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STATE ID NUMBER 00000038894002 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> t1 NEW PERMIT ( ) 05 RENEWED PERMIT ( ) 07 TANK CLOSED ( ) 09 DELETE FROM FILE (NO FEE) <br /> _H02 CONDITIONAL PERMIT t 3 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAME(COPPORATION,INDIVIOUAL OR PUBLIC AGENCY) PUBLICAGENCY ONLY <br /> BEACON OIL COMPANY t ) 01 FED ( ) 02 STATE ( l 03 LOCAL <br /> STREET ADDRESS CITY STATE ZIP <br /> 525 W. THIRD STREET HAN€ORD CA 93230 <br /> II FACILITY <br /> FACILITY NAME DEALER/FOR'EMAN/SUPERVISOR <br /> BEACON STATION # 513 EARL SALE <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 401 KETTLEMAN LANE SOUTH LEE AVENUE <br /> CITY COUNTY ZIR <br /> LODI SAN JOAQUIN 95240 <br /> MAILING ADDRE-SS CITY STATE ZIP <br /> 525 W. THIRD STREET HANFORD CA 93230 <br /> PHONE W/AREA CODE TYPE OF BUSINESS <br /> 209-582-0241 (X) 01 GASOLINE STATION ( ) 02 OTHER <br /> NUMBER OF CONTAINERS RURAL AREAS ONLY JTOWNSHIP RANGE SECTION <br /> 3 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAME(LAS7 NAME FIRST) AND PHONE W/AP.EA 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. (X) 01TAW ( ) 04 OTHER: CONTAINER NUMBER - <br /> B. MANUFACTURER (IF APPROPRIATE) YEAR MFG: C. YEAR INSTALLED 1964 ( ) UNKNOWN <br /> D. CONTAINER CAPACITY: 12000 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 /> (X) 01 UNLEADED ( ) 02 REGULAR, ( ) 03 PREMIUM ( ) 04 DIESEL ( D 05 WASTE OIL { 3 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: .025 ( ) GAUGE (X) INCHES ( ) CM ( ) UNKNOWN <br /> B. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 -VAULTED ( ) 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED 1X) '02 SINGLE WALLED t l 03 LINED <br /> D. (X) 01 CARBON STEEL ( ) 02'STAINLESS STEEL t ) :03 FIBERGLASS { l 04 POLYVINYL CHLORIDE t ) 05 CONCRETE <br /> t ) 06 ALUMINUM t )-07 STEEL CLAD 4 ) 08 BRONZE t ) 09 COMPOSITE ( l 10 NON-METALLIC <br /> t ) 12 UNKNOWN- ( ) 13 OTHER: <br /> HSC04-070185 (1.0/18/85) PAGE I <br />