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2321 WEST WASHINGTON ST., STE. 4 P.O. BOX 2009, STOCETON, CA 95201 <br /> Telephone: (209) 4683470 <br /> APPLICATION FOR AUTHORITY TO CONSTRUCT <br /> 1;�SS NAME: <br /> Aegis Environmental Inc. <br /> AILING ADDRESS (Include City & Zip Code): <br /> 1050 Melody Lane, Suite 160 , Roseville, California 95678 <br /> rE ADDRESS: <br /> 6131 Pacific Avenue Stockton California <br /> the facility located within 1004 feet of any K-12 school? Yes / / No A/ <br /> the site address zoned properly for the proposed use? Yes / / No Al <br /> DICATE THE ZONING DESIGNATION) <br /> this application the result of a Notice of Violation or a Notice to Comply? Yes / / No <br /> yes, give the Notice Number <br />)UIPMENT DESCRIPTION: <br /> Internal combustion engine vapor extraction/treatment equipment {refer <br /> to attached manufacturer ' s documentdtionl. <br /> 0 <br /> (Please attach additional sheets, if necessary.) <br /> IE FOLLOWING SHOULD ACCOMPANY THIS APPLICATION: A MAP OF THE LOCATION of THE FACMIY, <br />)C--F SS FLOW DIAGRAM apptk2bie), PROCESS/PRODUCTION ESS/PRODUCIION RATE. OPERATING SCHEDULE, AND DESCRIPTION OR <br /> MJFACTURER'S CAT G OF EQUIPMENT AND AIR POLLUTION CONTROL EQUIPMENT. SEE LIST AND CIMEM (AB4184) <br /> tM FOR FURTHER AIIS. <br /> A <br /> Pro]ect Engineer <br /> Signator of Applicant Title of Signer <br /> Jacqueline R. Doub Telephone Number (91 6) 782-21 10 <br /> Type or Print Name of Signer <br /> (FOR OFFICE <br /> TE RECEIVED: APPLICATION NUMBW J c t'� <br /> r 10 <br /> 1991 <br /> FAIR mL-",1V,4 iwy -,jr.f ROL DISTRICT <br /> iOUNT OF FILING FEE RECEIVED: <br />