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•■� � STATE ID NUMBER 00000039614004 <br />APPLICATION FOR PERMIT TO OP RATZ UNDERGROUND STORAGE TANK <br />(L4 -'*0'1 NEW PERMIT ( ) 05 RENEWED PERMITTANK CLO ( ) 09 DELETE FROM FILE (NO FEE) <br />j ( ) 02 CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT ) 0 ANGE (NO SURCHARGE) <br />I I OWNER <br />4AME(CORPOFATION,INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br />10BIL OIL CORPORATION ( ) 01 FED t ) 02 STATE ( l 03 LOCAL <br />iTREET ADDRESS JCITY STATE ZIP <br />i12 SO. FLOWER STREET LOS ANGELES CA 90017 <br />II FACILITY <br />FACILITY NAME <br />FIRST) AND PHONE W/AREA CODE <br />DEALER/FOREMAN/SUPERVISOR <br />NIGHTS: NAME(LAST NAME <br />MOBIL SERVICE STATION <br />ABT -TOM <br />Tampa�B &,.//t,.6/ <br />VAULTED (LOCATED IN AN UNDERGROUND VAULT) <br />STREET ADDRESS <br />213-583-6571 <br />NEAREST CROSS STREET <br />w- f ( - <br />3202 W HAMMER LANE <br />(X) 02 SINGLE WALLED ( ) <br />INTERSTATE 5 <br />CITY <br />( ) 01 <br />( ) <br />( ) 12 <br />COUNTY <br />( ) 02 STAINLESS STEEL (X) 03 FIBERGLASS ( ) 04 <br />( ) 07 STEEL CLAD ( ) 08 BRONZE t } 09 COMPOSITE <br />13 OTHER: <br />ZIP <br />STOCKTON <br />SAN JOAQUIN <br />95209 <br />MAILING ADDRESS <br />CITY <br />STATE <br />ZIP <br />3202 W HAMMER LANE <br />STOCKTON <br />CA <br />95209 <br />PHONE W/AREA CODE <br />TYPEOF BUSINESS <br />209-957-2900 <br />(X) 01 GASOLINE STATION ( ) 02 OTHER <br />NUMBER OF CONTAINERS <br />RURAL AREAS ONLY JTOWNSHIP <br />RANGE <br />SECTION <br />4 <br />I ILI 24 HOUR EMERGENCY CONTACT PERSON <br />)AYS: NAME(LAST NAME <br />FIRST) AND PHONE W/AREA CODE <br />CONTAINMENT: ( <br />NIGHTS: NAME(LAST NAME <br />FIRST) AND PHONE W/AP.EA CODE <br />ABT -TOM <br />209-957-2900 <br />VAULTED (LOCATED IN AN UNDERGROUND VAULT) <br />ENGINEERING CENTER <br />213-583-6571 <br />w ig ! r , zt,//co <br />w- f ( - <br />DOUBLE WALLED <br />(X) 02 SINGLE WALLED ( ) <br />ICOMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br />IV DESCRIPTION <br />A. (X) 01 TANK ( ) 04 OTHER: CONTAINER NUMBER 4 <br />B. MANUFACTURER (IF APPROPRIATE): UNKNOWN YEAR MFG: 1978 C. YEAR INSTALLED 1978 ( ) UNKNOWN <br />D. CONTAINER CAPACITY: 1000 GALLONS ( ) UNKNOWN JE. DOES THE CONTAINS : (X) 01 WASTE ( l 02 PRODUCT <br />F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL 7 (X YES f ) 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br />( ) <br />01 UNLEADED ( ) 02 REGULAR ( ) 03 PREMIUM ( ) 04 DIES (X) WASTE OIL ( ) 06 OTHER <br />V CONTAINER CONSTRUCTION <br />A. <br />THICKNESS OF PRIMARY <br />CONTAINMENT: ( <br />) GAUGE ( ) INCHES ( <br />) CM (X) UNKNOWN <br />B. <br />( ) 01 <br />VAULTED (LOCATED IN AN UNDERGROUND VAULT) <br />(X) 02 NON -VAULTED ( <br />) 03 UNKNOWN <br />C. <br />( ) 01 <br />DOUBLE WALLED <br />(X) 02 SINGLE WALLED ( ) <br />03 LINED <br />D. <br />( ) 01 <br />( ) <br />( ) 12 <br />CARBON STEEL <br />06 ALUMINUM <br />UNKNOWN ( ) <br />( ) 02 STAINLESS STEEL (X) 03 FIBERGLASS ( ) 04 <br />( ) 07 STEEL CLAD ( ) 08 BRONZE t } 09 COMPOSITE <br />13 OTHER: <br />POLYVINYL CHLORIDE ( l 05 CONCRETE <br />( ) 10 NON-METALLIC <br />` HSC04-070185 (10/18/85) <br />PAGE 1 <br />