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STATE ID NUMBER 00000006268001 <br />APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br />()'01 NEW P RMTT ( ) 05 RENEWED PERMIT ( ) 07 TANK CLOSED ( ) 09 DELETE FROM FILE (NO FEE) <br />) 02 CONDITIONAL PERMIT ( )-06 AMENDED PERMIT, ( ) 08 MINOR CHANGE (NO SURCHARGE) <br />T nwm1:Q <br />NAME(COPPORATION,INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br />QUIK STOP MARKETS INC ( ) 01 FED t ) 02 STATE ( ) 03 LOCAL <br />STREET ADDRESS CITY STATE ZIP <br />456' ENTERPRISE ST FREMONT CA 94538 <br />IIFACILITY <br />FACILITY NAME <br />(X) 01 TANK' t ) 04 OTHER: <br />DEALER/FOREMAN/SUPERVISOR <br />QUIK STOP #39 <br />NUMBER 12 <br />WOO CHUN <br />STREET ADOPESS <br />YEAR MFG: <br />NEAREST CROSS STREET <br />2285 E. FREMONT <br />D. <br />E ST <br />CITY <br />E. DOES THE CONTAINER STORE: t <br />COUNTY <br />IIP <br />STOCKTON <br />FUEL OR WASTE OIL ? (X) 01 YES ( ) 02 NO <br />PREMIUM ( ) 04 DIESEL ( ) 05 WASTE OIL ( <br />SAN JOAQUIN <br />95025 <br />MAILING ADDRESS <br />CITY' <br />STATE <br />ZIP <br />PO BOX 5745 <br />FREMONT <br />CA <br />94537 <br />PHONE W/A'REA CODE <br />TYPE OF BUSINESS <br />209-464-1038 <br />(X) 01 GASOLINE STATION t 102 OTHER <br />NUMBER OF CONTAINERS <br />PUPAL AREAS ONLY <br />TOWNSHIP <br />RANGE <br />SECTION <br />2 <br />rII 24 HOONTACT <br />DAYS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE NIGHTS: N.AME(LAST NAME FIRST) AND PHONE W/AREA COD <br />CHUN, WOO 209-464-1038 CHUN, WOO 209-369-3773 <br />COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br />IV, DESCRIPTION <br />A. <br />(X) 01 TANK' t ) 04 OTHER: <br />t ) GAUGE J ) INCHES ( <br />CONTAINER <br />NUMBER 12 <br />B. <br />MANUFACTURER (IF APPROPRIATE): <br />YEAR MFG: <br />C. <br />YEAR INSTALLED 1972 ( ) UNKNOWN <br />D. <br />CONTAINER CAPACITY: 10000 GALLONS t <br />) UNKNOWN 'J <br />E. DOES THE CONTAINER STORE: t <br />) 01 WASTE (X) 02 PRODUCT <br />F. <br />DOES THE CONTAINER STORE MOTOR VEHICLE <br />( ) 01 UNLEADED (X) 02 REGULAR ( ) 03 <br />FUEL OR WASTE OIL ? (X) 01 YES ( ) 02 NO <br />PREMIUM ( ) 04 DIESEL ( ) 05 WASTE OIL ( <br />IF YES CHECK APPROPRIATE BOXES) <br />).06 OTHER <br />V CO-NTAI-NER CONSTRUCTION <br />A. <br />THICKNESS OF PRIMARY CONTAINMENT' <br />t ) GAUGE J ) INCHES ( <br />) CM (X) UNKNOWN <br />B. <br />( ) 01 <br />VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON -VAULTED ( <br />) 03 UNKNOWN <br />C. <br />( ) 01 <br />DOUBLE WALLED (X) 02 SINGLE WALLED t <br />) 03 LINED <br />D. <br />(X) 01 <br />t ) <br />12 <br />CARBON STEEL ( ) 02 STAINLESS STEEL ( <br />06 ALUMINUM ( ) 07 STEEL CLAD t ) 08 <br />UNKNOWN ( ) 13 OTHER: <br />) 03 FIBERGLASS ( ) 04 <br />BRONZE t 1 09 COMPOSITE <br />POLYVINYL CHLORIDE ( ) 05 CONCRETE <br />t ) 10 NON-METALLIC <br />PAGE ,, i <br />