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STATE ID NUMBER 00000033205001 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> f 01 NEW PERMIT ( l 05 RENEWED PERMIT ( ) 07 TANK CLOSED ( ) 09 DELETE FROM FILE (NO FEE) <br /> l 02 CONDITIONAL PERMIT ( l 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAME(COPPORATION,INPIVIDUAL OR PUBLIC AGENC ) PUBLIC AGENCY ONLY <br /> P/IL T ( ) 01 FED ( l 02 STATE ( l 03 LOCAL <br /> STREET ADDRESS STOCKTON STATE ZIP <br /> STOCKTON <br /> 0, 3 CA eGd►294.► y� <br /> II FACILITY <br /> FACILITY NAME o EALER/FOREMAN/SUPERVISOR <br /> _l ►�vt� bra <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 3302 N. WEST LANE ALPINE <br /> CITY COUNTY <br /> 22P <br /> STOCKTON SAN JOAQUIN 95204 <br /> MAILING ADDRESS CITY STATE ZIP <br /> STOCKTON CA "20 �S 1 <br /> PHONE W/AREA cooE TYPE OF BUSINESS <br /> 204�ib'3-64f�4 X) 01 GASOLINE STATION ( l 02 OTHER <br /> l�(p -i <br /> NUMBER OF gNTAINERS RURAL AREAS ONLY TOWNSHIP RANGE SECTION <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 /> L , CARROLLk - - «� . <br /> �-- <br /> COTIPLE THE FOLLOWING ON A SEPARAFOR �FOR� � EAC CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( ) 04 OTHER: CONTAINER NUMBER 1 <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: C. YEAR INSTALLED (X) UNKNOWN <br /> D. CONTAINER CAPACITY: 8000 GALLONS ( ) UNKNOWN JE. DOES THE CONTAINER STORE: t ) 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 ( ) 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) ( ).A2-NON-VAULTED ( 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED SINGLE WALLED ( l 03 LINED <br /> D. (X) 01 CARBON STEEL ( ) 02 STAINLESS STEEL ( 1 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE ( ) 05 CONCRETE <br /> ( ) 06 ALUMINUM ( l 07 STEEL CLAD ( ) 08 BRONZE ( l 09 COMPOSITE ( ) 10 NON-METALLIC <br /> ( ) 12 UNKNOWN ( ) 13 OTHER: <br /> MSC04-070185 (10/18/85) PAGE 1 <br /> t <br />