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STATE ID NUMBER 00000027845002 <br /> •APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> ( ) O1 NEW PERMIT ( ) 05 RENEWED PERMIT ( ) 07 TANK CLOSED ( ) 09 DELETE FROM FILE (NO FEE) <br /> ( ) 02 CONDITIONAL PERMIT ( l 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NL"E(COPPCPA,TION,INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> TRACY DELTA SOLID WASTE MANAGE ( ) 01 FED ( ) 02 STATE ( ) 03 LOCAL <br /> STREET A:--ZESS CITY STATE <br /> ZIP <br /> 99 W 6TH STREET, P.O. BOX 274 TRACY CA 95376 <br /> II FACILITY <br /> F=CILITY NAME DEALER/FOREMAN/SUPERVISOR <br /> TRACY DISPOSAL SERVICE DAVE ROSAIA <br /> STREET ACLOESS NEAREST CROSS STREET <br /> 99 W 6TH STREET B STREET <br /> C:T'( COUNTY ZIP <br /> TRACY SAN JOAQUIN 95376 <br /> MAILING A:::PESS CITY STATE ZIP <br /> P.O. BOX 274 TRACY CA 95376 <br /> PHONE W/A=Eq CODE TYPE OF BUSINESS <br /> 209-835-0601 ( ) 01 GASOLINE STATION (X) 02 OTHER REFUSE COLLECTION <br /> NUttBEP OF CONTA.INEPS RURAL AREAS ONLY . TOWNSHIP RANGE SECTION <br /> 2 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NA-E(LAST NAME FIRST) AND PHONE W/AP.EA CODE NIGHTS: NAME(LAST NAME FIRST) AND PHONE W/AP.EA CODE <br /> ROBERTS, BEN M. 209-835-2145 SAME - - <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TA'(K ( ) 04 OTHER: CONTAINER NUMBER 2 <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: C. YEAR INSTALLED (X) UNKNOWN <br /> D. CONTAINER CAPACITY: 350 GALLONS ( ) UNKNOWN E. 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 /> ( ) O1 UNLEADED [ ) 02 REGULAR ( ) 03 PREMIUM (X) 04 DIESEL ( ) 05 WASTE OIL [ ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT= ( l GAUGE [ ) INCHES ( ) CM (X) UNKNOWN <br /> B. ( ) O1 VAULTED (LOCATED IN AN UNDERGROUND VAULT) ( ) 02 NON-VAULTED ' (X) 03 UNKNOWN z <br /> A <br /> C. ( ) O1 DOUBLE WALLED ( ) 02 SINGLE WALLED ( ) 03 LINED <br /> D. ( ) 01 CARBON STEEL f ) 02 STAINLESS STEEL ( ) 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE ( ) 05 CONCRETE <br /> ( ) 06 ALUMINUM ( ) 07 STEEL CLAD ( l 08 BRONZE ( l 09 COMPOSITE ( l 10 NON-METALLIC <br /> (X) 12 UNKNOWN ( ) 13 OTHER: <br /> SC04-070185 (10/18/85) PAGE 1 <br />