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STATE ID NUMBER 00000037709002 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> ( 01 NEW PERMIT ( ) 05 RENEWED PERMIT ( ) 07 TANK CLOSED t ) 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 01 FED t } 02 STATE ( 103 LOCAL <br /> STREET ADDRESSCITY STATE ZIP <br /> ROTH ROAD] LATHROP CA 95331 <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREMAN/SUPERVISOR <br /> SHARPE ARMY DEPOT <br /> STREET ADDRESS NEAREST CROSS STREET <br /> D <br /> ROTH ROA <br /> f <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 /> 269-982-2641 (X) 01 GASOLINE STATION ( ) 02 OTHER <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: N.AME(LAST NAME FIRST) AND PHONE W/AREA CODE <br /> A. 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 657-2 <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: C. YEAR INSTALLED (X) UNKNOWN <br /> D. CONTAINER CAPACITY: 1000 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 /> ( ) <br /> 01 UNLEADED ( ) 02 REGULAR ( ") 03 PREMIUM ( ) 04 DIESEL t ) 05 WASTE OIL (X) 06 OTHER AVIATION FUEL <br /> V CONTAINER CONSTRUCTIOIJ o <br /> A. THICKNESS OF PRIMARY CONTAINMENT: t ) GAUGE ( } INCHES ( ) CM (X) UNKNOWN <br /> B. t ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) .(X) 02 NON-VAULTED ( ) 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED (X) 02 SINGLE WALLED ( ) 03 LINED <br /> D., (X) 01 CARBON STEEL ( } 02 STAINLESS STEEL t ) 03 FIBERGLASS t }-04 POLYVINYL CHLORIDE ( ) 05 CONCRETE <br /> t ) 06 ALUMINUM ( } 07 STEEL CLAD t ) 08 BRONZE ( ) 09 COMPOSITE ( D 10 NON-METALLIC <br /> t ) 12 UNKNOWN ( ) 13 OTHER: <br /> KSC04-070185 (10/18/85) PAGE 1 <br />