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HAZARDOUS WASTE GENERATOR <br /> FILE COVER SHEET <br /> FACILITY ID#: FA0009973 P/E: 2220 DATE: 04/20/2009 <br /> PROGRAM RECORD#: PR0514116 P/E: DATE: <br /> P/E: DATE: <br /> ADDRESS: 7150 E ARCH RD CITY: STOCKTON <br /> FACILITY NAME (DBA): CTC ANNEX <br /> FACILITY PHONE: (209) 943-1600 FACILITY FAX: <br /> FACILITY CONTACT: PHONE: <br /> OWNER NAME: CALIF DEPT OF CORR & REHAB CITY: SACRAMENTO <br /> OWNER ADDRESS: 1515 S ST PHONE: (916) 381-3844 <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 [D#: CAL 000043604 <br /> EH 00 18 rev 05/2007 <br /> rpt#: HWCS New Owner: Create a New Cover Sheet/Change Label of File <br />