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STATE E() N UMBER 00000063247002 <br /> APPLICATIQN FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANG <br /> (,c' 01 NEW PERMIT d ), 05 RENEWED PERMIT ( ) 07 TANK CLOSED E # 09 DELETE FROM FILE (,NO FEE) <br /> t # 02 CONDITIONAL PERMIT t ) :06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAME(COPPOPATION,INDIVIDUAL OR PUBLIC AGENCY) LIC AGENCY ONLY <br /> CHEVRON U.S.A. INC. { l 01 FED" C ) 02 STATE ( J 03 LOCAL' <br /> STREET ADDRESS CITY STATE ZIP <br /> 575 MARKET SAN FRANCISCO CA 94105 <br /> II FACILITY <br /> FACILITY NAME &SEALER/FOREMAN/SUPERVISOR <br /> 99840 A V� v1('Q►^ iATFIELD,ANDY <br /> STREET AD:DPESS NEAREST CROSS STREET <br /> 4400 14ATERLOO RD Hwy 99" <br /> CITY COUNTY ZIP <br /> STOCKTONSAN JOAQUIN 95205 <br /> MAILING ADDRESS CITY STATE ZIP <br /> 4400 WATERLOO RD ST TON CA 45205 <br /> PHONE W/AP.EA CODE TYPE OF BUSINESS <br /> 209-931-2186 (X) 01.GASOLINE STATION C J 02 OTHER <br /> NUMBER 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/AREA CODE <br /> MAINTENANCE DISPATCH 425-877-0244 - <br /> COMPLETE THE FO<LLOW;ING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. tX) 01 TANK ( ) 04 .OTHER: CONTAINER NUMBER 2 <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: C. YEAR INSTALLED C ) UNKNOWN <br /> D. CONTAINER 'CAPACITY GALLONS ( ) UNKNOWN JE. DOES THE CONTAINER STORE: t ) 01 WASTE CX) 02 PRODUCT <br /> F. DOES THE CONTAINER STORE 'MOTOR VEHICLE FUEL OR WASTE OIL'. ( ) 131 YES ( ) 0.2 NO IF YES CHECK APPROPRIATE BOX(ES): <br /> S ) 01 UNLEADED Od 02 REGULAR { # 03 PREMIUM i ) 04 DIESEL t ) 05 WASTE OIL C ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: 0000250 ( ) GAUGE ( # INCHES ( ) CM ( '# UNKNOWN <br /> B. ) 0.1 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ( ) 03 UNKNOWN <br /> C. {V 01 DOUBLE WALLED Wl 02 SINGLE WALLED ( ) 03 L114ED <br /> D. 4,*T 01 CARBON STEEL ( ) 02 STAINLESS STEEL ted 03 FIBERGLASS d ) 04 POLYVINYL CHLORIDE ( ) 05 CONCRETE <br /> ( ) 06 ALUMINUM t ) 07 STEEL CLAD t ) 08 BRONZE ( ) 09 COMPOSITE d J 10 NON-MtTALLIC <br /> 1 ) 12 UNKNOWN { ) 13 OTHER: <br /> HSC04-070285 (10/18/85) PAGE <br />