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STATE ID NUMBER 00000038025001 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> t` ) 01 NEW PERMIT f ) 05 RENEWED PERMIT ( ) 07 TAW CLOSED ( ) 09 DELETE FROM FILE ENO FEE) <br /> 02 CONDITIONAL PERMIT t ) 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAME(CORPOPATION,INDIVIDUAL OR PUBLIC AGENCY) LIC AGENCY ONLY <br /> FLAME LIQUORS INC. f } 01 FED t } 02 STATE ( ) 03 LOCAL <br /> STREET ADDRESS CITY STATE ZIP <br /> 1301 W. KETTLEMAN LANE LODE CA 95240 <br /> IT FACILITY <br /> FACILITY NAME DEALER/FOREMAN/SUPERVISOR <br /> FLAME LIQUORS PETE GRAFFIGNA <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 7.301 W. KETTLEMAN LANE HAM LANE <br /> CITY COUNTY ZIP` <br /> LOBI SAN JOAQUIN 95240 <br /> MAILING ADDRESS71CITY STATE ZIP <br /> 1301 W. KETTLEMAN LANE LORI CA 95240 <br /> PHONE W/AREA CODE TYPE OF BUSINESS <br /> 209-334-3233 (X) 01 GASOLINE STATION t ) 02 OTHER <br /> NUMBER OF CONTAINERSRURAL AREAS ONLY TOWNSHIP kANGE SECTION <br /> 3 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAME(LAST NAME FIRST) AND PHONE W/APEA CODE NIGHTS: NAME(L-AST NAME FIRST) AND PHONE W/AREA CODE <br /> GRAFFIGNAf PETE 209- _3GRAFFIGNA, PETE 209-334-2931 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK t 7 04 OTHER: CONTAINER NUMBER 1 <br /> B. MANUFACTURER' (IF APPROPRIATE): YEAR MFG: 1976 C. YEAR It4STALLED 1976 t 1 UNKNOWN <br /> D. CONTAINER CAPACITY: 10000 GALLONS '( ) UNKNOWN JE. 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 BOXIES): <br /> E ) 01 UNLEADED (X) 02 REGULAR ( J 03 PREMIUM ( ) 04 DIESEL t ) 05 WASTE :OIL ( ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( ) GAUGE ( D INCHES ( ) CM (X) UNKNOWN <br /> B. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ( ) 03 UNKNOWN <br /> C. ( ) 01 DOUBLEWALLED ( ) 02 SINGLE WALLED ( ) 03 LINED <br /> D. ( ) 01 CARBON STEEL t 1 02 STAINLESS STEEL " f ), 03 FIBERGLASS ( } 04 POLYVINYL CHLORIDE t ) OS CONCRETE <br /> ( }, 06 ALUMINUM t ) 07 STEEL CLAD t } 08 BRONZE ( 7 09 COMPOSITE ( } IO NON-METALLIC <br /> fX) 12 UNKNOWN ( ) 13 OTHER: <br /> KSC04-070185 (10/18/85) PAGE 1 <br />