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HAZARDOUS WASTE GENERATOR <br /> FILE COVER SHEET <br /> FACILITY 1D#: FA0004500 PIE: 2220 DATE: 09/03/2009 <br /> PROGRAM RECORD#: PRO530613 PSE: DATE: <br /> PIE: DATE: <br /> ADDRESS: 28915 FUNCK RD CITY: FARMINGTON <br /> FACILITY NAME (DBA): VALLEY CREST TREE COMPANY <br /> FACILITY PHONE: (209) 886-55110 FACILITY FAX: <br /> FACILITY CONTACT: PHONE: <br /> OWNER NAME: VALLEY CREST TREE COMPANY CITY: FARMINGTON <br /> OWNER ADDRESS: 28915 FUNK RD PHONE: <br /> Water Service: ❑ Large PWS ❑ Small PWS ❑ Domestic Well <br /> Sewer Service: ❑ Public Sewer ❑ OnSite WWTX ❑ OnSite Septic System <br /> Stormwater: ❑ Street Drains ❑ Street Ditches ❑ OnSite Ponds ❑ Other <br /> EPA ID#: <br /> EH 00 18 rev 05/2007 <br /> rpt#: HWCS New Owner: Create a New Cover Sheet/Change Label of File <br />