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FACILITY ID#: FA0016918 <br />PROGRAM RECORD #: <br />CERS ID#: 10185617 <br />HAZARDOUS WASTE GENERATOR <br />FILE COVER SHEET <br />PR0538590 <br />ADDRESS: 22516 S ALICE RD <br />FACILITY NAME (DBA): JIM VAN LAAR <br />FACILITY PHONE: (209) 599-3613 0 <br />PSE: 2221 DATE: 02/03/2014 <br />PIE: DATE: <br />PIE: DATE: <br />CITY: MANTECA <br />FACILITY FAX: <br />FACILITY CONTACT: PHONE: <br />OWNER NAME: JIM VAN LAAR CITY: MANTECA <br />OWNER ADDRESS: 22516 S ALICE RD PHONE: <br />Water Service: ❑ Large PWS ❑ Small PWS ❑ Domestic Well <br />Sewer Service: ❑ Public Sewer <br />Stormwater: ❑ Street Drains <br />EPA ID#: <br />EH 00 18 rev 05/2007 <br />rpt 4: HWCS <br />❑ OnSite WWTX ❑ OnSite Septic System <br />❑ Street Ditches ❑ OnSite Ponds ❑ Other <br />New Owner: Create a New Cover Sheet / Change Label of File <br />