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STATE ID NUMBER 00000001276003 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> 01 NEW PERMIT t l 05 RENEWED PERMIT ( ) 07 TANK CLOSED ( ) 09 DELETE FROM FILE (NO FEE) <br /> l 02 CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> N.AME(CORPORATSON,INDTVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> JIM THORPE OIL INC t l 01 FED ( ) 02 STATE ( ) 03 LOCAL <br /> STREET .ADDRESS CITY STATE ZIP <br /> 351 N BECKMAN RD LODIa CA 95240 <br /> II FACILITY <br /> FACILITY NAME / DEALER/FOREMAN/SUPERVISOR <br /> �1 ► �- t I RICHARD THORPE <br /> STREET .ADDRESS NEAREST CROSS STREET <br /> 351 N BECKMAN RD LOCKFORD ST. <br /> CITY COUNTY ZIP <br /> Loot SAN JOAQUIN 95240 <br /> MAILING ADDRESS CITY STATE ZIP <br /> PO BOX 357 LODI CA 95241 <br /> PHONE W/APER CODE TYPE OF BUSINESS <br /> 209-368-6175 ( ) 01 GASOLINE STATION (X) 02 OTHER FUEL BULK PLANT <br /> GT$ON <br /> NUMBER OF CONTAINERS RURAL AREAS ONLY TOWNSHIP RANGE SE <br /> 12 <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 /> THORPE 209-368-6175 THORPE, RICHARD J. 209-369-7440 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( ) 04 OTHER: CONTAINER NUMBER 3 <br /> B. MANUFACTURER (IF APPROPRIATE): PERKINS WELD YEAR MFG: 1978 C. YEAR INSTALLED 1978 t )UNKNOWN <br /> D. CONTAINER CAPACITY: 10040 GALLONS ( ) UNKNOWN JE. DOES THE CONTAINER STORE: t ) 01 WASTE (X) 02 PRODUCT <br /> F. DUES THE CONTAINER STORE MOTOR 'VEHICLE FUEL OR WASTE OIL ? (X) 01 YES ( ) 02 N0IF YES CHECK APPROPRIATE BOX(ESI: <br /> ( ) 01 UNLEADED (X) 02 REGULAR ( ) 03 PREMIUM ( ) 04 DIESEL t ) 05 WASTE OIL ( ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONT4INMENT: 1/4 t ) GAUGE (X) INCHES " ( ) CM t ) UNKNOWN <br /> B. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) t ) 02 NON-VAULTED ( ) 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED (X) 02 SINGLE WALLED ( ) 03 LINED <br /> D. (X) 01 CARBON STEEL ( 102 STAINLESS STEEL ( ) 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE ( l 05 CONCRETE <br /> f ) 06 ALUMINUM ( ) 07 STEEL CLAD ( r) 08 BRONZE ( ) 09 COMPOSITE t ) 10 NON-METALLIC <br /> 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br />