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SAN JOAQUIN VA" t,EY UNIFIED AIR POLLUTIO CONTROL DISTRICT <br /> [)Northern Regional Office [ )Central Regional Office [ iSouthern Regional Office <br /> 4230 Kiernan Ave, Ste. 130 1999 Tuolumne St. 2700"M"St., Suite 275 <br /> Modesto, CA 95356 Fresno, CA 9377.1 <br /> Bakersfield, 68 93301 <br /> (2091545-7000 <br /> (209) 497-1040 (805) 881-3682 <br /> (San Joaquin,Stnnislaus and Merced Counties) (Fresno,Madera and King!Counties) (Tulare and I(=Counties) <br /> DEMOLITION PERMIT RELEASE <br /> a rnia Health and Saf0tj Code Section 19827.5 requires that a building official shaill not issue a demolition <br /> permit until the applicant has demonstrated compliance with, or has declared an exemption from, the National <br /> Emission Standards for Hazardous Air Pollutants (NESHAP) asbestos notification requirements. An approval <br /> signature must be obtained, on this farm, from the San Joaquin Valley Unified Air Pollution Control District, It is <br /> the Applicarres responsibility to obtain the required signature: and return this form to the appropriate city <br /> or county building department. <br /> Pro ect Description <br /> 15615 7th Street t Lathrop, CA 95330 <br /> k1r,sw.<M49. <br /> +n <br /> r �iq. C qs <br /> Mr. Jim Langston (209) 858-4388 <br /> Owners rams <br /> Ll V <br /> P.O. Box 97 '�"" zv Lathrop, CA 95330 <br /> doer.wool... p;4 c d: <br /> SEMCO 449864 (209) 524-9653_ <br /> C.*anWf Nom. timlc"a <br /> Teieehone <br /> 1217 S. 7th Street Modesto, CA 95351 <br /> Ccw*=o Aeltllaaa Git, CL: <br /> 1. Facility being demolished Y IN 2. Proposed project Y N <br /> Single Family Dweling or Apartment Single Family Dwelling <br /> withg tour or fewer units. p Subdivision <br /> Other (describe : Grocery Store Public Project (School, Highway) <br /> Zonidg Zesenqiiroposed is: C N Retail or Commercial X <br /> Comments. <br /> Be advised that Regulation VII), Fugitive PM,a Prohibitions, requires that the exterior of buildings be wetted during <br /> derru�itj activities <br /> �✓ Health & Safety Coordinator Q4-14-99 <br /> Si ur&fvP0ian! TWO Dalt <br /> FOR SJVUAPCD USE ONLY <br /> [ ] This certifies that the demolition applicant has satisfied the APClYs notification requirements. The APCD <br /> allows the demolition to proceed bri or atter , 199; <br /> [ ] This certifies that the Demolition application is exempt from the APCD's requirements. <br /> District approval on this form only indicates compliance with or exemption from the NESHAP noYrfieation <br /> requirements. Enforcement action will be taken if asbestos NESHAP violations are found at the peoieaL <br /> Printed Name: Title: <br /> Approval Signature: Date: <br /> This form is no longer valid 30 days after approval or if information provided changes. <br /> �/'�. gemlelr z,1991 <br /> 04-14-1995 09:32AM 209 545 8652 P.11 <br />