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HAZARDOUS WASTE GENERATOR <br /> FILE COVER SHEET <br /> 2Z2o <br /> FACILITY ID#: FA0000110 P/E: 236t' DATE: 06/01/2007 <br /> PROGRAM RECORD#: *RffB+56T D S Z -7 I S P/E: DATE: <br /> P/E: DATE: <br /> ADDRESS: 8115 S ELDORADO ST CITY: FRENCH CAMP <br /> FACILITY NAME (DBA): J & L MARKET <br /> FACILITY PHONE: (209) 982-0897 FACILITY FAX: <br /> FACILITY CONTACT: EUGENIA D VALDEZ PHONE: <br /> OWNER NAME: VALDEZ. EUGENIA DUARTE CITY: FRENCH CAMP <br /> OWNER ADDRESS: 3253 S EL DORADO ST PHONE: (209) 941-2216 <br /> C 14L( W,'kCZ <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#: Ar L DCC' 212- <br /> J <br /> 12 <br /> r v <br /> • ' \`. <br /> ench Comp's One . Complex! <br /> 8125 S.El Dorado <br /> French Cainp <br /> EH 00 18 rc <br /> rpt#: HWC 19 189 <br /> New Owner. Create a New Cover Sheet/Change Label of File <br /> 1'li(209)983-1074 / <br />