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STATE 10 NUMBER 00000038025003 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> t 01 NEW PERMIT ( l 05 RENEWED PERMIT ( ) 07 TANK CLOSED ( ) 09 DELETE FROM FILE (NO FEE) <br /> J 02 CONDITIONAL PERMIT ( J 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br /> IOWNER <br /> NAME(CORPORATION,INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> FLAME LIQUORS INC. ( ) 01 FED ( ) 02 STATE ( } 03 LOCAL <br /> STREET ADDRESS CITY STATE ZIP <br /> 1301 W. KETTLEMAN LANE LODI ICA 95240 <br /> II FACILITY <br /> FACSLITY NAME DEALER/FOREMAN/SUPERVISOR <br /> FLAME LIQUORS PETE GRAFFIGNA <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 1301 W. KETTLEMAN LANE HAM LANE <br /> CITY COUNTY ZIP <br /> LORI SAN JOAQUIN 95240 <br /> MAILING ADDRESS CITY STATE ZIP <br /> 1301 W. KETTLEMAN LANE LODI CA 95240' <br /> PHONE W/.AREA CODE TYPE OF BUSINESS <br /> 209-334-3233 (X) 01 GASOLINE STATION ( l 02 OTHER <br /> 3 NUMBER OF CONTAINERS RURAL AREAS ONLY ]��N$Hlp RANGE SECTION <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 /> GRAFFIGNA, PETE 209 7j GRAFFIGNA, PETE 209-334-2931 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK t l 04 OTHER: CONTAINER NUMBER 2 <br /> B. MANUFACTURER tIF APPROPRIATE) YEAR MFG: 1976 C. YEAR INSTALLED 1976 t ) UNKNOWN <br /> 0. CONTAINER CAPACITY: 10000 GALLONS ( l UNKNOWN JE. 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 L t l 02 REGULAR ( ) 03 PREMIUM ( ) 04 DIESEL t ) 05 WASTE OIL ( ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: t ) GAUGE t ) INCHES ( ) CM (X) UNKNOWN <br /> B. ( ) 01VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ( ) 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED t J 02 SINGLE WALLED ( l 03 LINED <br /> D. ( ) 01 CARBON STEEL ( ) 02 STAINLESS STEEL ( ) 03 FIBERGLASS ( J 04 POLYVINYL CHLORIDE f ) 05 CONCRETE <br /> ( ) '06 ALUMINUM ( ) 07 STEEL CLAD t ) 08 BRONZE f 1 09 COMPOSITE ( ) 10 NON-METALLIC <br /> (X) 12 UNKNOWN; ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE I <br />