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• i <br /> HAZARDOUS WASTE GENERATOR <br /> FILE COVER SHEET <br /> FACILITY ID#: FA0016538 PIE: 2220 DATE: 01/30/2014 <br /> PROGRAM RECORD#: PRO538347 PIE: DATE: <br /> CERS ID#: 10421809 PIE: DATE: <br /> ADDRESS: 15240 S Harlan Rd CITY: LathrOD <br /> FACILITY NAME (DBA): Save Mart##94 <br /> FACILITY PHONE: (209) 858-4798 FACILITY FAX: (209) 858-8-584456 <br /> FACILITY CONTACT: PHONE: <br /> OWNER NAME: Save Mart Sunerrnarkets CITY: MODESTO <br /> OWNER ADDRESS: 1800 STANIFORD AVE PHONE: (209) 574-6299 111 <br /> Water Service: ❑ Large PWS ❑ Small PWS ❑ Domestic Well <br /> Server Service: ❑ Public Sewer ❑ OnSite WWTX ❑ OnSite Septic System <br /> Stormwater: ❑ Street Drains ❑ Street Ditches ❑ OnSite Ponds ❑ Other <br /> EPA ID#: CAL000359735 <br /> EH 00 18 rev 0512007 <br /> rpt# HWCS New Owner: Create a New Cover Sheet/Change Label of File <br />