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STATE ID NUMBER 00000003446002 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> 401( <br /> NEW PERMIT ( ) 05 RENEWED PERMIT ( ) 07 TANK CLOSED ( ) 09 DELETE FROM FILE (NO FEE) <br /> 02 CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> N=^'E(CCRPCEATION.I`:DI\'IOUAL OR PUBLIC AGENCY) <br /> TP(UB)LC3 <br /> C AGENCY ONLY <br /> GIBRALTER COMMUNITY BUILDERS 1 FED ( 1 02 STATE ( ) 03 LOCAL <br /> STREET ADDRESS CITY STATE Zip <br /> 5713 N. PERSHING AVENUE STE E STOCKTON ICA 95207 <br /> II FACILITY <br /> FACILITY NAME DEALER/FOPEMAN/SUPERVISCR <br /> SADDLE CITY CHEVRON RICHARD BOKIDES <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 6421 W. PADDOCK PLACE HIGHWAY 12 <br /> CITY COUNTY ZIP 7 Z 6 <br /> LODI SAN JOAQUIN -45 <br /> MAILING AODPESS CIT <br /> LOY STATE ZIP <br /> W. PADDOCK PLACE DI CA 95240 <br /> PHONE W/A.REA CODE TYPE OF BUSINESS <br /> 209-3S4t7?�5 - ' (X) 01 GASOLINE STATION ( ) 02 OTHER <br /> NU. BEP OF CONTAINERS RURAL AREAS ON TOWNSHIP RANGE SECTION <br /> 5 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAMS: N.AME(L.AST NAME FIFST) .AND PHONE W/APER CODE NIGHTS: NAME(LAST NAME FIRST) AND PHONE W/.AREA CODE <br /> RICHARD BOKIDES 209-951-4-3-73 30-t 37J - - <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( 1 04 OTHER: CONTAINER NUMBER 2 <br /> B. MANUFACTURER (IF APPROPRIATE): ARROW TANK CO. YEAR MFG: 1983 C. YEAR INSTALLED 1983 ( ) UNKNOWN <br /> D. CONTAINER CAPACITY: 12000 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 ( l 04 DIESEL ( ) 05 WASTE OIL ( 1 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: 1/4 ( ) GAUGE (X) INCHES f ) CM ( ) UNKNOWN <br /> B. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ( ) 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED (X) 02 SINGLE WALLED ( ) 03 LINED <br /> D. (X) 01 CARBON STEEL ( l 02 STAINLESS STEEL ( ) 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE ( ) 05 CONCRETE <br /> ( ) 06 ALUMINUM ( ) 07 STEEL CLAD ( ) 08 BRONZE ( ) 09 COMPOSITE ( 1 10 NON-METALLIC <br /> ( ) 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br />