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u3, :" •yt=� u'=: 11 LE::1 I 1,E FF:I 1-:I;E 00 <br /> bAN JUAWLW COUNTY AIR POLLUTION COVOL DISTRICT <br /> 1601 F. Hazelton Ave. , P. O. Box 2009,Stockton, CA 95201 <br /> APPLICATION_ FOR AUTHORIZATION OF UNCONTROL1tBD SOIL AERATION <br /> Date: Authorization Numtler: <br /> I . AUTHORIZATION TO BE ISSUED TO: (Business license name of Corporation, <br /> Company, Individual, Owner—, Partner, or Governmental Agency,. ) � <br /> Co- _ <br /> 2. MAILING ADDRESS : <br /> 53 - ADDRESS AT WITCH THE SOIL WAS CONTAMINATED: <br /> 1 <br /> 4. ADDRESS AT WHICH THE SOIL WILL nR DECONTAMINATED: <br /> 5 . TOTAL VOLUME OF THE CONTAMINATED SOIL (Cubic Yards) : <br /> � 6 . ORGANIC CONTENT OF THE SOIL: (Attach official soil test results . <br /> Continue on additional page if ntceesary ) <br /> COMPOUND CONCENTRATION PPM by weight ) <br /> ? . DATE CONTAMINATED SOIL DISCOVERED: Jq <br /> S . DATE CONTAMINATED SOIL WILL BE EXCAVATED: 1 tid �7g <br /> 9. WILL THE EXCAVATED SOIL BE COVERED? N a <br /> 14. DATE AERATION WILL BEGIN: r <br /> 11 . QUANTITY OF SOIL TO BE AERATED PER DAY (Cubic Yards) : � <br /> 12 . SIGNATURE OF APPLICANT: TITLE: <br /> TYPE OR PRINT NAME OF SIGNER: TELPHONE NO. : <br /> APF-149 vD�IVI UJ" Q�� ` j <br />