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HAZARDOUS WASTE GENERATOR <br />FILE COVER SHEET <br />FACILITY ID#: FA0006439 P/E: 2220 DATE: 03/07/2014 <br />PROGRAM RECORD #: PR0514045 P/E: DATE: <br />P/E: DATE: <br />ADDRESS: 2575 Country Club Blvd CITY: Stockton <br />FACILITY NAME (DBA): California Fuel SUDDIV <br />FACILITY PHONE: (209)932-1307 <br />FACILITY FAX: A - <br />FACILITY CONTACT: MIKE AHMADI PHONE: (415) 516-7676 <br />OWNER NAME: California Fuel SuDDIv CITY: WALNUT CREEK <br />OWNER ADDRESS: 587 YGNACIO VALLEY RD PHONE: (415)516-7676 <br />Water Service: ❑ Large PWS <br />Sewer Service: ❑ Public Sewer <br />Stormwater: ❑ Street Drains <br />EPA ID#: <br />❑ Small PWS ❑ Domestic Well <br />U <br />OnSite WWTX <br />❑ <br />OnSite Septic System <br />❑ <br />Street Ditches <br />❑ <br />OnSite Ponds ❑ Other <br />EH 00 18 rev 05/2007 <br />rpt # : HWCS New Owner: Create a New Cover Sheet/ Change Label of File <br />