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ROM FAX NO. :2099315186 J71 08 2003 09:35AM P2 <br /> Page 5 <br /> AMM` OMWTat <br /> r State of California <br /> AGoN Ao�tP r ReSional WaterQuality Control Bmd <br /> APPLICATION/REPORT OF WASTE DISCHARGE r <br /> GENERAL INFORMATION FORM FOR <br /> WASTE DISCHARGE REQUIREMENTS OR NPDES PERMIT <br /> • R roPNtfi <br /> A. Faclll I• FACILITY TXFoRMATION <br /> NmatY2 Steiey,A ZIP EWE 7 <br /> �+y <br /> 9oaie46 P.�aca� C/.AIL.1i ! <br /> I"'�P�/ L+��4..■�V�4i . r.l.ylun.NWh.rI tel/ "` ` <br /> B. Faclll Owner: <br /> Hrm■� <br /> &#mor"0 01octit one) <br /> *q`TMQ�1�Jfl1� (!w�++�/l r►I �r i.��]} �div�le�el a. ❑ exryexxnso�, <br /> AfldX■�■t!`�' & L/1 O/��W C,r 1. LJ ao..a�urvenl8l .. Q YetstxterrhiP <br /> Agency <br /> -ie)dei a� 'c si ■� <br /> S. ❑ akheri <br /> C. Facility Operator('rhe ageiney or business,not the person) <br /> Names <br /> S C-AeA M, cr U?r l � fi�rr,�,� 1•W ezeEmmuvi. (Cktaak Cme DG� �! ❑ mal.�t� 2,�' CoxporeEimt <br /> Addreape el Ef g <br /> 3..❑ dawrnneniel '1• ❑ Y■.-h�sara�,y <br /> Agency <br /> ears limp c�o7d& <br /> (,•• �'Y l/'`.A ♦ �/1 J�/� til 6+4� B. � OChart <br /> i L7�V-Ia 4�7 <br /> D. Owner of the Land: <br /> ^�!'1t�/ 1, i�iav�4fu�n7aete Qn�1 <br /> ❑ Qe'xporatlan <br /> Aadre■■f I�r � � 3, p (lpverresenrnl t, ❑ arxt� ,p <br /> �1(V•C (�/) Agency <br /> WTI <br /> $� <br /> s. oshert <br /> ConaaaR aeteon� I V/!� T■1'rphvns Nua�ber� <br /> . Address Where Legal Notice May Be Served: <br /> xaa:e■■: �ro JY. e'RJ 6 1 k <br /> esh.t S�vG IpG/� f� r stot.� Up 09424 <br /> Cm�t.ot v■F.en� I I(t`, �A /{` Telephone ltumberi <br /> F. BlIfing Address: <br /> l� <br /> zip C046 <br /> cw�CeoE 1e:■ons Te1■Phaete xmllrer� <br /> Peas xdc ISM) ' <br />