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rfl for Stab Cie.dagbomem, 1100 'Tenth B=Svt, Pa=121, S.a..ea[o, Q 95811 - 914V1/5-0617 See Nig belay <br /> ODEIQ Or 032I=1 AIM®93700MEML IDmeOff T51Maar9 PWI S® 9 <br /> 1. Pro).ct Title: Kealy,9V-iKrh oaurp <br /> PF Surface Tmmnmn+G (',I2. md LA9emy: M'S-TSM-Region 1 3. Contact Peron,Dzx ac P_ PINaal <br /> 3a. Street Adireea: Power Road <br /> 3b. City: Sacramento <br /> 3c. martyr Sacramento 36. Zip: 95826 3.. Pbne: (off 7W 2" <br /> anzj:Llm= a. auty: Sari Joaquin 1., City/GreeeESty: Stockton <br /> lb. Aem.e.or•a Parcel M. 171-080-06 lc. section �5 TWp. 23d Page 6E <br /> 5a. Ism a,s«a.Fast Alpine & West LanePor Rural, Nes{,¢[ <br /> 5b. City: n <br /> Pail- carer- Calaveras Stockton <br /> Stockton <br /> 6. Within 2 miles: a. �,� 99 b. Parts C. rrya `SP d. ways Diverting Canal <br /> e. 1CQLJ®L= 9. lit'Stl �» <br /> 1 <br /> S>DE Ol. _Caecal Plea OPr)ete al. -Aeaiaarcial: Write Acre; <br /> 01. NOP 06. _NE 02. _Pyr Element 02. _Cfflae: 9a. PL <br /> 02. _Early me 07. --NDC 03. _Geeral Plan Ass Employees <br /> 03. -2a-Ng Dec 08. 04. ,Jfster Plea 03. _9nppinq/Comeer,1A1i Sq. t'[. <br /> O/. _Draft EIk 05. Acres Doplcy s <br /> 441pl-ant/ 06. -eclfic Plea 0/, i,*+etrial: Sq. ft. <br /> 05. 91beaguent LIR <br /> (Prior Sat! No.: 07. _Oamvnity Plan Aeras Employes <br /> 08. _'khvelcpmmt 05. _Water Facilities: M1D <br /> 1EY8 09. u...ve 06. _Ttanggmrtation: Tyne <br /> haft <br /> 09. Ir7I 11. _ELS 10. _land Division D7. Mmirn: Mineral <br /> (Subdivision. Parcel <br /> 10. _jow 12. _PA map, Trent W, etc.) 08. _?surer: Tyne Wads <br /> D= 11. -Um Pamft 09. _Paste Treatment: Type <br /> 13. _.loins Document 12. _Waste lgvt Plea 10. _O= Related <br /> ll. _Plrml tbamant 13. _ cel Ag Preserve 11. �Odher:H3Za OLIs Waste .Storage <br /> 15. _other 11. Other No local action <br /> 30. SffiLAC>3C': 11. E ',_J q mmTm: <br /> 12. Pbl71RT r¢crmg nrct>te... I6 II.rnrm <br /> - 15. ---Seprlc Syacros D. _urate: Quality <br /> al. ------ heticJviaunl 08. _Flo-r-jDrauage 16. --Sr Capacity 21. _Water Apply <br /> 02. _/gricltural Pard 09. _Gaalarpc/Sei®ic 17. 1a1 25. ---j+etlad/8apsrian <br /> 03. _Air Quality 10. _,Jobe/Boeing Balance 18. _Scil Erosion 26. _Wildlife <br /> 01. _Archa00109ical/Historical 11. _111nerala 19. _Solid Waste V. _Grvrth Inducing <br /> 05. _meatal Zoe 12. na s.. 20. _1Er14Basardise 28. Inoacp.tinle !ache <br /> D6. Economic 13. _Fuhlic 9ervitas 21. 29. _Cmmilative Effecta <br /> 07. �Sre Hazard L. -Schools 22. _vegetation 30. aver <br /> 13. JNMM laFPto:) Federal $ N/A State S N/A Total $ MIA <br /> 1/. ]>�reran mom A®sono:; <br /> Industrial <br /> 15. : <br /> Closure of surface impoln7dments to meet 40 CFR 265, CCR 'Title 22 and 23 regulations <br /> 16. SM29=M Cr PAD AGRI=1MIUME0=71:J! "l�'`C/✓' m`�R'b: / // O <br /> ALS: Qaarla)tu,a*will acaigtn SdurAflratim soman for all rat+, projects. If a S® amber alread/ exists for a pro7ec le.g. <br /> from na <br /> A NotiCe of Preparation or pcee draft fit) pl. fill it Sr:. <br /> s-- "o, - wer,,rvr -,.o eA?r 2'.'! T-,-^.1p' Q 2^J , <br />