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HAZARDOUS WASTE GENERATOR <br /> FILE COVER SHEET <br /> FACILITY ID#: FA0012503 P/E: 2220 DATE: 11/03/2010 <br /> PROGRAM RECORD#: PR0516192 P/E: DATE: <br /> P/E: DATE: <br /> ADDRESS: 30000 KASSON RD CITY: TRACY <br /> FACILITY NAME (DBA): SAN JOAOUIN RIVER CLUB <br /> FACILITY PHONE: (209) 835-1969 FACILITY FAX: (2091835-8358965 <br /> FACILITY CONTACT: SAN JOAOUIN RIVER CLUB PHONE: (209) 835-1969 <br /> OWNER NAME: SAN JOAOUIN RIVER CLUB CITY: TRACY <br /> OWNER ADDRESS: 30000 KASSON RD PHONE: (209) 835-1969 <br /> Water Service: Large PWS ❑ Small PWS ❑ Domestic Well <br /> Sewer Service: ❑ Public Sewer ❑,,,((( Onsite WWTX OnSite Septic System <br /> Stormwater: ❑ Street Drains I,Q� Street Ditches ❑ OnSite Ponds ❑ Other <br /> EPA ID#: <br /> SAN SOAQUIN RI ER CLUB, INC. <br /> 30,000 KASSON R AD <br /> TRAC� jA19��304 <br /> TJL 14-01 <br /> EH 00 I8 rev 05/2007 ��rptp: HWCS ( � e a New Cover Sheet/Change Label of File <br /> (209)835-1969 FAX 209 35-8ySj <br />