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State of California <br />Stale Water Resources Control Board <br />NOTICE OF INTENT <br />TO COMPLY WITH THE TERMS OF THE <br />GENERAL PERMIT TO DISCHARGE STORM WATER <br />ASSOCIATED WITH INDUSTRIAL ACTIVITY (WO ORDER No. 97-03-D'1J0) <br />(Excluding Construction Activities) <br />SECTION I. NOI STATUS (prase check only one box) <br />A. [ ] New Permittee B. [ J Change of information WDID # I I I I I I _ It _I__ i I i <br />A. NAME: <br />I I f <br />Phone: <br />I i I i -•I I l i --i I I I I <br />Mailing Address: <br />City: <br />I t i I I I I I I I I I I I I I I I I I I I I_t <br />Stake <br />Ztp Code <br />Contact Person: <br />I_ 1 1 .I _I I i 1 I I I I i I I I I 1 I I i I i I I I I I I I I <br />S. OPERATOR TYPE: �Y <br />(check one) T[ I Private 2.1 ]City 3.( )County 4.[ )State 5 ( ]Federal 6.[ )Special District 7.[ ]Gov. Combo <br />SECTION III. FACILITY SITE INFORMATION <br />A. FACILITY NAME <br />1 I l t l I_I I I I I I I i t I I I I l 1 I I I I I l I l l l <br />acihty Location: <br />11! i I I I I I I I I I t I I I i I I I I I I I I I I I I <br />City: <br />I` ! ._._a._..! I I I I _i I P_I I, t f __I -1- _--1_.1J-1-1--l- 1 —1 <br />S MAILINGADDRESS: <br />I I I I I I I I I I I I I I I I I I I I I I I I I I i I i l l <br />City: <br />! I I I I I I I I I I I I I I I I I I f 1 1 1 1 <br />Contact Person. <br />I_ I I I I I I I I I 1 I I I I I I I 1 I I I I I I 1 I I I I i <br />C. FACILITY INFORMATION ( check one) <br />Total Size of Site: Aces Sq Ft <br />I I I I I I I I I [] <br />Phone: <br />I i 1 1-! I I I --I I I I I <br />County. <br />11 1 1! I 1 1 1 1 1 I _i____I__I <br />State: Zip Code- <br />CIA I I I I I I --I I I I I <br />State: Zip Code: <br />I I t I I I I 1--I I_I i I <br />Percent, of Site Impervious (including rooftops) <br />I I 1 1 % <br />D SIC CODE(S) OF REGULATED ACTIVITY: E REGULATED ACTIVITY (describe each SIC code): <br />1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 <br />2.1 1 1 1 1 <br />3.1 1 1 1 1 I I I I 1 1 1 l 1 1 1 1 1 1 1 1 1 1 1 1! I 1 1 1 1 <br />SPA <br />