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STATE 10 NUMBER 00000062408003 <br />x..FOR PE*IKIT TO OPERATf :UKDERGROUND STORAGE <br />II FACILITY <br />FACILITY NAME <br />(X) 01 TANK ( } 04 OTHER: <br />DEALER/FOREMAN/SUPERVISOR <br />NAM;E(CORPORATION,INDIVIDUAL OR PUBLIC AGENCY) <br />93232 <br />PUBLIC AGENCY ONLY <br />CHEVRON U.5.A. INC. <br />TC. YEAR INSTALLED t ) UNKNOWN <br />( ) 01 FED t ) 02 STATE t }, 03 LOCAL <br />STREET ADDRESS <br />CITY <br />STATE <br />ZIP <br />575 MARKET <br />SAN FRANCISCO <br />CA <br />94105 <br />II FACILITY <br />FACILITY NAME <br />(X) 01 TANK ( } 04 OTHER: <br />DEALER/FOREMAN/SUPERVISOR <br />CONTAINER NUMBER 3 <br />93232 <br />MANUFACTURER (IF APPROPRIATE): <br />GONZALES,RICA900 <br />TC. YEAR INSTALLED t ) UNKNOWN <br />STREET ADDRESS <br />CONTAINER CAPACITY: 10000 GALLONS ( ) UNKNOWN <br />NEAREST CROSS STREET <br />F. <br />8660 LOWER SACRAMENTO RD <br />) 03 LINED <br />PONCE DEL€ON <br />D. <br />CITY <br />CARBON STEEL <br />,06 ALUMINUM <br />UNKNOWN ( } <br />COUNTY <br />} 03: FIBERGLASS ( } 04 POLYVINYL CHLORIDE ( } 05 CONCRETE <br />BRONZE t } 019 COMPOSITE ( } 10 NON-METALLIC <br />ZIP <br />STOCKTON <br />SAN JOAQUIN <br />95207 <br />MAILING ADDRESS <br />CITY <br />STATE <br />ZIP <br />8660 LOWER SACRAMENTO RD <br />STOCKTON <br />CA <br />95207 <br />PHONE W/AREA CODE <br />TYPE OF BUSINESS <br />209-477-0947 <br />(X) 01= GASOLINE STATION ( D 02 OTHER <br />NUMBER OF CONTAINERS <br />RURAL AREAS ONLY : <br />TOWNSHIP' <br />RANGE <br />SECTION <br />4 <br />II1 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 415-877-0244 - - <br />COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br />IV` DESCRIPTION <br />A. <br />(X) 01 TANK ( } 04 OTHER: <br />CONTAINMENT: 0000370 <br />CONTAINER NUMBER 3 <br />B. <br />MANUFACTURER (IF APPROPRIATE): <br />YEAR MCG: <br />TC. YEAR INSTALLED t ) UNKNOWN <br />D. <br />CONTAINER CAPACITY: 10000 GALLONS ( ) UNKNOWN <br />JE. DOES THE CONTAINER STORE: ( ) 01 WASTE (X) 02 PRODUCT <br />F. <br />DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? ( ) 01 YES [ ) 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br />{. ) 01 'UNLEADED ( ) 02 REGULAR 't ) 03 PREMIUM ( ) 04 DIESEL E ) 05 WASTE OIL ( D 06 OTHER <br />V CONTAINER CONSTRUCTION <br />A. <br />THICKNESS OF PRIMARY <br />CONTAINMENT: 0000370 <br />t ) GAUGE ( ) INCHES ( <br />) CM t D 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 <br />(X) 02 SINGLE WALLED I <br />) 03 LINED <br />D. <br />( ) 01 <br />t } <br />f ) 12 <br />CARBON STEEL <br />,06 ALUMINUM <br />UNKNOWN ( } <br />t } 02 STAINLESS STEEL ( <br />t } 07 STEEL, CLAD '( } 08 <br />13 OTHER <br />} 03: FIBERGLASS ( } 04 POLYVINYL CHLORIDE ( } 05 CONCRETE <br />BRONZE t } 019 COMPOSITE ( } 10 NON-METALLIC <br />HSC04-070185 (10/18/85) PAGE 1 <br />