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STATE ID NUMBER 00000063247003 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> Wf 01 NEW PERMIT E } 65 RENEWED PERMIT ( )-07 TANK CLOSED ( ) 09 DELETE FROM FILE (NO FEE) <br /> } 02 CONDITIONAL PERMIT t ) 06 AMENDED PERMIT ( ) 08 KINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAME(COf2PCRATIOY,TNDIVYOUAL OR PUBLIC AGENCY) <br /> FP(U8)L <br /> IC AGENCY ONLY <br /> CHEVRON U.S.A. INC. 01 FED c ) 02 STATE ( ) 03 LOCAL <br /> STREET ADDRESS CITY STATE Z;SP <br /> 575 MARKET SAN FRANCISCO CA 94105 <br /> II FACILITY <br /> FACILITY NAME / / e- DEALER/FOREMAN/SUPERVISOR <br /> C <br /> 99840 Y� �$ V r on HATFIELD Y <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 44010 WATERLOO RD HWY 99 <br /> CITY =COUNTY ZIP <br /> STOCKTON SAN JOAQUIN 95205 <br /> MAILING ADDRESS CITY FCA <br /> TE ZIP <br /> 4400 WATERLOO RE) 11STOCKTON 952A5 <br /> PHONE W/APEA CODE TYPE OF BUSINESS <br /> 209-931-2186 (X) 01 GASOLINE STATION f ) 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/A'REA CODE NIGHTS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE <br /> MAINTENANCE DISPATCH 415-877-0244 _ <br /> COMPLETE T+iE FOLLOWING 014 A SEPARATE FORS: FOR EACH CONTAINER <br /> IV DEStRIPTIC)N <br /> A. (X) 01 TANK t ) 04 OTHER.: CONTAINERNUMBER3 <br /> B. MANUFACTUfZER (IF APPROPRIATE): YEAR MFG:: C YEAR INSTALLED ( ) UNKNOWN <br /> D. CONTAINER CAPACITY: 1000# GALLONS [ ) UNKNOWN E. DOES THE CONTAINER STORE: ( 3 01 WASTE (X) 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR,WASTE OIL ? ( ) 01 YES ( ) 02 NO If YES CHECK APPROPRIATE BOX(ES): <br /> t ) 01 UNLEADED t ) 0-2 REGULAR 03 PREMIUM t ) 04 DIESEL `( ) V5 WASTE"OIL ( ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: 0000250 t )' GAUGEt ) INCHES ( ) CM ( ) UNKNOWN <br /> B. E ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON—VAULTED: ( ) 03 UNKNOWN <br /> C. .{—k-}' 01 DOUBLE WALLED 02 SINGLE WALLED { ) 03 ;LINED <br /> D. 0l CARBON STEEL ( ) 02 STAINLESS STEEL >4sCf 03 FIBERGLASS t } 04 POLYVINYL CHLORIDE ( l 05 CONCRETE <br /> ( )'06 ALUMINUM t } 07 STEEL CLAD f ) 08 BRONZE t } 09 COMPOSITE E } 10 NDN-METALLIC <br /> E ) 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br />