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x° <br />SAN JOAQU•, COUNTY AIR POLLUTION CONTROL *RICT <br />1601•E. Hazelton Avenue, P. O..Box 2009, Stockton, California 95201 <br />Telephone: (209) 466-6781 <br />.Application for AUTHORITY TO CONSTRUCT and PERMIT TO OPERATE <br />Data:- ayri 1 12 .91 7 9 Application Number: <br />An application is required for each operation described in part B of instructions. <br />1. <br />PERMIT TO BE ISSUED TO: Business license name of Corporation, Conpany, Individual <br />Owner, Partner, or Governmental Agency. <br />San Joaquin County <br />2. <br />HAILING ADDRESS: <br />222 E. Weber Ave., Stockton, CA 95202 t <br />3..' <br />ADDRESSt4T:-.WHI9H :TAR:EQUEffl= `1$ TO.,BE OPERATED: CIT! V I COUNTY C ) <br />san.Jdaquin Courity_ public orka.,Department <br />1810'East Hazehton Street,StocktonCA 95205 <br />4. <br />GENERAL NATURE OF BUSINESS <br />County Public .Works".0peration <br />5. <br />EQUIPMENT DESCRIPTION: Pursuant to the provisions of the State Health and .Safety <br />Code and the Rules sad Regulations of the San Joaquin Co=ty.Air.Pollution Control <br />District, application -Is hereby Bade for PSMT,,TO OPBRM the f0110VIng equipment: <br />See attached. �...�_. <br />y4' <br />l <br />Continuo on additional 1h x 11 Page ifs ace above is insufficient. <br />6. <br />TYPE AND ESTIMAM COST OF BASIC EQUIPlB WI <br />Steel prefab tanks $12,000.00 <br />7. <br />TYPE AND ESTIMATED COST OF AIR POLLUTION CONTROL EQUIPMENT: See attached for type, <br />Installed as part of complete installation, cost unknown. <br />8. <br />SIGNATURE OF APPLICANT: TITLE OF SIGNER: <br />Maintenance Superintendent <br />9. <br />TYPE OR PRINT NAME OF SIGNER: <br />NAME: William L. Cypher TELEPHONE NO.: 944-2281 <br />I <br />Validation (A.P.C.D.) use only <br />Date <br />Application Received: Fee Schedule Number: <br />Filing Fee:$ Permit Fee:$ <br />EH 01 20 Rev 1/74 7 /7 _5 500 <br />