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%wo, •� <br /> STATE IO NUMBER 00000014047001 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> A,.vI NEW PERMIT f 1 05 RENEWED PERMIT ( ) 07 TANK CLOSED ( ) 09 DELETE FROM FILE (NO FEE1 <br /> 02 CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAME(CORPCRATION.INOIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> MEL BOKIDES PETROLEUM INC. ( ) 01 FED ( ) 02 STATE ( ) 03 LOCAL <br /> STREET ADDRESS CITY STATE IIP <br /> 2191 NAVY DRIVE STOCKTON CA 95206 <br /> II FACILITY <br /> FACILITY NAME DEAL /FOREMAN/�L1PdRVISOR <br /> JOHNNY'S TEXACO C/ <br /> STREET ADDRESS NEAREST CRO SIS STREET <br /> 641 E. CHARTER WAY <br /> CITY COUNTY IIP <br /> STOCKTON SAN JOAQUIN 95206 <br /> MAILING ADDRESSCITY STATE ZIP <br /> 641 E. CHARTER WAY STOCKTON CA 95206 <br /> PHONE W/AREA CODE TYPE OF BUSINESS <br /> - (X) 01 GASOLINE STATION f ) 02 OTHER <br /> NUMBER CO1lTAINERS RURAL AREAS ONLY TOWNSHIP RANGE SECT20N <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAME(LAST NAME FIRST) AND PHONE W/AREA C00! NIGHTS: NAME(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 f ) 04 OTHER: CONTAINER NUMBER 1 <br /> B. MANUFACTURER (IF APPROPRIATE): YEAR MFG: C. YEAR INSTALLED (X) UNKNOWN <br /> 0. CONTAINER CAPACITY: 2000 GALLONS ( 1 UNKNOWN E. DOES THE CONTAINER STORE: f ) 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 /> ( ) <br /> 01 UNLEADED ( ) 02 REGULAR (X) 03 PREM U ( ) 04 DIESEL ( ) 05 WASTE OIL ( ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: f ) GAUGE ( 1 INCHES l 1 CM (X) UNKNOWN <br /> B. ( 1 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (102 MON-VAULTED (#Y 03 UNKNOWN <br /> C. f ) 01 DOUBLE WALLED ( ) 02 SINGLE WALLED ( ) 03 LINED <br /> D. (�) 01 CARBON STEEL [ 1 02 STAINLESS STEEL l ) 03 FIBERGLASS l l 04 POLYVINYL CHLORIDE ( ) 05 CONCRETE <br /> ) 06 ALUMINUM f ) 07 STEEL CLAD ( ) 08 BRONZE f 1 09 COMPOSITE f ) 10 NON-METALLIC <br /> t%3-12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br />