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CITY OF STOCKTON <br /> ENVIRONMENTAL INFORMATION/INITIAL STUDY FORM <br /> (Pursuant to Cal. Code of Regulations,Title 14, Sections 15063-15065) <br /> INITIAL STUDY FILE NO.: IS / - `/ LEAD AGENCY <br /> City of Stockton <br /> EIR FILE NO.: EIRCommunity Development Dept. <br /> (if applicable) Planning Division <br /> INITIAL STUDY FILING DATE: '7 Z7 F% 345 North EI Dorado Street <br /> Stockton, CA 95202 <br /> (209) 937-8266 <br /> Note: The purpose of this document is to describe the project, its environmental setting,any potentially significant <br /> adverse environmental impacts which may be caused by the project or which may affect the project site <br /> and/or surrounding area, and any mitigation measures which will be incorporated into the project. Please <br /> complete all applicable portions of Section A (General Information/Project Description) and as much of <br /> Section B(Project Site Characteristics)as possible. If a question is not applicable,then, respond with "N/A". <br /> After completing Sections A and B, please sign the certification following Section B and attach any <br /> supplemental documentation and exhibits as deemed necessary. The completed form and applicable fees <br /> should be fled at the above-noted Lead Agency address. PLEASE TYPE OR PRINT IN DARK INK <br /> A. GENERAL INFORMATION/PROJECT DESCRIPTION (Completed by Applicant) <br /> 1. PropertyOwner(s): Jim Fisk - Dave Silva <br /> Address: 8125 S . E1 Dorado - 36 W. Mathews Road <br /> French Camp, ip Z 95231 Phone>�99 982-0897 <br /> 2. Applicant/Proponent: Same as property owners Item 1 2U9 982-1114 <br /> Contact Person: <br /> Address: <br /> ZiP Phone( 1 <br /> 3. Consulting Firm: Central Valley Construe ion In <br /> Contact Person: Tony Arnaiz <br /> Address: P. 0. Box 830 <br /> Lathrop, CA Zip 95330 Phone(299 983-1064 <br /> 4. Project Title: Domestic Water Service Installation <br /> 5. General Project Description/Location: French Camp - 8125 S . E1 Dorado <br /> 36 W. Mathews Road <br /> 6. Applications Currently Under City Review: File Number(s): <br /> C7'zk2errlC( Ki /�Mi Lc( yie (t G <br /> _ � EA 5-tel <br /> — <br /> U I L<' <br /> 1 <br />