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• s <br /> ' STATE ID NUMBER 00000014048003 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> ( 1 01 NEW PERMIT f ) 05 RENEWED PERMIT ( 1 07 TANK CLOSED ( 1 09 DELETE FROM FILE (NO FEE) <br /> ( ) 02 CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT - 1 ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAMC(CCPPORATION.INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> MEL BOKIDES PETROLEUM INC l 1 01 FED ( ) 02 STATE ( 1 03 LOCAL <br /> STREET ADDPESS CITY STATE ZIP <br /> 2191 NAVY DRIVE STOCKTON CA 95206 <br /> II FACILITY <br /> FACILITY NAME DEALCR/FOREMAN/SUPERVISOR <br /> --1AOPISIlT-MI(I. <br /> $STREET•ADDRESS P NEAREST CROSS STREET <br /> tisq- P K <br /> CITY COUNTY ZIP <br /> STOCKTON SAN JOAQUIN 95205 <br /> MAILING ADDRESS �` CITY STATE ZIP <br /> STOCKTON CA 95205 <br /> PHONE W/AREA CODE TYPE OF BUSINESS <br /> 209-943-2011 (X) 01 GASOLINE STATION f 1 02 OTHER <br /> NUMBER Of CONTAINERS PUPAL AREAS ONLY TOWNSHIP RANGE SECTION <br /> 3 <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/AREA CODE <br /> MEL BOKIDES 209-943-2011 MEL SOKIDES 209-477-3643 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (XI 01 TANK ( 1 04 OTHER: CONTAINER NUMBER 3 <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: I C. YEAR INSTALLED (X) UNKNOWN <br /> D. CONTAINER CAPACITY: 10000 GALLONS ( I UNKNOWN E. DOES TME CONTAINER STORE: ( 1 01 WASTE (X) 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? (X) 01 YES ( 1 02 NO IF YES CHECK APPROPRIATE BOX(ES1: <br /> 1 1 <br /> 01 UNLEADED (V 02 REGULAR f 103 PREMIUM ) 04 DIESEL ( ) 05 WASTE OIL f 1 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: l ) GAUGE ( ) INCHES ( ) CM (X) UNKNOWN <br /> B. f 1 Ol VAULTED (LOCATED IN AN UNDERGROUND VAULT) ( 1 02 NON-VAULTED (XI 03 UNKNOWN <br /> C. f ) 01 DOUBLE WALLED ( ) 02 SINGLE WALLED ( ) 03 LINED <br /> 01 CARBON STEEL f 1 02 STAINLESS STEEL f 1 03 FIBERGLASS f ) 04 POLYVINYL CHLORIDE f 1 OS CONCRETE <br /> ( 1 06 ALUMINUM l ) 07 STEEL CLAD ( 1 08 BRONZE ( 1 09 COMPOSITE f 1 10 NON-METALLIC <br /> ( 1 12 UNKNOWN ( ) 13 OTHER: <br /> SC04-070185 (10/18/85) PAGE 1 <br />