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• <br /> STATE ID NUMBER 00000036871001 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> 01 NEW PERMIT ( ) 05 RENEWED PERMIT ( ) 07 TANK CLOSED ( ) 09 DELETE FROM FILE (NO FEE) <br /> 2 CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAME(CORPORATION,INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> SAN JOAQUIN COUNTY ( l 01 FED ( ) 02 STATE (sal 03 LOCAL <br /> STREET ADDRESS CITY STATE ZIP <br /> E W2 be-r STOCKTON ICA 952 ,� <br /> II FACILITY , <br /> FACILITY NAME �p,`- Gt �l i(�IRdLM�. ALER/FOREMAN/SUPERV;SOR <br /> PETE LA PIESTO Majn- en&dq ,v 5ppelf(/'.S or- <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 1810 E HAZELTON "LL&_SZAEET <br /> CITY COUNTY ZIP <br /> STOCKTON SAN JOAQUIN 95201 <br /> MAILING ADDRESS CITY STATE ZIP <br /> P.O. BOX 1810 STOCKTON CA 95201 <br /> PHONE W/AP.EA CODE TYPE OF BUSINISS <br /> 209-944=2291 ( ) 01 GASOLNE STATION (X) 02 OTHER CO r . Yard. <br /> NUMBER OF CONTAINERS RURAL AREAS ONLYTOWNSHIP RANGE SECTION <br /> 5 <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 /> Peft-LA PIESTO) Po k 209-944-2291 lftw Ott odl,&r 2W9 -99'1-22 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X1 01 TANK ( ) 04 OTHER: CONTAINER NUMBER <br /> B. MANUFACTURER (IF APPROPRIATE): UNKNOWN YEAR MFG: Tc, EAR INSTALLED /9 it- WO-UNKNOWN <br /> /OQDO <br /> D. CONTAINER CAPACITY: 124ff 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 /> ( ) 01 UNLEADED ( ) 02 REGULAR ( ) 03 PREMIUM (X) 04 DIESEL ( ) 05 WASTE OIL ( l 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( ) GAUGE ( I INCHES ( l CM (X) UNKNOWN <br /> B. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (-T 02 NON-VAULTED HK 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLE��, ja0_22 SINGLE WALLED ( 103 LINED <br /> D. (36 01 CARBON STEEL (` ) 02 STAINLESS STEEL ( ) 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE ( ) 05 CONCRETE <br /> �r ) 06 ALUMINUM ( ) 7 STEEL CLAD ( ) 08 BRONZE ( l 09 COMPOSITE ( ) 10 NON-METALLIC <br /> 4-)t`12 UNKNOWN ( ) 13 O HER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br />