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� Office etc. Only <br /> Dept.: <br /> SAN ,IOAQUINCOUNTY_ Lile #: _ ___ _ _ _ <br /> OFFICE OF EMFRG.ENCY SERN'ICES <br /> HAZARDOUS MATERIALS DISCLOSURE SURVE)' <br /> PLEASE PRINT OR TYPE <br /> Q1. Please provide a separate survey for each husiness name :inti address in San Joaquin <br /> County: <br /> a. Business Name: Tony & Vivian Lucchetti Phone: 462-8904 <br /> b. Mailing Address: 2380 Hall Ave. <br /> Stockton, CA 95206 <br /> c. Facility Address: 4300 E. Mariposa Road <br /> Stncktnn, rA <br /> d. Contact Name: Kenneth H. Glantz Phone: 957-6111 <br /> e. Nature of Business: Automotive, truck & bus repairing & overhauling. <br /> f. Proposed Project: Trucking terminal <br /> Q3. Will the owner, applicant or future building occupant handle a hazardous material? <br /> (Includes Gasoline, oil, propane, oxygen, acetylene. ammonia, chlorine, pesticides. . . . ) <br /> rYes = No <br /> Q3. Will the owner, applicant or future building occupant handle an Acutely Hazardous Material? <br /> (List of Acutely Hazardous Materials available at the Planning Department) <br /> = Yes = No <br /> Q4. Will the proposed building or modified facility be within 1,000 feet of the outer boundary of <br /> a school (Grades K - 12)? <br /> Yes =No <br /> I have read the Hazardous Materials Information Guide (nn hack pare) and understand my <br /> requirements under Chapter 6.95 of the California Ilealth and Safety Code Sections 35505, <br /> '_5533, and 35534. I understand that if the building does not currently have a tenant, that it is <br /> my responsibility to notify the occupant of the requirements which must be met prior to issu- <br /> ance of a Certificate or Occupancy. <br /> Owner or Authorized Agent: (Print) KenrAh JP, <br /> Date: 1/9/90 (Signatu <br /> (Ortiice Use Only) <br /> 1 . San Joaquin Air Pollution Control nistrirt <br /> 1601 East Hazelton Street <br /> Stockton, CR 95205 <br /> (209)468-3470 <br /> 2. San Joaquin County nES <br /> 222 East Illeber Avenue, <br /> Room 610 <br /> Stockton, CA 95202 <br /> (209)944-2116 <br /> 1.8 <br />