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STATE ID ;NUMBER 00000038894003 <br /> APPLICATION FOR 'PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> A( ) 01 NEW PERMIT t D 05 RENEWED PERMIT ( ) 07 TANK CLOSED ( ) 09 DELETE FROM FILE (NO FEE) <br /> ) 02 CONDITIONAL PERMIT t l 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAME(CORRORATION,INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> BEACON OIL COMPANY ( ) 01 FED ( ) 02 STATE ( ) 03 LOCAL <br /> STREET ADDRESS CITY STATE F93230 <br /> 525 W. THIRD STREET HANFORD CA <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREMAN/SUPERVISOR <br /> BEACON STATION # 51.3 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 7SCA <br /> TATE ZIP <br /> 525 W. THIRD STREET HANFORD 93230 <br /> PHONE W/AREA. CODE TYPE OF BUSINESS <br /> 209-582-0243 (X) 01 GASOLINE STATION ( ) 02 OTHER <br /> NUMBER OF CONTAINERS RURAL AREAS ONLY 'TOWNSHIP RANGE SECTION <br /> 3 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAME LAST NAME FIRST) AND PHONE W/AP.EA CODE NIGHTS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE <br /> MCCUTCHEN) JIM 209-582-9241 SHIFT SUPERVISOR 209-582-0246 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV )DESCRIPTION <br /> A. (X) 01 TANK ( ) 04 OTHER: CONTAINER NUMBER <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR. MFG: C. YEAR INSTALLED 1964 t ) UNKNOWN <br /> D. CONTAINER CAPACITY: 12000 GALLONS ( ) UNKNOWN E. DOES THS CONTAINER STORE: f ) 01 WASTE (X) 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ?':(X) 01 YES ( l 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br /> ( ) 01 UNLEADED ( ) 02 REGULAR (X) 03 PREMIUM ( ) 04 DIESEL ;E ) 05 WASTE OIL ( ) 06 OTHER <br />_ V CONTAINER CONSTR=UCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT .025 ( ) GAUGE (X) INCHES t 1 CM ( i UNKNOWN <br /> B. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ( ) 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED (X) 02 SINGLE WALLED ( i 03 LINED <br /> D. (X) 01 CARBON STEEL f l 02 STAINLESS STEEL t ) 03 FIBERGLASS ( l 04 POLYVINYL CHLORIDE ( ) 05 CONCRETE <br /> t ) 06 ALUMINUM ( ) 07 STEEL,CLAD ( ) 08 BRONZE ( 3 09 COMPOSITE ( ) 10 NON-METALLIC <br /> ( ) 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br />�_ J <br />