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SLATE ID NUMBER 00000037709005 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> t�-1 01 NEW PERMIT ( ) 05 RENEWED PERMIT ( ) 07 TANK CLOSED ( ) 09 DELETE FROM FELE (NO FEE) <br /> ( ) 02 CONDITIONAL PERMIT ( ) 06. AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAME(CCRPORATION,INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> SHARPE ARMY DEPOT 4T 01 FED { ) 02 STATE ( l 03 LOCAL <br /> STREET ADDRESS CITY STATE ZIP <br /> ROTH ROAD LATHROP CA 95331 <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREMAN/SUPERVISOR <br /> SHARPE ARMY DEPOT <br /> STREET ADDRESS NEAR ST CROS STREET <br /> ROTH ROAD )� <br /> CITY COUNTY ZIP <br /> LATHROP SAN JOAQUIN 95331 <br /> MAILING ADDRESS CITY STATE ZIP <br /> ROTH ROAD LATHROP CA 95331 <br /> PHONE W/AREA CODE TYPE OF BUSINESS 1 <br /> 209-982-2641 W 01 GASOLINE STATION 02 OTHER n <br /> NUt^$ER OF CONTAINERS RURAL AREAS ONLY TOWNSHIP RANGEECTION <br /> 1S 6E23 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE NIGHTS: NAME(LAST NAME FIRST) AND PHONE W.`AREA CODE <br /> F 209-982-2641 ACTING FIRE CHIEF 209-982-2105 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK t ) 04 OTHER: CONTAINER NUMBER 649-3 <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: C. YEAR INSTALLED 1953 ( D UNKNOWN <br /> D. CONTAINER CAPACITY: 1000 GALLONS ( l UNKNOWN JE. DOES THE CONTAINER STORE: (X) 01 WASTE t ) 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 /> t ) 01 UNLEADED ( D 02 REGULAR ( ) 03 PREMIUM ( .) 04 DIESEL (X) 05 WASTE OIL ( ) 06.OTHER' <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( ) GAUGE ( ) INCHES ( ) CM (X) UNKNOWN <br /> B. ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ( ) 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED (X) 02 SINGLE WALLED ( D 03 LINED <br /> D. (X) 01 CARBON STEEL ( l 02 STAINLESS STEEL ( ) 03 FIBERGLASS f ) 04 POLYVINYL CHLORIDE t D 05 CONCRETE <br /> t ) 06 ALUMINUM { ) 07 STEEL CLAD t D 08 BRONZE ( l 09 COMPOSITE ( ) 10 NON-METALLIC <br /> 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br /> E <br />