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A 0 <br /> San Joaquin County Environmental Health Department <br /> DATE 2/04/2011 MASTER FILE RECORD INFORMATION"MFR" GREEN FORM <br /> SITE MITIGATION&LOP <br /> OmealD/ OAMe UNIT IV <br /> owNERFILE 7CgKmErAwFoeLowRtsPROPERTY OWNER#ommyw CwWe OWNER CLMleefrraanerNTTrtEHD® <br /> PAoparTOtaea NAM �, c1zT to 1 34r.XSOr4 (970) 685-3300 <br /> F/rnt Ad Lad AtollllllMda <br /> 9teutmNA1011 Crop Production Services, Inc. �,g r tr7nl�d GPSPI-�-City <br /> Olml r I IN Addirw <br /> 3005 Rocky Mountain Avenue <br /> city Loveland OrAll CO MP 80538 <br /> Uvular Mailing Address Same as above <br /> MaNVAdaimma Clry ell" aP <br /> CasoMnax® IMomaw.❑ PN1m o FaADDar❑ Oma❑ <br /> erre MrrwATrou_ENvreararmfrAL Aetna -.N–VmwrART Cuunw_V",r r qumjm_"W nmm m,,= Mn M_LOP_ <br /> FAMILY 100 IW40 Ao 1111 PRMROe A I/_SOLO M LEAD Aast ..EHD�W M Z-DT86_EPA_ <br /> IS!:oo 6V G <br /> PACILITYFILE COAOKErEnfEFoLLowwBUSINESS/FACILITY/SITE Amw477ow <br /> Is this a NEwSuakNisa LOCArm not tsevlady reelAabd by the ENYNKMAWrAL WALTH DEPARTMENT? Yu ❑ No El <br /> Is this an EJdanNo Euelrleda LOOAmON beta NeeTVrE of rgpiahad Bullnose? vee Cl No El <br /> suaeewlFAnml&r[NArM Crop Production Services Facility No.0514 <br /> snEAoume 1905 N.Broadway Avenue sures <br /> 209.54 <br /> C" Stockton sTAm CA b 95205 <br /> eoawvememewtOMnacr ii LowTaxCaae Nart Ne/t <br /> WWq Ad�..e rgWrEAE1YtAra£itrWyAdHMa AMrworc wCan Of(doom W/ <br /> MWWVAd*—Cllr WATE Ts <br /> 91CCOM APNA Od"Wr: (� <br /> y3 /Sc v i W 5 / Mw Pcsr <br /> Tmem PAirrr En me INPog Complete N Stilling Party is d#rerent from Propft Owner arilledWhi Opwdw/denOiBed above, <br /> 911etreoNAmi Amemlac drfirap prarq <br /> M+�oA�d nae <br /> CETT STATE Zu <br /> fortes i and charged X OWNER FACILnYlBuslNESa Tram PARTY BILLDIG <br /> @n Eovc,wD ConreLance ActudowEeDCa[nE: 1,the u&rdgaed Appdtaa4 terrify IMI 1 am the Owner,Operator,or Auda'dodAderw of dhla Brim,and I arlutawlNp diet ad Pamtrr£eL& <br /> Pe'..v RMS,Ewt'oEccwervrCn uoEr mdror H0oarC2ucEr avaebled Mm this opemd on will be hgW to me,at Mt addrea Id=Yid abovem the Ac'courcrADDEesr for 1hh der. 1 nae eerdry That <br /> all s,,iormaUoa provldtd on dd.appllmden la Irut and correct;and that as regulated attlrMer wM be performed in aemrdaW wYY ON applIc NSen JUAttum CDurrry Ordham"Cede and/or <br /> SL adardr and Srsm and/or FEDrxnt.Laws and Re%Wadlans M the undersigned owner,operator,Or agmt of tM property lumladtd W a6mag1dIft/dee addrea,l hereby aulbrM The rekYa of <br /> ant n,d all remits vad envhonmentai....I Wormadoa to SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DWAM IM w same m N b awllable and at tler ame data N b <br /> p fa me omynmtle. <br /> APPLICANT NAME <br /> (tautAe[PROM IZJEf:ZT 1�- $'�x1VII JZ 810MARA! <br /> TSE TAX ID e <br /> �[N�Irzpr.+i'x'��NI �Rw�c-r ht1+Auac'2 <br /> one wee. D.r <br /> Sere MMQAtaa I AMDUNTPAID DAra aF PATaENT PAvmnnTVn Ram"10 CHMO RFnMYMeT WDM PtMPE <br /> Fee:It <br />