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7 <br /> 0 0 STATE ID NUMBER 00000014594007 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> 01 NEW PERMIT ( l 05 RENEWED PERMIT ( ) 07 TANK CLOSED ( ) 09 DELETE FROM FILE (NO FEE) <br /> L?� <br /> 02 CONDITIONAL PERMIT i 1 06 AMENDED PERMIT ( ) 08 MI)dOR CHANGE (N0 SURCHARGE)) <br /> I OWNER <br /> NAME(CCPPOPATION.INDIVICUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> MEL BOKIOES PETROLEUM INC. f ) 01 FED ( ) 02 STATE 03 LOCAL <br /> STPEET ADDPESS :�JSTOCKTON <br /> ITY S �95116 <br /> 2191 NAVY DRIVE �CA� <br /> II FACILITY <br /> F40ILIT" NAME DEALER/FOREMAN/SUPERVISOR <br /> MEL BOKIDES PETROLEUM INC MEL BOKIDES <br /> STREEt AQDPESS NEAREST CROSS STREET <br /> 2191 NAVY DRIVE <br /> CITY COUNTY ZIP <br /> STOCKTON SAN JOAQUIN 95206 <br /> ".AILING ADD7ESS CITY STATE ZIP <br /> 2191 NAVY DRIVE STOCK+TON CA 95206 <br /> PHONE W APEA COVE TYPE OF BUSINESS <br /> 209-943-2011 (X) O1 GASOLINE STATION 1 ) 02 OTHER <br /> NUMBER OF CONTAINEk RURAL AREAS ONLY TOWNSHIP RANGE SECTION <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> =BOKI�DES <br /> A,ST NAME FIRST) AND PHONE W '.,REA CODE NIGHTS: NAME(LAST NAME FIRST) AND PHCNE W/AREA CODE <br /> 209-943-2011 MEL BOKIDES 209-477-3643 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> JA. (X) O). TANK ( 1 04 OTHER CONTAINER tdUMSER 7 <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: 1979 C. YEAR INSTALLED 1979 ( ) UNKNOWN <br /> 0. CONTAINER CAPACITY: 10000 GALLONS ( 1 UNKNOWN E. DOES THE CONTAINER STORE: ( 1 01 WASTE (X) 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL Y (X) 01 YES ( ) 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br /> (X) 01 UNLEADED ( ) 02 REGULAR E ) 03 PREMIUM ( ] 04 DIESEL [ ) 05 WASTE OIL ( ] 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: i 1 GAUGE ( ) INCHES [ 1 CM (X) UNKNOWN <br /> B. t 1 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON—VAULTED ( ) 03 UNKNOWN <br /> C. t ) 01 DOUBLE WALLED (� 2 SINGLE WALLED ( ) 03 LINED <br /> D. (X) 01 CARBON STEEL ( ) 02 STAINLESS STEEL ( ) 03 FIBERGLASS ( D 04 POLYVINYL CHLORIDE ( ) 05 CONCRETE <br /> ( ) 06 ALUMINUM [ ) 07 STEEL CLAD ( ) 06 BRONZE ( 1 09 COMPOSITE ( ) 10 NON—METALLIC <br /> 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br />