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N.. <br /> HAZARDOUS WASTE GENERATOR <br /> FILE COVER SHEET <br /> FACILITY ID#: FA0014996 P/E: 2220 DATE: 02/03/2014 <br /> PROGRAM RECORD#: PR0538482 P/E: DATE: <br /> CERS ID#: 10184841 P/E: DATE: <br /> ADDRESS: 2969 LOOMIS RD CITY: STOCKTON <br /> FACILITY NAME (DBA): GOLDEN BEAR <br /> FACILITY PHONE: (209) 547-0902 0 FACILITY FAX: <br /> FACILITY CONTACT: PHONE: <br /> OWNER NAME: GREG MASTERSON CITY: STOCKTON <br /> OWNER ADDRESS: 2969 LOOMIS RD PHONE: <br /> Water Service: ❑ Large PWS ❑ Small PWS <br /> ❑ Domestic Well <br /> Sewer Service: ❑ Public Sewer ❑ OnSite WWTX <br /> ❑ OnSite Septic System <br /> Stormwater: ❑ Street Drains ❑ Street Ditches <br /> ❑ OnSite Ponds ❑ Other <br /> EPA ID#: <br /> EH 00 18 rev 052007 <br /> rpt#: HWCS New Owner: Create a New Cover Sheet/Change Label of File <br />