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,.�.A SAN JOAQUIN COUNTY AIR POLLUTION CONTROL DISTRICT <br /> 1601 R. Hazelton Ave. , P. 0. Box 2009,Stockton, CA 95201 <br /> APPIgICATUM—FOR O . <br /> i� te; 17 / G Authorisation Number: <br /> I. AUTHORIZATION TO HS ISSUED TO: (Business license name of Carporation, <br /> Company, Individual# Owner, Partner, or Governmental Agency. ) <br /> a),c x/.I <br /> 2. MAILING ADDRESS: <br /> Ia7- G 730x <br /> 3. ADDRESS AT WHICH THE SOIL WAS CONTAMINATED: <br /> /ys/� ,v E c o Sao 5z1 c� 5To CA. <br /> 4. ADDRESS AT WHICH THE SOIL WILL BE DECONTAMINATED: <br /> /VV N F T -5"f ---,A SiacK�/c C <br /> 5. TOTAL VOLUME OF THE CONTAMINATED SOIL (Cubic Yards) : <br /> 350 kb,' . s <br /> 8. ORGANIC CONTENT OF THE SOIL: (Attach official soil test results. <br /> Contiaue an additional page if necessary) <br /> COMPOUND t�ax1 . � CONCENTRATION (PPM, by Weight) <br /> T - t 4 A.n) <br /> 571-ZLA- 0 ) ''�`5ee. "�y �arl�✓ten /��� ..(✓y <br /> S7 1_-4+ (A-b) i <br /> A. 0) <br /> 7. DATE CONTAMINATED SOIL DISCOVERED: <br /> S/-2 <br /> a. DATE CONTAMINATED SOIL WILL BE EXCAVATED: <br /> 9. WILL THE EXCAVATED SOIL BE COVERED? 7'e5 <br /> 10. DATE AERATION WILL BEGIN: <br /> 11. QUANTITY OF SOIL TO BE AERATED PER DAY (Cubic Yards) : <br /> 12. SIGNATURE OF APPLICANT: TITLE: <br /> d"... ��--' Gecla`t ft., <br /> TYPE OR PRINT M-11MR OF SIGNER: TELPHONE NO. :OF <br /> . <br /> ' �rr� fid ���•+eV�� C9/�o� f(c�- �S y/ , <br /> APS-'49 _ <br />