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HAZARDOUS WASTE GENERATOR <br /> FILE COVER SHEET <br /> FACILITY ID#: FA0013918 P/E: 2220 DATE: 02/09/2011 <br /> PROGRAM RECORD#: PR0521865 P/E: DATE: <br /> Ct'�s �Q5�� P/E: DATE: - <br /> ADDRESS: 1442 COLONY DR CITY: RIPON <br /> FACILITY NAME (DBA): CHEVRON STATION#210997* <br /> FACILITY PHONE: (925) 842-4259 FACILITY FAX: <br /> FACILITY CONTACT: PERMIT DESK PHONE: (925) 842-4259 <br /> OWNER NAME: CHEVRON STATIONS, INC CITY: SAN RAMON <br /> OWNER ADDRESS: 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 /> EPA ID#: 00 i 4' ^L L Z <br /> r <br /> EH 00 18 rev 05/2007 <br /> rpt#: HWCS New Owner: Create a New Cover Sheet/Change Label of File <br />