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1m,/ Page 5 <br /> CALIFORNIA ENVIRONMENTAL Stale of California <br /> PROTECTION AGENCYe <br /> RegWaterQualityControlBoard <br /> APPLICATIONN/RIREPORT OF WASTE DISCHARGE <br /> GENERAL INFORMATION FORM FOR _ <br /> WASTE DISCHARGE REQUIREMENTS OR NPDES PERMIT <br /> A. FaClll I. FACILITY INFORMATION <br /> flame: <br /> Munn & Perkins <br /> Aaanesa: <br /> 26292 East River Road <br /> City: ConntY: state: Zip Code: <br /> Escalon San Joaquin CA 95320 <br /> Contact Pexaon: Telephone A�e_x: <br /> Bill Faris (209)524-3197 <br /> B. Facility Owner: <br /> Name: Oanex Type (M .k Onel <br /> George Reed, Inc. 1. ❑ lnaiianal 2. ❑✓ Ccxpoation <br /> Addxesa: 3. ❑ v...t.1 4. ❑ Paxt .hip <br /> P.O. Box 4760 Agency <br /> city: Nmfe: zip Cade: 5. o[hex: <br /> Modesto CA 95352 <br /> Contact P...: Telephone Nei: Federal Tax M: <br /> Bill Faris (209)523-0734 94-1531193 <br /> C. Facility Operator(The agency or business,not the person): <br /> Name: opexatox Type (check one? <br /> "Same As Owner" >_Q m naval 2. Cox tin. <br /> Addvesa: 3. ❑ Gavexnmental 4. ❑ Paxtn.x p <br /> Agency <br /> City: Stn@: Zip Castle: <br /> 5. Other: <br /> Contact Person: Telephone A,mbex: <br /> D. Owner of the Land: <br /> Name: Type (Check one) <br /> Aggregates, Inc. L T�tv5dnal z. ❑✓ CoxpnxatSan <br /> Addxesa: 3. Governmental 4. ❑ Paxtoerahip <br /> P.O. Box 3191 Agency <br /> qty: sr re: zip wae: <br /> Modesto CA 95353 5. <br /> Contact Paxson: Telephone N�: <br /> Wendell Reed (209)521-9771 <br /> E. Address Where Legal Notice May Be Served: <br /> Aaa:zaa: <br /> "Same As Owner" <br /> Qty; stare: eip a,ae: <br /> Contact P�: Telephone Anmbex: <br /> F. Bitfing Address: <br /> Mldxe .: <br /> "Same As Owner" <br /> ate: g{af¢: Zip Code: <br /> Contact Paxson: Telephone Nobe : <br /> Fo®20016/97) <br />