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❑ Check if information below is identical to the information submitted last vear. Re,2o nn-period:Janua 1 to December 31,20 16 <br /> Tier • For Official Use Only <br /> Emergency .. State ID#: <br /> Specific Information by Date Received <br /> Facility Identification <br /> Name Maximum No. of Occupants: ® Manned ©Unmanned <br /> Alcoa Fastening Systems&Rings ❑� N/A <br /> Street County City State Zip <br /> 1925 N Macarthur Dr.Ste 200 San Joaquin Tracy CA 95376 <br /> Latitude Longitude NAICS Code Phone Number(optional) <br /> 37.748659 -121.414821 493110 800 826-2884 <br /> Dun&Bradstreet Number TRI Facility/D: RMP Facility/D: <br /> 828450283 ❑� N/A EI N/A <br /> Subject to Emergency Planning under Section 302 of EPCRA(40 CFR part 355)? 13 Yes ®No <br /> Subject to Chemical Accident Prevention under Section 112(r)of CAA(40 CFR part 68,Risk Management Program)? [3 Yes ©No <br /> Owner or Operator Information Parent Company Information(optional) <br /> Name Name Dun&Bradstreet Number.- <br /> Alcoa Fastening Systems&Rings ALCOA INC. 828450283 <br /> Address Address <br /> 1925 N MacArthur Dr. Ste 200 390 Park Ave. New York, NY 10022 <br /> Phone Number Email Phone Number Email <br /> (209)839-3024 todd.murray@alcoa.com (212)836-2600 hftp://www.alcoa.com <br /> Facility Emergency Coordinator(if applicable) Tier II Information Contact <br /> Name Title Name Title <br /> Todd Murray Operations Manager Same as facility emer coordinator <br /> Email Address Email Address <br /> todd.murray@alcoa.com <br /> Phone Number 24-hour Phone Phone Number <br /> (209)839-3002 (209)814-9856 ( ) FEB 2 4 2016 <br /> Emergency Contacts <br /> Name Name ENVIRONMENTAL <br /> Karen Estes Catherine Chance HEALIH DEPARTMENT <br /> Title Title <br /> Material Technician II Senior Process Specialist <br /> Phone Number 24-hour Phone Phone Number 24-hour Phone <br /> (209)839-3011 09)627-6279 (209)839-3003 (209)597-0051/(209)640-3966 <br /> Email Address Email Address <br /> karen.estes@alcoa.com catherine.chance@alcoa.com <br /> Certification(Read and sign after completing all sections) Reporting Ranges <br /> Weight Range in pounds <br /> Range Code From To <br /> I certify under penalty of law that I have personally examined and 01 0 99 <br /> am familiar with the information submitted in pages one through 02 100 499 <br /> and that based on my inquiry of those individuals responsible for 03 500 999 <br /> obtaining the information,I believe that the submitted information is 04 1,000 4,999 <br /> true,accurate and complete. 05 5,000 9,999 <br /> M6 10,000 24,999 <br /> Mr. Todd MurrayMurra <br /> y 07 25,000 49,999 <br /> Name and official title of owner/operator OR owner/operator's 08 50,000 74,999 <br /> authorized representative 09 75,000 99,999 <br /> 02/08/20161 <br /> 0 100,000 499,999 <br /> I 1 500,000 999,999 <br /> ignature Date Signed 12 1,000,000 9,999,999 <br /> 13 10,000,000 Greater than 10 million <br /> The public reporting and recordkeeping burden for this collection of information is estimated to range from 10 to 120 hours per response. Send comments on <br /> the Agency's need for this information,the accuracy of the provided burden estimates,and any suggested methods for minimizing respondent burden, <br /> including through the use of automated collection techniques to the Director,Collection Strategies Division,U.S.Environmental Protection Agency(2822T), <br /> 1200 Pennsylvania Ave.,NW,Washington,D.C.20460. Include the OMB control number in any correspondence. Do not send the completed form to this <br /> address. <br /> EPA Form No. 8700-30 OMB Control No.2050-0072 Expiration Date: 12/31/2018 Page 1 of 7� <br />