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San Joaquin Valley Air Pollution Control ATTR <br /> District LI VI NG- <br /> Indirect Source Review (ISR) - Air Impact Assessment (AIA) <br /> Residential/Non-Residential/Mixed-Use Application Form <br /> A. A Ilcant Information <br /> ApplicantBusiness Name:Devcon Conatruetion <br /> Mailing Address:2010 W.Fremont Street City:3tocktan State:Cn. Zip:95306 <br /> Contac[:Sylvester Ramirez Title:Sr.ProJeet Designer <br /> Is the Applicant a licensed state contractorT (]No ®Yes,please provide State License number:399163 <br /> Phone:408-5'19-8433 Fax:408-262-2392 Email:sremtrerQdevcan-conatcom <br /> B. Agent Information (If applleabla): ir.m Agcm ii signb,g me Air Impact Aaacaamem ApPli=atfon on bchalFur me Applicant.a <br /> sibn¢A letter from[he ApPlicam giving the Agent authorization is mquirca. <br /> AgentBusinesa Name: <br /> Meiling Addross: City: State: Zip: <br /> Contact Title: <br /> Phone: Fax: Email: <br /> C. Pro ect Information <br /> Project Name:Dells Truck CTC Training Canter Tract Numbers)(if known): <br /> P}ec[Location Street:]IO Eact Travaportallon Court City:French Cemp Zip:93231 <br /> Cross Streets: Sou[4 Harlan Road County:San Joaquin <br /> Permitting Agency:County oFSan Josquin Platmer:Giuseppe Savfllppo Contact Number:209-468A229 <br /> Mailing Address: ]810 E Hazelton Ave. City:Stockton State:Ca. Zip:95203 <br /> Permit Type and Number(if known): Subject to Project-Level Discretionary ApprovalT ®Vas p No <br /> PA-2100291 Last Project-Level Discretionary Approval Dete:_Pending approval ftom Planning <br /> Pending approval flora Planning Lest P ject-Level Ministerial Approval Date: <br /> �. Project �escriptlon <br /> Please briefly describe the p ject(e.g.:300 multi family residential units apartments and 35,000 square feet of commercial uses):A <br /> w 12,362sFsivgle story prefHbdcatttl moral building with CMU exterior walls to have the following uses:(2)treini„g bays,classrooms,offices, <br /> break ro storage and restrooms.Siro improvements m Include site pavement ens landscape areas.Storm wamr will be handled by existing <br /> x[ention basin. <br /> Please check the box next to each applicable lend use below: Select lend use setting below: <br /> ® Commeroial/Ae[ail p Eaucationai �Offlce (]Warehouse p Urban ® Rural <br /> O Reaiaent:al p oo..ermnent O Inanatr:al p Diatribption center <br /> � Recreational Ce,g.park) (] Medical O Manufacturing pother: <br /> E. Notice of Violation F. Volunta Emission Reduction A regiment <br /> - Is this application being submitted as a result of receiving a Is this project part of a larger pr jest for which[here is a Voluntary <br /> Nonce of Violation(NOV)from the DiattictT Emission Reduction Agreement(VERA)with the District? <br /> ® No p Yes,NOV# ® No p Yes,VERA# <br /> G. O tlonal Section <br /> Do you want to receive information about tfie Healthy Air Living Business Partners ProgramT p Yes p No <br /> FOR APC USE ONLV <br /> Gentrel Raglon OMra: t990 E Getlyabur9 Ave.Fresno,CA 93]28-0244 TEL(559)230-8000 FAX(668)23tT6061 WE9 uwnv.vallavalr am <br /> Page t oT 12 Realtlentlal/Non-Reala¢ntlel/Mixed-Use Application Form Revls¢tl February 3,2022 <br />