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�I <br /> STATE I0 NUMBER 00000038025002 <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(CORPO ATION,INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> "s'LAME LIQUORS INC. ( D 01 FED ( ) 02 STATE i l 03 LOCAL <br /> 1TREET ADDRESS CITY STATE ZIP <br /> ` 301 W. KETTLEMAN LANE LODI CA 95240 <br /> l:` <br /> I FACILITY <br /> [FACILITY NAME DEALER/FOREMAN/SUPERVISOR <br />. FLAME LIQUORS PETE GRAFFIGNA <br /> 7 <br /> °STR2ET ADDRESS NEAREST CROSS STREET <br /> 1301 W. KETTLEMAN LANE HAM LANE <br /> CITY COUNTY ZIP <br /> LODI SAN JOAQUIN 95240 <br /> MAILING ADDRESS CITY STATE YIP <br /> 1301 W. KETTLEMAN LANE LODI CA 95240 <br /> PHONE W/AREA CODE TYPE OF BUSINESS <br /> 209-334-3233 (X) 01 GASOLINE STATION ( ) 02 OTHER <br /> NUMBER OF CONTAINEP.S RURAL AREAS ONLY TOWNSHIP RANGE SECTION <br /> 3 <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 /> GRAFFIGNA, PETE 209—'a'i.�' GRAFFTGNA, PETE 209-334-2931 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( ) 04 OTHER: CONTAINER NUMBER 3 <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: 1976 C. YEAR INSTALLED 1976 ( I UNKNOWN <br /> D. CONTAINER CAPACITY: 110000 GALLONS ( D UNKNOWN 'JE. DOES THE CONTAINER STORE: ( ) 01 WASTE (X) 42 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 ( , D 02 REGULAR ( ) 03 PREMIUM t l 04 DIESEL ( ) 05 WASTE OIL ( ) 06 OTHER <br /> 'V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: t } GAUGE t ) 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 ( ) 02 SINGLE WALLED ( ) 03 LINED <br /> D. ( ) 01 CARBON STEEL t ) 02 STAINLESS STEEL t } 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE ( ) 05 CONCRETE <br /> t ) 06 ALUMINUM ( ) 07 STEEL CLAD ( ) 08 BRONZE t ) 09 COMPOSITE ( ) 10 NON—METALLIC <br /> (X) 12 UNKNOWN { D 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br />