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Aug 10 17, 10:17a katicich ranch 2099316410 p.2 State cf California — California Environmental Protection Agency Department of Toxic Substances Control Hazardous waste Management Program, P.D. Box 806 Sacramento CA 95812-0806 ✓em 6: Enter the legal name of the site/facility/business. Also include a DBA (Doing Business As) or fictitious business name, if you have one. Hem 7: Enter the siteibusiness location address, including county name. The address must be a physical address; street number and street name. If there is no street number and street name, latitude and longitude or Assessors Parcel Number (APN) may be used. Post Office boxes or descriptive addresses are not acceptable as a site location. Please do not abbreviate. Item 8: (a) Provide the business's Federal Employer Identification Number (FEIN) (required). An FEIN, also known as a Federal Tax Identification Number, is used to identify a business entity. Go tohh»tto://www ir$.dov/businessesfsmall/article/0 id=98350 00 htmi for additional information or call (800) 829-4933. An FEIN is usually written 00-00000000. (b) If the business has a Board of Equalization (BOE) fee account number, also known as a hazardous waste generator fee account number, please provide it. If the business does not have a fee account number leave this space blank. A BOE hazardous waste generator fee account number is only required if the business generates or produces five or more tons of hazardous waste per calendar year, regardless of the final disposition of the waste. If you meet these criteria and do not have a number, please go to eReg which Is available on BOE's website at http://vrww.bos ca g�Lv/eIecsrv/esrvcont.htm. Item 9: Provide the sitelbusiness mailing address. The mailing address may be different from the e/ location address. Item 10: Enter the site contact person's name, address, phone & fax numbers and email address. Item 11: Enter the legal business owner's information. Use a company name If the business is a prporation or provide the owner's name if the business is a sole proprietorship. Do not list the /property owner or a management company, if they are not the entity generating the hazardous waste. Please provide the owner's address, and phone and fax numbers. Item 12: Enter the 4 -digit Standard Industrial Classification Code (SIC). The SIC Code is a four - digit number that best describes your company's primary business activity. If you do not know your company's SIC Code, go to the Internet at nttl2://wvAv osha cicv/oslistats/sicser html to search for the Code. Item 13: Signature of owner, officer or employee of business shown on line 6 of the application certifying that the information is accurate and complete. Fill in the date, name, title and phone number. Common SIC Codes 3599 - Machine Shop 5541 - Gas 5tation 5511 - Car Dealer 7532 -Auto Body Shop 7538 - Auto Repair (general) 7623 - Refrger. & Air Conditioning Repair 8021 - Dental Office 7212 - Dry Cleaner Additional Information about the Application Process It will take up to 15 business days to process your application depending on volume of applications received by DTSC per month. There is no fee to obtain a State ID Number. Please keep a copy of your application for your records. DTSC will not provide a copy of your completeo application. The processing time is the same for all submittals. If we have questions about your application, we will Instructions for DTSC Forth 1358 (1/17) Page 3 of 4 AUG 10 'LOt/ ENVIRONMENTAL HEALTH DEPARTMENT