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STATE ID NUMBER 00000014594001 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> 01 NEW PERMIT [ } 05 RENEWED PERMIT ( ) 07 TANK CLOSED ( ) 09 DELETE FROM FILE (NO FEE) <br /> 02 CONDITIONAL PERMIT C ) 06 AMENDED PERMIT ( ) 4B MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAMEECOPPOPATION,INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> MEL BOKIDES PETROLEUM INC. ( ) 01 FED ( ) 02 STATE 03 LOCAL <br /> STP€ET AODPESS CITY STATE ZIP <br /> 2191 NAVY DRIVE STOCKTON CA 95206 <br /> II FACILITY <br /> FACILITY NAME DEALER./FDP,EMAN/SUPEPVISOP <br /> MEL BOKIDES PETROLEUM INC MEL BOKIDES <br /> STREET ADOPESS NEAREST CROSS STREET <br /> 2191 NAVY DRIVE <br /> ITy COUNTY ZIP <br /> STOCKTON SAN JOAQUIN 95206 <br /> MAILING ADDRESS CITY STATE ZIP <br /> 2191 NAVY DRIVE STOCKTON CA 95206 <br /> PHONE WlAREA CODE TYPE OF BUSINESS <br /> 209-943-2011 (X) 01 GASOLINE STATION C 1 02 OTHER <br /> NUMBER OF CONTAINERS F PUPAL AREAS ONLY : TOWNSHIP RANGE SECTION <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAY'S: NI')E(LAST NAME FIPST) AND PHONE W/.AP.EA CODE NIGHTS: N.AME(LAST NAME FIRST) AND PHONE W/AREA CODE <br /> MEL ECKIDES 209-943-2011 MEL BOKIDES 209-477-3643 <br /> COMPLETE THE FCLL014ING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( ) 04 OTHER: CONTAINER NUMBER 1 <br /> B. MANUFACTURER (IF APPROPRIATE): 1979 YEAR MFG: C. YEAR INSTALLED 1979 ( 1 UNKNOWN <br /> 0. CONTAINER CAPACITY: 20000 GALLONS i ) UNKNOWN JE. DOES THE CONTAINER STORE: ( ) 01 WASTE (X) 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? (X) 01 YES ( ) 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br /> f } 01 UNLEADED ( 1 02 REGULAR ( 1 03 PREMIUM (X) 04 DIESEL f ) 05 WASTE OIL f 1 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( 1 GAUGE ( ) INCHES ( ) CM (X) UNKNOWN <br /> B. ( ) 01 VAULTED (LOCATED IN AN UNDERGROU140 VAULT) (X) 02 NON-VAULTED f ) 03 UNKNOWN <br /> C. ( 7 D1 DOUBLE WALLED ( ) 02 SINGLE WALLED ( ) 03 LINED <br /> D. (Xl 01 CARBON STEEL ( ) 02 STAINLESS STEEL ( ) 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE C ) 05 CONCRETE <br /> ( ) 06 ALUMINUM ( ) 07 STEEL CLAD ( ) 08 BRONZE f ) 09 COMPOSITE ( } 10 NON-METALLIC <br /> ( ) 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br />