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SAN JOAQUIN VALLEY EY UNIFIED <br />AIR' -)LLUTIO N CONTROL DIS" 'ICT <br />42.30 KIERV v AVENUE, SUITE 130, MODES2O, CA 95356 <br />(209) 557—s 400 <br />ATTENTION: FILE NL-'ZyfBER: <br />n low 136 <br />RiF ED <br />To Be Filled Out By Applicant <br />MAY 15 2001 " <br />SANJOAQUIN COUNTY <br />BUSINESS NAME: Sierra Chemical Co. OFFICE OFEMERGENCYSERVICES <br />SITE ADDRESS: 1010 Industrial Drive <br />Stockton, CA 95206 <br />Contact Name: Jeffrey Kinder Phone: (209) 983-8298 <br />Please Check The Appropriate Box: <br />Will any load bearing structures be removed? ................... YES [ j NO [xj <br />Will 260 linear feet or more of any building material be disturbed? ...... YES [ I NO [X] <br />Will 160 square feet or more of any building material be disturbed? ..... YES [ ] NO (X] <br />Will 35 cubic feet or more of any building material be disturbed? ....... YES [ ] NO �] <br />For District, Use Only <br />The business has been identified as being exempt from the requirements of <br />the APCD. <br />The business is subject to the permit requirements of the APCD.- Tae <br />applicant has tiled a complete application with the APCD. <br />Q The business has obtained the necessary permits or authorizations from the <br />APCD. <br />Q The business is NOT meeting the APCD requirements. The building permit <br />process may not proceed and a Certificate of Occupancy may not be issued. <br />Q The applicant shall submit an asbestos notification and survey to the APCD <br />within 10 working days prior to asbestos removal. <br />Q The building permit process may continue subject to the following <br />conditions- <br />APCD APPROVAL BY: DATE: / ��� <br />