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APR-16-2008 12 :36 PM P. 02 <br /> 10 7850 south RA Bridgeford•Sts <br /> �• , <br /> Stockton,Ca 95206 <br /> Direct:209-468-5670 <br /> Fax:209.468-5672 <br /> CESQG INVENTORY FORM <br /> Company Name: S 0 5C' I V/to e 4y 4 <br /> Contact: l/ I r!l Z <br /> Addte88: �G' /(� I=lJC' I tom) v�•-� ��r ct✓r isG'I <br /> City: .+.�i r•1 r ►,: , c' Phone No,: — 2r ��-� <br /> / � ._.._ Zip Code: /S�� >z[ `i) 7 i / 12 b 3 <br /> County:�5__'1 , , ryqyi r yr �/ *EPA ID#:_L.,4•(_ y 7. �. <br /> •if you do not have an BPA ID#, you may call (800)618.6942 to obtain one, <br /> Event Location/Date(if known): <br /> Type of Waste Quantity Size and Type Liquid/ To tee tilled out by <br /> of Container per Bettor <br /> Solid —con ToalCort <br /> (c=wpk)r Latex paint ib.igal. <br /> 4 5941plastic Liquid <br /> bucket <br /> l� <br /> .r. <br /> i <br /> Sub Total <br /> Processinlee ;�.v <br /> TotoIfyoa and more room piesse attach another sheet and list as specified oni thisbforMid b CEG ` � <br /> I ser"the business that I am representing is a Conditionally Exempt Small Quantity Generator <br /> Par Month Who Pner ates no More than unusual average kil�m$(27 gallons or 220 pounds) of hazardous waste <br /> unudmetn quantity of waste acce gO and t, the representative of the CESQC,, understand the <br /> disposal costs Incurred shall be the red at the <br /> time of the isposal is 27 gallons or 220 pounds and any <br /> ty MQG to pay at the time of disposal, <br /> 3iptatttre�/ L 0 _ <br /> Dnte —' <br />