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• • STATE ID NUMBER 00000014048001 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> ( 1 01 NEW PERMIT f ) 05 RENEWED PERMIT ( ) 07 TANK CLOSED <br /> ( 1 02 CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT ( 1 08 MINOR CHANGE (NO SURCHARGE)) 09 DELETE FROM FILE (NO FEE) <br /> OWNER <br /> i <br /> AME(CORPORATION,INOIVIOUAL OR PUBLIC AGENCY) <br /> EL SOKIDES PETROLEUM INC PUBLIC AGENCY ONLY <br /> ( ) 01 FED 1 ) 02 STATE f 1 03 LOCAL <br /> TR!!T ADDRESS <br /> 2191 NAVY DRIVE CITY STATE ZIP <br /> STOCKTON NCA 95206 <br /> I FACILITY <br /> FACILITY NAME <br /> DEALER/FOREMAN/SUPERVISOR <br /> STP!ET ADDRESS �^`-)� NEAREST CROSS STREETE <br /> ECT <br /> CITY W 1 `1 <br /> STOCKTON COUNTY ZIP <br /> SAN JOAQUIN 95205 <br /> MAILING ADDRESS <br /> CITY STATE ZIP <br /> of l IVI/Y` STOCKTON CA 95205 <br /> PHONE W/APIA CODE TYPE OF BUSINESS <br /> 209-943-2011 (X) 01 GASOLINE STATION ( ) 02 OTHER <br /> NUMBER OF CONTAINERS RURAL AREAS ONLY : TOWNSHIP RANGE <br /> 3 SECTION <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAMI(LAST NAME FIRST) AND PHONE W/AREA COD! NIGHTS: NAMI(LAST NAME FIRST) AND PHONE 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 ( 1 04 OTHER: CONTAINER NUMBER I <br /> B. MANUFACTURER IIF APPROPRIATE): YEAR MFG: C. YEAR INSTALLED (X) UNKNOWN <br /> 0. CONTAINER CAPACITY: 2000 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 /> 1 ) 01 UNLEADED x) 02 REGULAR 1*1 03 PREMIUM ( 1 04 DIESEL I ) 05 WASTE OIL ( 1 06 OTHER <br />! CONTAINER CONSTRUCTION <br /> 6. THICKNESS OF PRIMARY CONTAINMENT: ( ) GAUGE ( I INCHES f 1 CM (X) UNKNOWN <br /> 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) ( 1 02 NON-VAULTED (X) 03 UNKNOWN <br />.. f 1 01 DOUBLE WALLED ( 1 02 SINGLE WALLED ( 1 03 LINED <br /> i. (X) 01 CARBON STEEL ( ) 02 STAINLESS STEEL ( ) 03 FIBERGLASS 1 ) 04 POLYVINYL CHLORIDE l ) 05 CONCRETE <br /> ( ) 06 ALUMINUM ( ) 07 STEEL CLAD ( l 08 BRONZE ( 1 09 COMPOSITE ( 110 NON-METALLIC <br /> (X) 12 UNKNOWN ( ) 13 OTHER: <br />�C04-070185 (10/18/85) <br /> PAGE 1 <br />