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JF CALIFORNIA GOVERNOR'S OFFICE OF EMERGENCY SERVICES <br /> ,LIFORNIA ACCIDENTAL RELEASE PREVENTION <br /> ?ROGRAM REGISTRATION <br /> DES 2735.6(NEW 6197) PAGE OF 1 <br /> REGISTRATION TYPE UPDATE TYPE <br /> "^ad instructions on reverse before completing. z NEW UPDATE a._ DELETE ❑ REVISE <br /> (:`Business Owner/Operator Information L1 <br /> BUSINESS NAME <br /> rect wes�ct'l orn �h E�. I SEP l M 1997 <br /> ADDRESS (Number and5treet) <br /> sZ 0 Z (t r t <br /> • . � -;,acuir{COUNTYCITY 1 <br /> .couNTY <br /> nP coDEOFFICE OF EPt , <br /> aA Jaa U CAS IF 2- o6 <br /> OWNEFVOP'ERATOR NAME <br /> V ° � l5 a 114 r d / I /15 Of <br /> I Ci <br /> i Q PHONE NUMBER <br /> T)td (/ 17_ �z o q 172- - 5 8 1 <br /> II. Regulated Substance List <br /> A. dame of Each Regulated Substance Process Max. <br /> Quantity (Ibs) I CAS# <br /> 1. Nit{ -, G ki 0 P n 6 °�! 15f Saa X64 - 3 - Z <br /> 2. Yu 1fv•; c A c d (z 5% t(, q o o 1 0 0 <br /> 3. 1v1fU,tic Ac;C (50 % �� qa P X So %a 31 70o <br /> a. A 3, 000 3 3l , 000 766q-- g3 - 9 <br /> 5- To jq I ui yr c Acs 3 (foo 766q-93- <br /> 7. <br /> 3. J <br /> B. Name of Each Regulated Substance in a Mixture Percent Process Max. CAS# <br /> Weight Quantity (Ibs) <br /> i. Fo,0-7We de 37/1 { 3�% Fo'-."g)je4deg 7,800Pc 3? % 2 , t00 So - 00 0 <br /> F0rW7q) 4e; e--25 /3 ( ,75%, ,0.,,a)cleiI de ) 11, 5doP x z5% z 5°/ , q00 SO -00, 0 <br /> 2. EVAC S� 1 c'3o% k 4-c Ac-, 4 10 ,go© p x 30°/ 30 % 3, 300 Igo? - 37 - Z <br /> �� ►YI.�o�� a C2qq °� pqartFq o1 S,zaoP x 27q % 2- ygOO 66� - �r <br /> i <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. I 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 /> S of California. <br /> OWNER/Of_F..MTOR NAME(PANT) <br /> OWN RATOR UR 'DATE EXECUTED <br />