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i <br />HAZARDOUS WASTE GENERATOR <br />FILE COVER SHEET <br />FACILITY ID#: FA0004959 PIE: 2220 <br />PROGRAM RECORD #: PR0517682 PIE: <br />PIE: <br />U <br />DATE: 02/24/2009 <br />DATE: <br />DATE: <br />ADDRESS: 930 EY CITY: �1 1 vk.ini Un <br />`c', l) a pw6 i S M4h1�lCT . <br />FACILITY NAME (DBA): I V s <br />FACILITY PHONE: (209) 463-9400 H 1 O G FACILITY FAX: <br />t�� 60 -L <br />FACILITY CONTACT: PHONE: (209) 463-9400 <br />OWNER NAME: MAHBOOB, MOJADIDDY GHULAM CITY: AUBURN <br />skh prOP4,"I <br />OWNER ADDRESS: 163 BUENA VISTA ST PHONE: (510) 706-1958 <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#: <br />b,'�'' <br />EH 00 18 rev 0512007 <br />rpt # : HWCS New Owner: Create a New Cover Sheet /Change Label of File <br />