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SAN JOA COUNTY AIR POLLUTION CONTROI fRICT <br /> 1601 E. Hazelton Avenue, P. 0. Box 2009, Stockton, California 95201 <br /> Telephone: (209) 466-6781 <br /> , Application for AUTHORITY TO CONSTRUCT and PERMIT TO OPERATE p <br /> Date: April 12 , 1979 Application Number: <br /> An application is required for each operation described in part B of instructions. <br /> I1. PERMIT TO BE ISSUED TO: Business license name of Corporation, Company, Individual <br /> Owner, Partner, or Governmental Agency. <br /> San Joaquin County <br /> 2. NAILING ADDRESS: <br /> 222 E. Weber Ave . , Stockton, CA 95202 <br /> 3. ADDRESS AT WHICH THE EQUIPMENT IS TO BE OPERATED: ( CITY (K ) COUNTY ( ) <br /> San Joaquin County Public Works Department <br /> 1810 East Hazelton Street, Stockton, CA 95205 <br /> 4. GENERAL NATURE OF BUSINESS: <br /> County Public Works Operation <br /> I <br /> I <br /> 5. EQUIPMENT DESCRIPTION: Pursuant to the provisions of the State Health and Safety <br /> Code and the Rules and Regulations of the San Joaquin County Air Pollution Control <br /> District, application is hereby suds for PERMIT TO OPERATE the following equipments <br /> ' �; 0r-o -j �7 � ✓ � r�� /" was—+ f <br /> See attached. / <br /> I <br /> Continue on additional x it page if space above is insufficient. <br /> 6. TYPE AND ESTIMATED COST OF BASIC EQUIPMENT: <br /> Steel prefab tanks $12 , 000. 00 <br /> 7. TYPE AND ESTIMATED COST OF AIR POLLUTION CONTROL EQUIPMENT: See attached for type . <br /> Installed as part of complete installation, cost unknown. <br /> S. SIGNATURE OF APPLICPM: TITLE OF SIGNER: <br /> Maintenance Superintendent <br /> 9. TYPE OR PRINT NAME OF SIGNER: <br /> NAME: William L. Cypher TELEPHONE NO. : 944 -2281 <br /> Validation (A.P.C.D.) use only <br /> Date Application Received: Fee Schedule Number: <br /> Filing Fee:$ Permit Fee:$ <br /> EH 01 20 Rev 1/74 .. . - _--- _ _7/75__500 <br />