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• STATE ID NUMBER 00000013318004 <br /> APPLICATION FOR PERMIT TO OPPATE UNDERGROUND STORAGE TANK <br /> t 1 01 NEW PERMIT ( ) 05 RENEWED PERMIT 07j!H� Cld ) 09 DELETE FROM FILE (NO FEE) <br /> I t ) 02 CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT 71 i7va MINOR CHANGE (NO SURCHARGE) <br /> LI OWNER <br /> NAME(COPPOR.ATION,INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> SHELL OIL COMPANY ( ) 01 FED ( ) 02 STATE ( ) 03 LOCAL <br /> STREET ADDRESS CITY STATE ZIP <br /> P.O. BOX 4848 ANAHEIM CA 92803 <br /> II FACILITY <br /> !-.ACILITY NAME ' Y DEALER/FOREMAN/SUPERVISOR <br /> �OROGENY, INC. � " " SAME <br /> � . <br /> ]STREET ADDRESS NEAREST CROSS STREET <br /> 341 E. MAIN <br /> x <br /> CITY w COUNTY ZIP <br /> RIPON r`'Y"' SAN JOAQUIN 95366 <br /> MAILING ADDRESSCITY STATE ZIP <br /> ;341 E. MAIN RIPON CA 95366 <br /> !PHONE W/AREA CODE TYPE OF BUSINESS <br /> 5209-599-4454 (X) 01 GASOLINE STATION ( ) 02 OTHER <br /> INJMBER OF CONTAINERS RURAL AREAS ONLY :TOWNSHIP RANGE SECTION <br /> 4 <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/APEA CODE <br /> ROBERTS, R 209-599-4454 - - <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> a <br /> A. (X) 01 TANK ( l 04 OTHER: CONTAINER NUMBER 2 <br /> B. MANUFACTURER (IF APPROPRIATE): UNKNOWN YEAR MFG: C. YEAR INSTALLED 1970 ( ) UNKNOWN <br /> D. CONTAINER CAPACITY: 550 GALLONS [ l UNKNOWN JE. DOES THE CONTAINER STORE: (X) 01 WASTE f ) 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 t ) 02 REGULAR ( ) 03 PREMIUM ( ) 04 DIESEL (X) 05 WASTE OIL ( ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: 12 (X) GAUGE ( ) INCHES ( ) CM ( 1 UNKNOWN <br /> B. ( 1 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ( ) 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED (X) 02 SINGLE WALLED ( ) 03 LINED <br /> D. (X) 01 CARBON STEEL ( ) 02 STAINLESS STEEL ( ) 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE ( 1 05 CONCRETE <br /> ( ) 06 ALUMINUM ( l 07 STEEL CLAD ( l 08 BRONZE ( ) 09 COMPOSITE ( l 10 NON-METALLIC <br /> ( ) 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (1.0/18/85) PAGE 1 <br />