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1 <br /> STATE ID NUMBER 00000037709012 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> ()<r 01 NEW PERMIT ( ) 05 RENEWED PERMIT ( ) 07 TANK CLOSED ( ) 09 DELETE FROM FILE (NO FEE) <br /> ( ) 02 CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAME(CORPORATION,INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> SHARPE ARMY DEPOT I t4 01 FED ( ) 02 STATE ( ) 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 CROSS TREET <br /> ROTH ROAD _ lYC <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 <br /> 209-982-2641 (.XT'01 GASOLINE STATION ()0 02 OTHER + ( � .Q <br /> NUMBER OF CONTAINERS RURAL AREAS ONLY TOWNSHIP RANGE SECTION <br /> IS 6E 23 <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 WfAREA CODE <br /> 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 ( ) 04 OTHER: CONTAINER NUMBER 373 <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: C. YEAR INSTALLED 1969 ( ) UNKNOWN <br /> D. CONTAINER CAPACITY 20000 GALLONS ( } UNKNOWN JE. 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 /> (X) 01 UNLEADED ( l 02 REGULAR ( J 03 PREMIUM ( ) 04 DIESEL ( ) 05 WASTE OIL t ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: 7/16 ( l GAUGE (X) INCHES ( D CM { ) UNKNOWN <br /> B. ( J 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED t ) 03 UNKNOWN <br /> C. E ) 01 DOUBLE WALLED (X) 02 SINGLE WALLED ( } 03 LINED <br /> D. (X) 01 CARBON STEEL t ) 02 STAINLESS STEEL t J 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE t ) 05 CONCRETE <br /> t ) 06 ALUMINUM t J 07 STEEL CLAD ( ) 08 BRONZE ( ) 09 COMPOSITE ( J 10 NON-METALLIC <br /> f J 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br />