SITE INFORMATION AND CORRESPONDENCE

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APPENDIX II ENVIRONMENTAL INFORMATION FORM (To Be Completed By Applicant) Date Filed July 13, 1989 General Information 1. Name and address of developer or project sponsor: _ Kearney-KPF 1624 E. Alpine Ave Stockton, CA 95204 2. Address of project: 1624 W. Alpine Assessor's Block and Lot Number: Parcel # 177-080-06 3. Name, Address, and telephone number of person to be contacted concerning this project: Harry S. Mossberger (209) 464-8381 4. Indicatedtthe number of the permit application for the project to which this form pertains: closure/post-closure permit 5. List and describe any other related permits and other public approvals required for this project, including those required by city, regional , state and federal agencies: N/A 6. Existing zoning district: M1 and M2 7. Proposed use of site (Project for which this form is filed) : closed surface impoundment Project description 8. Site Size. Pond 1 = 0.09 Acres, Pond 2 = .34 Acres 9. Square footage. Pond 1 = 3,732 Sq. Ft. , Pond 2 = 14,819 Sq. Ft. 10. Number of floors of construction. N/A 11. Amount of off-street parking provided. N/A 12. Attach plans. Please see "Closure Plan, Kearney-KPF Facility, Stockton, California", prepared by Hargis + Associates, Inc. , May 30, 1989. 13. Proposed scheduling. Closure activities should be completed within 180 days of receiving regulatory approval . Final schedule will be provided in the Soil Assessment Report to be submitted on or about January 19, 1990. 14. Associated project. N/A 15. Anticipated incremental development. N/A 16. If residential include the number of units, schedule of unit sizes, range of sale prices or rents, and type of household size expected. N/A 17. If commercial , indicate the type, whether neighborhood, city or regionally oriented, square footage of sales area, and loading facilities. N/A 18. If industrial , indicate type, estimated employment per shift, and loading facilities. N/A