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.> <br /> „h ..«..., ;¢Ftl FORM00151REvuEY 08tt1IB7} <br /> DATER .. MASTELE RECORD INFORMATION <br /> UNIT IV <br /> .. <br /> OWNER FI`'YES <br /> COMotETETHEFOLGOWINGBUsINEss OWNER INFORMATION: rAYM ENT OWNER cuRae ravvice rn ENO <br /> ----._............t..... <br /> _ <br /> SYSINeSs Acme-Stockton Galvanizing PHONE <br /> OWNER NAME ;-------'_._-- <br /> BUSINESS NAME(If dMbrenr fVMOWnar Mss"') SAN JOAOUIN COUN SOC SEef TA%lOi <br /> ENVIRONMENTAL HEALTHDIVISION; ORIVSUSEtf <br /> CFM <br /> OWNER HOMEAOORESs 540 West Scotts Avenue ER' - <br /> ZtP <br /> of <br /> Stockton ATECA 95206 <br /> OWNER MAluNg AOORESS (ffDfFFEREATfro A0i#nerAddn 1 Amt Or e�I . <br /> Mailing Address City ' 3564 Gresham Court, Pleasanton smtoCA ` Cep 94556 <br /> CORPORATTONOX INGIVI13UAL❑ PARTNERSHIP❑ LacALAGENcY❑ CouNry AecoarIJ STATEAGENCY0 FEPAOENGT❑ OTHFRQ <br /> FACILITY FILE <br /> ��I'.,ltettk G �„ .::' :. o �. �C.7ii75ffi RE'R.tLi`iaK� $"1Y�1�3�'iv. . .�➢'. .: w le�.r a��✓J.a.''..: <br /> C0MpLE7ETHEFOLLowtNG BUSINESS / FACILITY I SITE INFORMATION: <br /> Is this a NEW SUsinees LOCAnON riot proviouMNME <br /> y regulated try the ENWRONTAL HISR <br /> EALTH DSION 7 YES NO l <br /> Is this an 60STING 8asiness LOCATION but NEW TYPE of regulated Business 7 YES ❑ NO <br /> BUSINE337FAC1tJTY/SRENNIE <br /> Acme - Stockton Ca_lvarhzing <br /> e SUITES i Business PHONE <br /> sITEAOOREst40 West Scotts Avenue F <br /> t w s`A�CA s a° 95206 <br /> Cr^' itocston <br /> Mailing Addrtsss ryO/FFERENff—Ae=AyAddrase i AttestUdC a Care Of(opL'aneQ <br /> 3564 Gresham Court <br /> Mailing Address City . Pleasanton . srATE(`.A Z1P 94556 .. _ <br /> < '21 <br /> ,MM. <br /> �/.. <br /> THIRD PAR . is <br /> BUSINESS NAME -.. Aflertdotc er-Cae Of (GFU--Q <br /> 11 ��.. <br /> 11 ; PewnE �,i <br /> Mailing Address ... . <br /> i STATE ZIP <br /> CITY = <br /> Aceoutvr ggggg w forIfeea and charges OWNERiF""AaLtrf THm PARTYBILLINo <br /> Rn Ltnr Axo COKPLIANCF acTrn - - I,the wdmigwd Appiieater.Certify thar���am dse 0. ,OpwaWr.or.`IAfbon¢rdAgme of the Husmess.and I admowledge tharall <br /> pVWT FEES. p$NAL2=, EA'AO>iQ'.f¢A'r OuRCSS wWor FIOURLY CJfiUt=w0dued with tbh operation wig be billed to me at the address identified above as the rr <br /> ADD for this site- Y oho certify ther all iafono2ti a Provided on.thu epplteatiae isms and correct:.and that a➢ regulated a - lee s will bo otmed iR aeWrdaam with ail <br /> appiicable SAN JOAQUIN COUNTY Ordinance Codes and/or Standards and SEATS and/or Fet)g u Laws sod Rcgvhaime. As,the np operator,or agent of the property <br /> loeated at the above faciGry/site atldtess. I hereby imbothe the release of any and all rt5wu sadrtevvonmeat5f fotmatioo to SAX JOAQL7N COUNTY: <br /> $ti VDtOMNIENPAL FffiALTH DIVISION m soon u it is available and at the lune tiwe it iv pnrvided to om er roy n, <br /> APPLICANT NAME WILLIAM DUBOVSKY TMWENTAL sic <br /> Agent for ME ICE SEO <br /> TITLESy <br /> ^ ,ACtW>rsatinSkw'ytlmae.PMa.CJ"f��<,, a., v.w i �rSw f <br /> '�N5 t'mPw4(�•.��q �F � a�sa <br />