464-4886 SAME <br /> rp (� <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> DESCRIPTION <br /> (XI 01 TANK t ) 04 OTHER: 4 CONTAINER NUMBER 1. <br /> MA}{UFACTURER (IF APPROPRIATE): YEAR MFG: C. YEAR INSTALLED 1975 ( ] UNKNOWN <br /> t <br /> CONTAINER CAPACITY: 12000 GALLONS ( l UNKNOWN E. DOES THE CONTAINER STORE: ( ) 01 WASTE (X) 02 PRODUCT <br /> DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? (X) 01 YES ( ) 02 NO IF YES CHECK APPROPRIATE BOX(ES1: i <br /> ( ) 01 UILEADEQ (X) 02 REGULAR ( ) 03 PREMIUM l ) 04 DIESEL ( ) 05 WASTE OIL [ l 06 OTHER <br /> CONTAINER CONSTRUCTION <br /> 1 <br /> THICKNESS OF PRIMARY CONTAINMENT: ( l GAUGE ( ) INCHES ( ) CM (X) UNKNOWN <br /> ( 1 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTEO I ) 03 UNKNOWN <br /> ( ) <br /> 01 DOUBLE WALLED ( 1 02 SINGLE WALLED ( ) 03 LINED <br /> (X) O1 CARBON STEEL ( ) 02 STAINLESS STEEL { 1 03 FIBERGLASS i ) 04 POLYVINYL CHLORIDE ( ) 05 CONCRETE <br /> { ) Ob ALUMINUM ( ) '07 STEEL CLAD ( ) 08 BRONZE ( 109 COMPOSITE ( ) 10 NON-METALLIC <br /> M I2 UNKNOWN [ 1 13 OTHER: <br /> k <br /> PAGE 1 k <br /> .34-070185 (10/18/85) <br />