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RECEIVED SAN JOAQUIN VALLEY UNIFIED AYR POLLUTION CONTROL DISTRICT X1 Northern Region Office h Central Region Office ❑ Southern Region Office 4800 Enterprise Way 1990 East Gettysburg Avenue 34946 Flyover Court Modesto,CA 95356-8718 SJVAPUI Fresno,CA 93726-0244 Bakersfield,CA 93308-9725 (2 09)557-6400 t FAX(2G VkR"AFGION (5 59)230-6000 t FAX(5 59)2300062 (661)392-5500 i FAX(661)392-5585 (Sari Joaquin,Star"laus and Merced Counties) (Fresno,Madera and Icings Counties) (Tulare and Kern Counties) asbestosnonh@a�valleyair.org asbestos.omtral@valleyair.org asbestos.soufh®valleyair.org DEMOLMON PERNHT RELEASE The purpose of this form is to verify compliance with or exemption from the National Emission Standards for Hazardous Air Pollutants (NESHAP)asbestos notification requirements. It is the Applicant's responsibility to obtain the required signature from the District and return this form to the appropriate or county building department prior to obtaining a demolition permit Project Description Job Site Address: 2650 North MacArthur Drive City: Tracy Zip Cede: 95376 owtds name: Lowe's Home Centers, LLC Telephone: 704-999-9138 Fax: Owner's Address: 1000 Lowe's Souelvard City: Mooresville Zip Cade: 28117 ConlrWor'sName: APTIM Telephone: 530-933-8265 Fax- Contractor's Address: 4171 Essen Lane City: Baton Rouge Zip Code; 70809 Coniact'sEmail. Jody.Rhoades@aptim.com I. Structureo being demolished: Yes No 2. Proposedproject: Yes No One structure(non-commercial), ❑ ❑ Single Family Dwelling ❑ ❑x with four or fewer units. x SubdivisioA Retail or Commercial Project ❑ ❑x Other describe :two(2)5000-gallon Diesel ASTs Public ProjectSchool wa etc.. ❑ x Is demolition by intentional bumin ? ❑ ❑x Other describe Comments: v5_=-Gallon i n rtanks-andi ajed fuel dispensers and approximately 50-feet of underground piping. Digitally signed Rhoades,Jody Rhoades, Jody Date:202.01..131005:44 08'00' Project Manager January 13, 2021 Signature of applicant Tifle Date FOR SJVUAPCD USE ONLY ® This certifies that the demolition applicant has satisfied the APCD's notification requirements. The APCD allows the demolition to proceed on or after January 27, 2021 ❑ This certifies that the Demolition application is exempt from the APCD's requirements. District approval on this form only indicates compliance with or exemption from the NESHAP notification requirements. Enforcement action will be taken if asbestos NESHAP violations are found at the project. Further,there are other agencies that regulate the handling and disposal of ACM,such as OSHA,Cal-OSHA,and DTSC regardless of NESHAP applicability to your property. Comments: Printed Name: 'Samuel Palmquist Title: AOI II Approval Signature: Date: 01/13/2021 Asbestos Demolition Permit Release(rev.:0412312020)