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STATE ID NUMBER 00000014594005 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> 01 NEW PERMIT ( 1 05 RENEWED PERMIT [ 1 07 TANK CLOSED ( ) 09 DELETE FROM FILE (NO FEE) <br /> A-02 CONDITIONAL PERMIT f 1 06 AMENDED PERMIT ( 1 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NL'E(CO*POP.ATZCN.INDIVIDU.AL CR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> MEL BOKIDES PETROLEUM INC. ( ) 01 FED { ) 02 STATE 03 LOCAL <br /> STREET ADDPESS 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 /> STREET ADDPESS NEAREST CRCSS STREET <br /> 2191 NAVY DRIVE <br /> CITY COUNTY ZIP <br /> STOCKTON SAN JOAQUIN 95206 <br /> MAILING ADDPESS CITY STATE 2IP <br /> 2191 NAVY DRIVE STRCKTON CA 95206 <br /> PHONE W'�.PEA CCDE TYPE OF BUSINESS <br /> 209-943-2011 fXl 01 GASOLINE STATION ( 1 02 OTHER <br /> NUu9ER 0 ,COf,�.ry4INE'R5 RURAL .AREAS ONLY 7 TOWNSHIP RANGE SECTION <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/AP.EA CODE <br /> MEL 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 ( ) C4 OTHER CONTAINER. NUMBER 5 <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: 1979 C. YEAR INSTALLED 1979 ( ) UNKNOWN <br /> D. CONTAINER CAPACITY: 20000 GALLONS ( 1 UNKNOWN E. DOES THE CONTAINER STORE: ( ) 01 WASTE (X) 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? (X) 01 YES 4 ) 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br /> i 1 01 UNLEADED (X) 02 REGULAR ( ) 03 PREMIUM ( 1 04 DIESEL ( l 05 WASTE OIL f 1 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: C l GAUGE ( ) INCHES f ) CM ( ) UNKNOWN <br /> B. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) f ) 02 NON-VAULTED ( ) 03 UNKNOWN <br /> C. ( 1 01 DOUBLE WALLED ( l 02 SINGLE WALLED f } 03 LINED <br /> D. ( l 01 CARBON STEEL ( } 02 STAINLESS STEEL f ) 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE ( } 05 CONCRETE <br /> ( ) 06 ALUMINUM ( ) 07 STEEL CLAD ( 1 08 BRONZE f 1 09 COMPOSITE ( ) 10 NON-METALLIC <br /> ( ) 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE I <br /> 0 <br />