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` -- MUNICt^'1L UTILITIES DEPARTMENT � �• <br /> r--cGIO_ NAL WASTti1JATER CONTROL FACILITY <br /> 2500 NAVY DRIVE-. <br /> �1 .:. APR 8 1991 <br /> SOCKTON,CALIFORNIA 95206 <br /> A94 -8750 <br /> Yi � ' { pTA LHEALTH <br /> 4 H1 aCITY OF STOCKTON (209)944-8760 4rl A ApplicaQn, T�GS <br /> - SECTION 1. APPLICATION <br /> Return the completed application by: <br /> Boa:::_. <br /> Further Instructions: See reverse side. �, <br /> Al. Applicant Business Name ARCO Products Company <br /> A2. Address�of premise discharging wastewater: ARCO Station 2133 <br /> A. Street HOW 2908 Benjamin Hn1 t nr i va <br /> City Stockton Zip Qg2n7 <br /> A3. Business Address _.._._.. ..:-...�._ ._. . <br /> A. Street -: •2000 Al ameda- de -1 a c Pul ca c - - - <br /> City • San Mateo _ Zip 9aam <br /> B. Mailing P.O. Box 5811 <br /> City ' San -Mateo - . :: _ State r' Zip_ Q4402 <br /> A4. Chief Executive Officer <br /> A. Name Mr.. Lodwyick M. Cook B. Title-Chairman & CFo <br /> C. Mailing Address 515 So. Flower Street D. City--a Angele-'StateCA - -Zip 90071' <br /> A5. Person to be contacted about this application <br /> A. Nam tv Douglas Wi l k rson' - -B:Title-- Engineer -C. Phone (Q1A) 4441-0123 <br /> A6. Person-_to be7contacted in case of emergency` <br /> A. Name Charles._Ca-rmel - - B. Title Environ- mental F.ngi nPPr - <br /> Day Phone (415) 5712434 Night Phone (415 ) 939-1910 <br /> A7. CERTIFICATION : Iceitify that the information above and on-the following parts is.true and correct.;.-'-- <br /> to the best of my knowledge. <br /> Signature Date <br /> Charles Armel 3/6/91 <br /> Print Name Title <br /> SECTIOW2. <br /> CITY OF STOCKTON USE ONLY <br /> 'Date application mailed_ , � Categorical Pretreatment Industry? <br /> Date application"receFederal Code Part? - - <br /> Date <br /> .permit issued:. - SIC Number ' <br /> Permit conditions: Yes . Na <br /> Expiration date Permit fee: $ <br /> Comments: <br /> f <br /> M <br /> Y <br /> r <br /> 7 <br />