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STATE OF CALIFORNIA <br />CALIFORNIA ACCIDENTAL REL.._ ,SE PR <br />PROGRAM REGISTRATION <br />OES 2735.6 (NEW 6/97) <br />Read instructions on reverse before completing. <br />I <br />l 'ERNOR'S OFFICE OF EMERGENCY SERVICES <br />022199-1 <br />Dd?YPE. <br />tl•i' UPDATE <br />PAGE 1 OF 1 <br />UFUAJLIYPL <br />❑ ADD ❑ DELETE ❑ REVISE <br />I. Business Owner/Operator Information <br />BUSINESS NAME <br />Sierra Chemical Co_ <br />ADDRESS (Number and Street) <br />1010 Industrial Drive <br />CITY COUNTY STATE ZIP CODE <br />Stockton San Joaquin CA 95206 <br />OWNER/OPERATOR NAME PHONE NUMBER <br />Stanley K. Kinder 702-358-0888 <br />II. Regulated Substance List <br />A. Name of Each Regulated Substance <br />Process Max. <br />Quantity (Ibs) <br />CAS# <br />1 Chlorine <br />360000 <br />7782-50-5 <br />2 Sulfur Dioxide <br />14400 <br />7446-09-5 <br />3. <br />4. <br />5. <br />6. <br />7. <br />8. <br />B. Name of Each Regulated Substance in a Mixture <br />Percent <br />Weight <br />Process Max. <br />(quantity (Ibs) <br />CAS# <br />1. NA <br />2. <br />III. Certification <br />I, the owner or operator of the aforementioned business, hereby certify that the registration information provided <br />above is true, accurate, and complete to the best of my knowledge, based upon reasonable inquiry. 1 am fully aware <br />that this certification, executed on the date indicated below, is made under penalty of perjury under the laws of the <br />State of California. <br />OWNER/OPERATOR NAME (PRINT) <br />Stanlev K. Kinder <br />OWNER/OPERATOR SIGNATURE // /jDATE EXECUTED <br />on f/ia4 1bttz11V 8-21-97 <br />