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HAZARDOUS WASTE GENERATOR <br /> FILE COVER SHEET <br /> FACILITY ID#: FA0006076 P/E: 2220 DATE: 03/01/2010 <br /> PROGRAM RECORD#: PRO514037 P/E: DATE: <br /> P/E: DATE: <br /> ADDRESS: 4520 EIGHT MILE RD CITY: STOCKTON <br /> FACILITY NAME (DBA): SJC OAK GROVE PARK <br /> FACILITY PHONE: (209) 948-8800 FACILITY FAX: <br /> FACILITY CONTACT: PHONE: <br /> OWNER NAME: SJC PARKS & REC CITY: LODI <br /> OWNER ADDRESS: 11793 N MICKE GROVE RD PHONE: (209) 953-8800 <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 /> SAN JOAQUIN COUNTY PARKS <br /> EPA IDN: CAL000262709 OAk(5,ovL- <br /> SAN JOAQUIN COUNTY PARKS Charles Ruiz 11793 N.Micke Grove Road <br /> Ruben Gusman Senior Park Worker Lodi,CA 95240 <br /> Senior Park Worker nn <br /> 12,310,ult Q.��J..160U r0 <br /> 45 Eight Mile Rd. r <br /> Stockton, <br /> ckktt on,CA 95209 Phone 209 953-8802 209-953-88110 <br /> Phone:(209)953-8802 <br /> Cell:(209)479-8240 <br /> EH 00 18 rev usman <br /> rid#: HWCS r g *Igov.or8 <br /> New Owner. Create a New Cover Sheet/Change Label of File <br /> www.sjparks.com <br />