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HAZARDOUS MATERIAL MANAGEMENT PLAN <br /> FILE COVER SHEET <br /> FACILITY ID#: FA0019938 P/E: 1920 DATE: 08/21/2013 <br /> PROGRAM RECORD#: PR0530782 P/E: DATE: <br /> CERS ID#: 10187443 P/E: DATE: <br /> OES REFERENCE#: 14088 <br /> ADDRESS: 200 E LARCH RD CITY: TRACY <br /> FACILITY NAME (DSA): INDEPENDENT UTILITY SUPPLY <br /> FACILITY PHONE: (209) 832-2038 0 FACILITY FAX: <br /> FACILITY CONTACT: PHONE: <br /> OWNER NAME: INDEPENDENT UTILITY SUPPLY CITY: TRACY <br /> OWNER ADDRESS: 200 E LARCH RD PHONE: <br /> Water Service: ❑Large PWS ❑ Small PWS ❑ Domestic Well <br /> Sewer Service: ❑ Public Sewer ❑ OnSite WWTX ❑ OnSite Septic System <br /> Stormwater: ❑ Street Drains ❑ Street Ditches ❑ OnSite Ponds ❑ Other <br /> x <br /> do <br /> ry <br /> I <br /> 41 <br /> N <br /> A <br /> EH 00 18 rev 06/2013 <br /> rpt#: HMMP New Owner: Create a New Cover Sheet/Change Label of File <br />