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0 STATE ID NUMBER 00000014594006 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> 01 NEW PERMIT ( ) 05 RENEWED PERMIT i 3 07 TANK CLOSED ( ) 09 DELETE FROM FILE (NO FEE) <br /> yt�p2 CONDITIONAL PERMIT S } 06 AMENDED PERMIT ( S C8 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> Na''w(COPPOPATICN.INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> MEL BOKIDES PETROLEUM INC. ( l 01 FED ( ) 02 STATE 03 LOCAL <br /> STREET ADDRESS CITY STATE ZIP <br /> 2191 NAVY DRIVE STDCKTON CA 95206 <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREMAN/SUPERVISOR <br /> MEL BOKIDES PETROLEUM INC MEL BOKIDES <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 2191 NAVY DRIVE <br /> CITY COUNTY ZIP <br /> STOCKTON SAN JOAQUIN 95206 <br /> MAILING ADDRESS CITY STATE ZIP <br /> 2191 NAVY DRIVE STOCKTON CA 95206 <br /> PHONE W'AREA CODE TYPE OF BUSINESS <br /> 209-943-2011 (X) 01 GASOLINE STATION ( 1 02 OTHER <br /> NUMBER 0' COlg>TNERS RURAL .AREAS ONLYTOWNSHIP RANGE SECTION <br /> 14 31 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DA'-"S: NAM (LAST NAM° FIRST) AND PHC:NE W/AREA CODE NIGHTS: NAME(LAST NAME FIRST) ANDPHONE W/AREA 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 ( l 04 OTHER: CONTAINER NUMBER 6 <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG= 1979 C. YEAR INSTALLED 1979 ( 1 UNKNOWN <br /> 0. CONTAINER CAPACITY: 20000 GALLONS ( ) 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 ( ) 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br /> (X) 01 UNLEADED ( ) 02 REGULAR ( ) 03 PREMIUM ( i 04 DIESEL ( ! 05 WASTE OIL ( ] 06 OTHER <br /> L <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: C ) GAUGE i ) INCHES ( ) CM (X) UNKNOWN <br /> 01 VAULTED ( LOCATED IN AN UNDERGROUND VAULT) lX) 02 NON-VAULTED ( ) 03 UNKNOWN <br /> C. ( l oa DOUBLE WALLED Nel 02 SINGLE WALLED ( ) 03 LINED <br /> D. (X) 01 CARBON STEEL t ) 02 STAINLESS STEEL t ) 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE ( 1 05 CONCRETE <br /> ( ) 06 ALUMINUM i ) 07 STEEL CLAD ( ) 08 BRONZE ( ) 09 COMPOSITE ( ) 10 NON-METALLIC <br /> ( ) 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br />