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llaJUL 01._! ,�..r,�m0T4y5 ProrecrOIT_ MANTECA <br /> " __�geneY - <br /> D.commenr 01}01 Swope"Cenlra <br /> FIXED TREATMENT UNIT PERMIT BY RULE <br /> INITIAL NOTIFICATION OF INTENT TO OPERATE <br /> fOR OFFICIAL USE ONLY <br /> DTSC REGIONAL OFFICE <br /> (See Instructions on reverse) <br /> I. FACILITY 10 NO. <br /> �A,TooO� �lL. / f27 <br /> II. FACILITY BOARD OF EQUALIZATION ACCOUNT NUMBER <br /> FNwyZo-1ogo i <br /> FACILITY NAME <br /> Z,grOr Y1 IES g7C.-1 I�I c S <br /> I I 1 <br /> I <br /> IV. FACILITY ADDRESS OR LEGAL DESCRIPTION OF FACILITY LOCATION <br /> o <br /> T� <br /> l IAIC DRi J <br /> o Y) <br /> A T A cro) CA <br /> V. FAC LIjY`MAIL `' ADDRCC i Eo <br /> AJJ I , <br /> 11011 <br /> 111. It 11,15 o I <br /> I. I <br /> _� (AOClYq) I I 1 i <br /> I I <br /> S'3 31� .. <br /> VL FACILITY OWNER NAME mP COO*) <br /> I I <br /> I 1 <br /> VII. FACILITY OWNER A� RES <br /> pl <br /> Qo �D <br /> i�AIM ' D (AtltllBa) , I 1 1 I <br /> (armq RIP Cotla) <br /> VIII, FACILITY OWNER TELEPHONE NUMBER <br /> � ,, 3 i <br /> �,0 3 - 3 <br /> (Arte Ca,e ane NUma.1) <br /> DlaMbutlon: DTSC—White Ino Yellow. Not/fie,—pink and InshuONona <br /> IC Ea01(I1/01) <br /> Page I of 2 <br /> __ <br />