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STATE ID NUMBER 00000663247,064 <br /> APPLICATION FOR 'PERM,IT TO OPERATE UNDER.GROUNP STORAGE TANK <br /> t 01 NEW PERMIT ( ) 05 RENEWED PERMIT ( ) 07 TAW CLOSED t ) 69 DELETE FROM FILE IND FEE) <br /> ( ) 02 CONDITIONAL PERMIT t ) 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NII SURCHARGE) <br /> I O 14N°E R <br /> NAME(CORPORAT'ION,INDSVIDUA-L OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> CHEVRON U.S.A. INC. ( l 01 FED ( ) 02 STATE ( ) 03 LOCAL <br /> STREET ADDRESS CITY STATE ZIP <br /> 57.5 MARKET SA44 FRANCISCO CA 94105 <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREMAN/SUPERVISOR <br /> 99840 rA / Cke_VrQHATFIELD,ANOY <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 4400 WATERLOO RJ HWY 99 <br /> CITY COUNTY ZIP <br /> STOCKTON SAN JOAQUIN 95205 <br /> MAILING ADDRESS CITY STATE ZIP <br /> 440FQ,WAT_ERLOO RD STOCKTt)N CA 95205 <br /> PHONE W/A;ZA CODE TYPE OF BUSINESS <br /> 209-931=2186 (X) 01 GASOLINE STATION f ) 02 OTHER <br /> NUMBER OF CONTAINERS RURAL AREAS ONLY :FWNSHIP RANGE FSECTION <br /> III 24 HOUR EMERGENCY CONTACT PERSON, <br /> GAYS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE NIG-HTS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE <br /> MAINTENANCE <br /> DISPATCH 415-877-0244 - - <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 T ( ) 04 OTHER: CONTAINER NUMBER 4 <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: C. YEAR INSTALLED ( ) 'UNKNOWN <br /> D. CONTAINER CAPACITY: 1000 GALLONS ( ) NOWN E. DOES THE CONTAINER STORE': (X) 01 WASTE ( ) 02 PRODUCT <br /> F. DOES THE CONTAIN..ER STORE MOTOR 'VEHICLE FUELOR WASTE OIL ? ( ) 01 YES t ) 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br /> t l 01 UNLEADED ( ;) 02 REGULAR' ( ) 03 PREMIUM ( l 04 DIESEL ( ) 05 WASTE OIL ( D 06 OTHER <br /> V C"ONTAI,NER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: 0000250 t ) GAUGE ( ) INCHES ( ) CM ( D UNKNOWN" <br /> B. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X:) 02 ;' N-VAULTED ( ) 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED (X) 02 SINGLE WALLED ( ) 03 LINED <br /> 0. (X) 01 'CARBON STEEL ( ) 02 STAINLESS STEEL ( B 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE ( ) 05 CONCRETE <br /> ( ) 06 ALUMINUM ( ) 07 STEEL CLAD ( ) 08 BR E ( ) `09 COMPOSITE ( ) 10 NON,-METALLIC <br /> f ) 12 UNKNOW( ( ) 13 OT4tER: <br /> HSC04-070185 (10/18/S5) PAGE I <br />