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11/08/2002 1 :09 FAX 209 948064 0002 <br /> �{{ qG F{{;; ,!�• r'tT gll 1 � (7a-'� a a"�11 �1{ptlr, mai, 7 � ynC ' A1C t p����.0 fd�,rl�( <br /> '4pd���rx�'• � dvn7A+l�r�'!Aa ai Ivry �n'�j41r�W4T.4:u�,��!1.1 ,1(�i�i�. ... J ... 1�1��. �rJk��L'L:',.��11�II�w ��.'.�� N.'V9'JNd+'r.4�'I�';.I:A�'llilG�I '(:�'fa� <br /> GREEN FORM <br /> b•Ts �� ?iZ�O� MASTER FILE RECORD INFORMATION %%MFRr' <br /> a,,.wn w,arxwe vcsAur {C)`, 1 i'tA �N�T I V <br /> OWNER FILE <br /> COMPAMT.YEFoLLowrn+GPROPERIYOWNER ImAOMM.tMN. eti+r«n OWNER e:x a.nroNf rwm eHo �7 <br /> Paas Own" Psra.a (925)444-72LS 7,� �I <br /> NAME <br /> !i1 N! NI <br /> aYaanaXa NAnr DELMONTEFOO1a9 Soc Sac I To%ID Ar <br /> owner Home Address ovirmv Ur1onT ad <br /> City StAa 2n <br /> c,nu.HaRkA;Nld jk�205 N.Wiget <br /> Ma6ldYAddnftSaraky Walnut Creek St2 CA 94598 <br /> IYM OF O <br /> CoaroaAnoeZ 7MNWUa1 P.terww ❑ Ftp AYANR rJMER❑ <br /> FACILITY FILE <br /> r,C I +N4wl'' �1@P (qnp 'i,r;ri Nn l i x t ! 1 A l r p ¶yi p p i. <br /> I '11,11 1 '� <br /> COMP4MTMFFaU0WING BUSINESS / FACILITY SITE IMnWMA Td N. <br /> LS th15 d Naw 6UEInaL9 LOGrTtnN net previou9y re4ulated DV dle P,NYarnNMtNrIL NaatTM DfPARTHETTt YLA Q No X <br /> LS Lhlb rn lX+s'm+e BtSfneas LOCAT[ rJ regulaftd Budrresa Yrs ❑ No X <br /> a,...,..a/FAOr ISMNMV DELMaN7N MOPOM/R11hilk rKWAWAAm_ZTY : <br /> Sfi dD LSO FnaeRrST. Sorts# lihza 3PHONE NA <br /> gnaP�ur plp,T <br /> SMTI CA <br /> R{�pyp���1I1(�'^1J� e',�y7ry')�ry�'T �ry'� ,nyl1,rry1p 96245 �+,ry��fn <br /> NllCowflx.:linxLfP�tFtf� ;Ya:IY1�1Y�P'b���� <br /> Mailing Addrew IMASWENri on NdhrygJdp AUMadun:ne CUM Of(operoanl) <br /> Mailing Addreav Ckv $7wn Mlo <br /> ' , x�f L y1al'1pT'�drdi l ph n rya I 1 �f •1 Wl 1 r <br /> � I "!�IiF''�'•. � I,� fIL47�B➢119� IL�11�p'� 'l i�l a .'lw� .,r 1q <br /> THIRD PARTY BILLING INFO. COMP/ete if Billing Party isdfeftiv)[Abm Property Owner or Facility Operator.dentMeCabove. <br /> llupwm rNnre Attandoat arlbre of (opeknsl)Ms.Kelly Lyndl <br /> —71 Mailing Address Psrntrt: <br /> STAW Zap <br /> awwwww000 <br /> for feaw and charges OWNER FAMU YISU3MESS THIRD PARTY B1WNG <br /> B Lr.rNC ane G'UMaUnNf]L AteNOrYLEncMetrr. L u,e Ymter.ilprrt ADDIimnA CaNla•Ihol l Ym dw gwer,Lpaaror,orAMhercml AAa.I or thu BNsined,And 1 aeWw.iwlee tent as Ptxnm'Fc'ec <br /> PL"NA/.rnb'.BNMpn3]II£NfG)WR/SranJ/or9nUttLY t:NAAVtl mneLCtll with dda eprntl.n xri t Lc hillal As me of die addrm idrndnel mbovo na dlo ACCntMIAf,r this sift. 1 abe m-*duff <br /> all Infanvadell pnvidv .a m:s npi tkatdoa 4 ave and enrruti;And that All tqulnred acaddn rpl k tictIormed in mccerdAne with all applicable SM J"Oum G1010oW Ordionaa Code M"r <br /> Standards and S'An atrdhr madnAL rear And R.Eulatlanr. M lha undcrrigrrd eeuer,Aperaler,er.acrA.f fie prvpaMy 6m W car Iho.hrrv.f.dlirihvc adJresa,l YrWq aYdwr�a W.ral.ar al <br /> any And ad rtsala And mvinnmensal aafeasnumt bsformadon In:SAN.t[ln[)UfN CoURLY ENVIRONMENTAL n6ALTa DEPARTMt ..won wit h a�ilabl..r.l.1 she pan dma It 4 <br /> nr^"iJN M mo ar my Nprwnl•a.,a y-� <br /> Prmy Lv in I /� <br /> APPLTGaNiNAME L l(al.1.TLTNot SIrrNATORt 1/� <br /> TITLE E r)\ I ('D n rr-L nk(,I Vel S` rL fA Ca�/ DRIVER'S LIIYnss a _ _ <br /> (.neromnaeQVAly) <br /> 7nn 151 9NIHEIHNIDNa 6ZST 666 012 IVA 6C:9T MU ZO/6T/TT <br />