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SAN JOAQUIN VALLEY UNEFIED <br /> 3AIR POLLUTION CONTROL DIS CT <br /> 4230 KIERNAN AVENUE, SUITE 130, MODESTO, CA 95356 <br /> (209) 545-7000 <br /> ATTENTION: FILE NUMBER: <br /> To Be Filled Out By Applicant <br /> BUSINESS NAME: New West Petroleum <br /> SITE ADDRESS: 2705 Country Club Blvd. <br /> Stockton, Ca. 95206 <br /> Please Check The Appropriate Box: <br /> Will any load bearing structures be removed? .......................... YES [ ] NO [X] <br /> Will 260 linear feet or more of any building material be disturbed?.... YES [X ] NO [ ] <br /> Will 160 square feet or more of any building material be disturbed?....YES [ ] NO [ ] <br /> Will 35 cubic feet or more of any building material be disturbed?...... YES [ ] NO [ ] <br /> -------------------------------------------------------------------------------------------- <br /> For District Use Only <br /> [ ] The business has been identified as being exempt from the requirements of the <br /> APCD. <br /> [ ] The business is subject to the permit requirements of the APCD. The applicant has <br /> filed a complete application with the APCD. <br /> [ ] The business has obtained the necessary permits or authorization from the APCD. <br /> [ ] The business is NOT meeting the APCD requirements. The building permit process <br /> may not proceed and a Certificate of Occupancy may not be issued. <br /> [ ] The applicant shall submit an asbestos notification and survey to the APCD within <br /> 10 working days prior to asbestos removal. <br /> [ ] The building permit process may continue subject to the following conditions: <br /> APCD APPROVAL BY: DATE: <br /> (See reverse side for OES requirements) <br />