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STATE ID NUMBER 00000038894001 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> t01 NEW PERMIT t ) 05 RENEWED PERMIT t ) 07 TAW CLOSED ( } 09 DELETE FROM FILE (NO FEE) <br /> } 02 CONDITIONAL PERMIT t 1 06 AMENDED PERMIT t ) 08 MI CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAME(COPPORATION,INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> BEACON OIL COMPANY ( ) 01 FED t ) 02 STATE t } 03 LOCAL <br /> STREET ADD'PESSCITY STATE ZIP <br /> 525:W. THIRD STREET HANFORD CA 93230 <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREMAN/SUPERVISOR <br /> BEACON STATION # 513 EARL SALE <br /> STREET ADDRESS' NEAREST CROSS STREET <br /> 401 KETTLEMAN LANE SOUTH LEE AVENUE <br /> CITY COUNTY ZIP <br /> LODI SAN JOAQUIN 95240 <br /> MAILING ADDRESS CITY STATE ZIP <br /> 525 W. THIRD STREET HANFORD CA 93230 <br /> PHONE W/AREA CODE TYPE CF BUSINESS <br /> 209-582-0241 tX} 01 GASOLINE STATION t l 02 OTHER <br /> NUMBER OF CONTAINERS RURAL AREAS ONLY TOWNSHIP RANGE SECTION <br /> 3 <br /> III' 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NA:ME(LAST NAME FIRST) AND PHONE W/AREA CODE NIGHTS: NAME-(LAST NAME FIRST) AND PHONE W/AREA CODE <br /> MCCUTCHEN, JIM 209-582-0241 SHIFT SUPERVISOR 209-582-0246 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. W 01 TANK t ) 04 OTHER: CONTAINER NUMBER -#S+5-2-- <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: C. YEAR INSTALLED 1964 t l UNKNOWN <br /> 0. CONTAINER CAPACITY: 12000 GALLONS t ) UNKNOWN JE. DOES THE CONTAINER STORE: t } 01 WASTE tX) 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? (X) 01 YES _( ) 02 NO IF YES CHECK APPROPRIATE BOXES) <br /> f } 01 UNLEADED (X) 02 REGULAR ( ) 03 PREMIUM t ) 04 DIESEL f ) 05 WASTE OIL ( } 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: .025 ( ) GAUGE (X) INCHES t ) CM t } UNKNOWN <br /> B. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED t ) 03 UNKNOWN <br /> C. t ) 01 DOUBLEWALLED (X) 02 SINGLE WALLED t ) 03 LINED <br /> D. (X) 01 CARBON STEEL t ) 02 STAINLESS STEEL t } 03 FIBERGLASS t ) 04 POLYVINYL CHLORIDE t ) 05 CONCRETE ; <br /> t ) 06 ALUMINUM ,t ) 07 STEEL CLAD f ) 08 BRONZE t } 09 COMPOSITE t ) 10 NON-METALLIC <br /> t ) 12 UNKNOWN t ) 13 OTHER: <br /> HSC04-070185 (10°18185) PAGE 1 <br />