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STATE ID NUMBER 00000014594003 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> PERMIT ( ) 05 RENEWED PERMIT ( 1 07 TANK CLOSED [ ) 09 DELETE FROM FILE (NO FEE) <br /> L��EOINEW <br /> DITIONAL PERMIT ( l 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAME(CCP.PCPATICN,INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> MEL BOKIDES PETROLEUM INC. f ) 01 FED f 1 02 STATE k) 03 LOCAL <br /> STREET A.DDPESS CITY STATE ZIP <br /> 2191 NAVY DRIVE STOCKTON CA 95206 <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREMAN/SUPERVISOR <br /> MEL BOKIDES PETROLEUM INC MEL BOKIDES <br /> STPE=7 AO D?ESS NEAREST CROSS STREET <br /> 2191 NAVY DRIVE <br /> CTT-TY COUNTY ZIP <br /> STOCKTON SAN JOAQUIN 95206 <br /> �ILING ADDP°SS CITY STATE ZIP <br /> 2191 NAVY DRIVE STOCKTON CA 95206 <br /> PHONE W/AREA CODE Tl'PE OF BUSINESS <br /> 209-943-2011 (X) 01 GASOLINE STATION ( ) 02 OTHER <br /> N'U:"--BER OF CONTAINERS PUPAL AP.EAS ONLY TOWNSHIP PANGE S=CTION <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> F : NAM-(LAST NAME FIRST) AND PHONE W/APEA CODE NIGHTS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE <br /> BOKIDES 209-943-2011 MEL BOKIDES 209-477-3643 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( 1 04 OTHER: CONTAINER NUMBER 3 <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: 1979 C. YEAR INSTALLED 1979 ( 1 UNKNOWN <br /> D. CONTAINER CAPACITY: 10000 GALLONS ( ) UNKNOWN JE. DOES THE CONTAINER STORE: ( 1 01 WASTE (X) 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? (X) 01 YES ( 102 NO IF YES CHECK APPROPRIATE BOX(ES): <br /> ( ) 01 UNLEADED i ) 02 REGULAR ( ) 03 PREMIUM (X) 04 DIESEL ( ) 05 WASTE OIL ( ] 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> D <br /> A. THICKNESS OF PRIMARY CONTAINMENT: f I GAUGE ( ) INCHES ( ) CM (X) UNKNOWN <br /> B. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ( ) 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED ( ) 02 SINGLE WALLED ( ) 03 LINED <br /> D. (X1 01 CARBON STEEL ( ) 02 STAINLESS STEEL ( ) 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE ( 105 CONCRETE <br /> ( ) 06 ALUMINUM f ) 07 STEEL CLAD ( 1 08 BRONZE ( ) 09 COMPOSITE ( ) 10 NON-METALLIC <br /> ( 112 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br />