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State of California -California Environmental Protec ' Agency 0 Department of Toxic Substances Control <br />TIERED PERM1TTING PHASE I ENVIRONMENTAL ASSESS CHECKLIST <br />•N 1: FACILITY INFORMATION <br />Instructions: Complete the following descriptive information about your facility. This information accurately describes the location of your facility and <br />establishes mailing and phone contacts. If facility location and mailing address are identical, you may put "same" into facility mailing address spaces. <br />Type <br />of Permit: Permit bX Rule _ Conditional Authorization <br />1. <br />CURRENT FACILITY NAME: Delta Plating, Inc. <br />P A S T N A M E S (Attach additional pages if necessary): <br />2. <br />EPA I.D. NUMBER: CAD 068 845 254 <br />3. <br />NAME OF FACILITY OWNER (see definition ofowner): Sandra Baker <br />4. <br />NAME OF FACILITY OPERATOR: Doug Baker <br />5. <br />NAME OF PROPERTY OWNER: Sandra Baker <br />6. <br />FACILITY LOCATION ADDRESS: <br />13. <br />STREET: 818 S. Stanislaus Street <br />CITY: Stockton <br />COUNTY: San Joaquin <br />STATE: CA ZIP CODE: <br />•'• �I <br />7. <br />FACILITY MAILING ADDRESS (if different from FACILITY LOCATION ADDRESS): <br />STREET: 818 S. Stanislaus Street <br />CITY: Stockton <br />STATE: CA ZIP CODE: 95206 <br />8. <br />FACILITY TELEPHONE NUMBER: (209) 948-2768 <br />9. <br />FACILITY FAX NUMBER: (209) 2503 <br />10. <br />NAME OF FACILITY CONTACT PERSON: Doug Baker <br />11. <br />TITLE OF FACILITY CONTACT PERSON: General Manager <br />12. <br />PHONE NUMBER OF FACILITY CONTACT PERSON: (209) 948-2768 <br />13. <br />ADDRESS OF FACILITY CONTACT PERSON: <br />STREET: 818 S. Stanislaus Street <br />CITY: Stockton <br />STATE: CA ZIP CODE: 95206 <br />DTSC 1151(06/99) Please indicate total number of pages _? _ of <br />