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RECEIVEo <br /> AUG 1 200& <br /> Y SERVICES <br /> SAN J.OAQUIN VALLEY UNIFIED '"'VOICE OF EMERGENC <br /> AIR POLLUTION CONTROL DISTRICT <br /> 4230 KIERNAN AVENUE, SUITE 130, MODESTO, CA 95356 <br /> (209) 557-6400 • FAX (209) 557-6475 <br /> ATTENTION: FILENUMBER: 06 - L1368 <br /> TO BE FILLED OUT BY APPLICANT <br /> BUSINESS NAME: SEC I1J TI-( $©X <br /> SITE ADDRESS: <br /> $-roc�zor�. fl gs�7 <br /> CONTACT NAME: KA l QbKmEok-) <br /> Phone#: CoSO'3 -8215 Fax#: Glsc - 3ZGG-0837 <br /> PLEASE CHECK THE APPROPRIATE BOXES: <br /> WILL ANY LOAD BEARING STRUCTURES BE REMOVED? .............................................YES[] NQ*< <br /> WILL 260 LINEAR FEET OR MORE OF ANY BUILDING MATERIAL BE DISTURBED?...........YES (] NQp( <br /> WILL 160 SQUARE FEET OR MORE OF ANY BUILDING MATERIAL BE DISTURBED? .... ...YExNO[] <br /> WILL 35 CUBIC FEET OR MORE OF ANY BUILDING MATERIAL BE DISTURBED? ..........YEXNO[] <br /> FOR NON-RESIDENTIAL BUILDING: WILL 5 OR MORE ACRES OF LAND BE DISTURBED? YES(] NOx` <br /> FOR RESIDENTIAL BUILDING:WILL 10 OR MORE ACRES OF LAND BE DISTURBED?.......YES (] NO[] {Jrk <br /> FOR DISTRICT USE ONLY <br /> ❑ THE BUSINESS HAS BEEN IDENTIFIED AS BEING EXEMPT FROM THE REQUIREMENTS OF THE APCD <br /> THE BUSINESS IS A SUBJECT TO THE PERMIT REQUIREMENTS OF THE APCD.THE APPLICANT HAS <br /> FILED A COMPLETE APPLICATION AND/OR DUST CONTROL PLAN WITH THE APCD <br /> ❑ THE BUSINESS HAS OBTAINED THE NECESSARY PERMITS OR AUTHORIZATIONS FROM THE APCD <br /> ❑ THE BUSINESS IS NOT MEETING THE APCD REQUIREMENTS.THE BUILDING PERMIT PROCESS MAY <br /> NOT PROCEED AND A CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED. <br /> ❑ THE APPLICANT SHALL SUBMIT AN ABESTOS NOTIFICATION AND SURVEY TO THE APCD WITHIN 10 <br /> WORKING DAYS PRIOR TO ABESTOS REMOVAL <br /> ❑ THE BUILDING PERMIT PROCESS MAY CONTINUE SUBJECT TO THE FOLLOWING CONDITIONS: <br /> APCD APPROVAL BY: DATE: <br />