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OMB#: 2050-0024 Expires 10/3112007 <br />SEND COMPLETED <br />United States Environmental Protection Agency <br />FORM To: <br />The Appropriate State or <br />RCRA SUBTITLE C SITE IDENTIFICATION FORM <br />EPA Regional Office. <br />1. Reason for <br />Reason for Submittal: <br />Submittal <br />To provide Initial Notification of Regulated Waste Activity (to obtain an EPA ID Number for hazardous <br />(See instructions <br />waste, universal waste, or used oil activities) <br />on page 9) <br />:3 To provide Subsequent Notification of Regulated Waste Activity (to update site identification information) <br />MARK ALL BOX(ES) <br />J As a component of a First RCRA Hazardous Waste Part A Permit Application <br />THAT APPLY <br />J As a component of a Revised RCRA Hazardous Waste Part A Permit Application (Amendment <br />-XI As a component of the Hazardous Waste Report <br />2. Site EPA ID <br />EPA ID Number <br />Number ( page 10) <br />1 C , A I D 19 8 11 16 18 , 8 13 14 14 1 <br />3. Site Name <br />Name: MCDONALD ISLAND COMPRESSOR STATION <br />(page 10) <br />4. Site Location <br />Street Address: ZUCKERMAN ROAD ON MCDONALD ISLAND <br />Information <br />(page 10) <br />City, Town, or Village: HOLT <br />State: <br />County Name: SAN JOAQUIN <br />Zip Code: <br />S. Site Land Type <br />Site Land Type: 'Xl Private J County LI District J Federal Ll Indian Ll Municipal J State I'D Other <br />(page 10) <br />6. North American <br />A. <br />B. <br />Industry <br />486210 <br />Classification <br />System (NAILS) <br />C. <br />D. <br />Code(s) for the Site <br />(page 10) <br />7. Site Mailing <br />Street or P. O. BOX: 4801 Oakport Street, Bldg. 2 <br />Address <br />(page I <br />City, Town, or Village: Oakland <br />State: CA <br />Country: U.S.A. <br />Zip Code, 94601 <br />8. Site Contact <br />First Name: Larry <br />MI: <br />I <br />Last Name: Deniston <br />Person <br />(page I <br />Phone Number: (510)437-2581 Extension: <br />Email address: LCDICaPGE.COM <br />9. Operator and <br />A. Name of Site's operator: Pacific Gas and Electric Com <br />1 <br />Date Became Operator (rnmlddlyyyy): <br />Legal Owner <br />pany <br />1/1/1958 <br />Operator Type, El Private U County ZI District :1) Federal :1 Indian J Municipal U State LI Other <br />of the Site <br />(pages 11 and 12) <br />B. Name of Site's Legal owner:Pacific Gas and Electric <br />Date Became Owner (mmiddlyyyy): <br />Company 1 <br />1/1/1958 <br />Owner Type: ,x) Private L) County LJ District Ll Federal 0 Indian LI Municipal L I State LJ Other <br />EPA Form 8700-13 A113 (Revised 1012005) Page 1 of 5 <br />