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MUNICIPAL UTILITIES DEPARTMENT <br /> REGIONAL WASTEWATER CONTROL FACILITY <br /> 2500 NAVY DRIVE <br /> STOCKTON, CALIFORNIA 95206 ® Application / <br /> (209)937-8750 Part ppl(r catij <br /> on /Permit <br /> _ <br /> CITY OF STOCKTON FAX (209)937-1)708 A A <br /> SECTION 1. APPLICATION <br /> Return the completed application by <br /> Further Instructions. See reverse side <br /> Al. Applicant Business Name it rind I, Bussi.nes5 Management <br /> A2 Address of premise discharging wastewater 632 South F1 noradn Street <br /> A. Street <br /> City Stockton Zip 95202 <br /> A3 Business Address <br /> A Street 632 south Eldorado Street <br /> City.,Stock nn Zip 95202 <br /> B. Mailingu a A T. nus i n cc Mngt��n R i crl <br /> hard T.PT.an@_._382 fir2len—e files Dr <br /> City- Stockton State Ca —Zip 95219 <br /> A4 Chief Executive Officer Permitee: Advanced Geo Environmental inc <br /> A Name William Little I B Title—r=p�., a?a;, G� -- <br /> C Mailing Address 837 Shaw Road D City, Stockton State rb Zip 9521 5 - <br /> A5 Person to be contacted about this application <br /> A. Name William Little B Titlegeologist _ C Phone 209-467-1006 <br /> A6 Person to be contacted in case of emergency <br /> A Name walliam ;little B. Title.geologist <br /> Day PhonJ09-467-1 006 Night Phone 209 969 4707 <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 /> Signatur D to <br /> Print Name Title <br /> I <br />