Laserfiche WebLink
MUI' bAL UTILITIES DEPARTMENT <br /> REGIONAL WA`b -WATER CONTROL FACILITY �•� <br /> ;10 <br /> 2500 NAVY DRIVE <br /> STOCKTON,CALIFORNIA 95206 <br /> (209) 466-5261 <br /> CITY OF STOCKTON Part A - Application / Permit <br /> SECTION 1. APPLICATION <br /> Return the completed application by: <br /> Further Instructions: See reverse side. <br /> Al. Applicant Business Name ATLANTIC RICHFIELD COMPANY <br /> A2. Address of prerrrr��se discharging wastewater: <br /> A. Street 290tS BENJAMIN HOLT DRIVE <br /> City Zip <br /> A3. Business Address <br /> A. Street 2000 ALAMEDA DE LAS P 1LGAS <br /> City SAN MATEO, CALIFORNIA Zip 94403 <br /> B. Mailing c/o GETTLER - RYAN INC. , 1992 NATIONAL AVENUE <br /> City HAYWARD, State CA Zip 94545 <br /> A4. Chief Executive Officer <br /> A. Name JEFFREY M RYAN B. Titley t PF-PRFS t r)FNT <br /> C. Mailing Address 1992 NATIONAL AVENUE D. City HAYWARD State CA Zip 94545 <br /> A5. Person to be contacted about this application <br /> A. Name JEFFREY M. RYAN B. Title VICE-PRESIDENT C. Phone 41 83-7 <br /> A6. Person to be contacted in case of emergency <br /> A. Name JEFFREY M. RYAN B. Title VICE-PRESIDENT <br /> Day Phone (415) 783-7500 Night Phone (415) 783-7500 <br /> A7. CERTIFICATION : Icertify that the information above and on the following parts is true and correct <br /> to the best of my knowledge. <br /> Signature Date <br /> Print Name Title <br /> SECTION 2. <br /> CITY OF STOCKTON USE ONLY <br /> Date application mailed <br /> Date application received Permit Number: <br /> Date permit issued: SIC Number: <br /> Permit conditions: Yes . No <br /> Expiration date Permit fee: $ <br /> Comments: <br /> v <br />