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CITY OF MANTECA <br />` �ameca INDUSTRIAL WASTEWATER 1001 W. CENTER ST. <br />s MANTECA, CA 95337 <br />CLASS III PERMIT (209) 456-8400 <br />two <br />PART A: BUSINESS IDENTIFICATI `ONIDESCRIPTION <br />Site Business Name: �r ntWj -.h \ "�t VJf- V ` r%,` -RJ Permit No.: <br />Business Address: 2M2 W. YQ)e^% r.�,.h4z Telephone: <br />City; State: Zip: 4��ry�.�G.VG. , C. 83.77 <br />Site Contact- Name: T�SSJ'r Title: O w rt.,Gr <br />Fax No. E mail address: <br />Mailing Address, if different: Telephone. <br />City: State: Zip: <br />Contact Name: <br />Fax No. <br />Title: <br />E mail address: <br />Person to be contacted in case of an emergency and for routine inspections: <br />Name: T+� -T�.ykw Title: (akkIr ad (" Day Phone: 2^ rt- &K <br />Night Phone: <br />E -Mail Address: MS (Q^AS-�J�t�Ldx 6;), �A -&Q d . (-d <br />Alternate Contact: /'_h f c S /3/1( C -!!M Title: hq�C r,&4\. <br />Principal Business Activity: `^t _ 4 TCS k 1 <br />SIC Code: 773 , 7 6 21 !� l <br />Average Number of Employees: 4 <br />Days/Hours of Operation: "'�•.W ( �. t,r+�,Lk T4%'f . <br />BulldintdPlumbina Layout: Attach (if required) a drawing showing the location of each building and all <br />plumbing Ines, sewer connections, and storm drains for the facility. <br />One III Peenft <br />