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ifornia—California Environment ection Agency department of Toxic Substances Control-GISS P.O.Box 806,Sacramento, CA 95812 0806 set Form Print CALIFORNIA HAZARDOUS WASTE PERMANENT ID NUMBER APPLICATION Please type or neatly print in ink. Please review the line-by-line instructions carefully. N To check on the status of your request,go to www.hwts.dtsc.ca. ov and click on Reports. R REQUESTS, Check all that apply. (See instructions.) CNV'P LJ 1. I am applying for a new permanent California ID number as a hazardous waste: ❑ Generator El Transporter Reason for new number: A. ❑ Never had a number B. ❑ Business moved C. ❑ Legal owner of business changed If your business generates greater than 100 kg of RCRA hazardous waste per month, contact US EPA for a federal ID number. CHANGES TO STATUS OR INFORMATION FOR AN EXISTING ID NUMBER (See instructions.) For existing ID number: CA L 0 0 0 3 4 7 8 1 9 ❑ 2. 1 am updating the mailing address and/or contact information only. �] 3. 1 am inactivating this ID Number. ✓❑ 4. 1 am reactivating this ID Number. 5. 1 am changing the business name only, no ownership change. Spirit Gasoline (See instructions.) 6. Site/Facility/Business Name (Include DBA): S p 7. Site Location: 1250 N. Wilson Way Street CA 95205-3145 San Joaquin Stockton City State Zip County 8. (a) Federal Employer ID Number--------- Board of Equalization Fee Account Number SRKH 101-280435 ((b)is only required from generators of greater than 5 tons per calendar year.) 1250 N. Wilson Way (See instructions.) 9. Mailing Address: Y Street Stockton CA 95205-3145 City State Zip 10. Site Contact Person: Dhani Ram Salhan (See instructions.) First Name Last Name Contact Person Address: 840 Dupont Dr. Street Stockton Ca 95210-2018 City State Zip Contact Person Phone Number: 2( O9 ) 390-5167 Fax Number: 2( 09 ) 547-0700 Area Code Phone Number Area Code Fax Number Contact Person Business Email Address: Preferred Primary Communication: ❑✓ Mail ❑Email 11. Legal Business Owner(not property owner): Joginder Lal (See instructions.) Name Owner Address: 840 Dupont Dr Stockton CA 95210-2018 Street City State Zip Owner Phone Number: ( 09 ) 547-1700 Fax Number: ( Area Code Phone Number Area Code Fax Number 12. Standard Industrial Classification (SIC)Code for the Site: 5 5 4 1 (4-Digit Number) (See instructions.) 13. Certification: I certify under penalty of law that the information on this document was prepared to the best of my knowledge and belief to be, true, accurate and complete. SIGNATURE_ L ' DATE NAME(print) 1 bbl izivi PHONE mac•f�— "� O—S 1 G� DTSC Form 1358(6/08)