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SAN JOAQUIN VALLEY AIR POLLUTION CONTROL DISTRICT <br /> ® Northern region office ❑ Central Region office ❑ Southern Region Office <br /> 4800 Enterprise Way 1990 East Gettysburg Avenue 34946 Flyover Court <br /> Modesto.CA 95355-8718 Fresno,CA 93726-0244 Bakersfield,CA 93308-9725 <br /> (209)557-6400 • FAX(209)557-6475 (559)230-6000 + FAX(559)230-6062 (661)392-5500 + FAX(661)392-5585 <br /> (San Joaquin.5tanislaus and Merced (Fresno,Madera and Kings Counties) (Tulare and Kern Counties) <br /> Counties) <br /> ASBESTOS AIRBORNE TOXIC CONTROL MEASURE FOR <br /> CONSTRUCTION AND GRADING OPERATIONS <br /> § 93105, Title 17, California Code of Regulations <br /> ASBESTOS DUST MITIGATION PLAN APPLICATION <br /> 1. Company and Project Information <br /> p Y <br /> Company Name and Address Project Location <br /> Name-.Chevron Environmental Managemert Location-,Former Tracy Pump Station <br /> Company <br /> Addres&6101 Bollinger Canyon Boulevard Address:14821 West Grant Line Road <br /> City/State-.San Ramon, CA Zip-94583 City/State-.Tracy, CA Zip:95376 <br /> Contact-Mike Oliphant Start Date: ' <br /> Phone:925.790.6431 Fax: Estimated Completion Date:111412011 ' <br /> The following information is requested to assist in the evaluation of your Asbestos Dust Mitigation Plan. Omission of this ' <br /> information may result in a delay of the completion of the evaluation and approval of the plan. Please provide the <br /> information requested below; place a checkmark in front of each of the categories that applies. <br /> 2. Detailed Project Information ' <br /> Type of Project: (Check all that applies) <br /> ❑Road or Railway Construction ❑Trenching I Utilities Work <br /> ❑Road Maintenance ®Other (please describe) ' <br /> ❑Housing Development <br /> ❑Commercial Property Development Soil Excavation of soil with asbestos, not <br /> naturalluy occuring asbestos. <br /> 3. Detailed Site Information <br /> Areas and Facilities within a quarter mile (400 meters) of the Project: (Check all that applies) ' <br /> ❑Residential ❑Hospital 1 Nursing Home ❑Other (please describe) <br /> ®Commercial ❑School <br /> ❑industrial ❑Park 1 Playground ' <br /> ®Rural <br /> 4. Addition Information <br />