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f' <br /> a; State of Califomia—California Environmentai Protection Agency Department of Toxic Substances Cortroi <br /> GISS, P.0 Box W6 <br /> Sacramento CA 95812-0806 <br /> item � Check this box to change the name of your business for the ID number shown. Please <br /> rv; complete items 7 and 8. You may update this information as long as there has not been a <br /> change in ownership. If you have had a change in ownership, go to item 1. <br /> Item : Enter the legal name of the site/facility/business. Also include a DBA (Doing Business As) <br /> or fictitious business name, if you have one. <br /> Item 7: Enter the site/business location address, including county name. The address must be a <br /> E physical address', street number and street name. If there is no street number and street name, <br /> latitude and longitude or Assessors Parcel Number(APN) may be used. Post Office boxes or <br /> descriptive addresses are not acceptable as a site location. Please do not abbreviate. <br /> Item 8: (a) Provide the business's Federal Employer Identification Number(FEIN). An FEIN, also <br /> known as a Federal Tax: Identification Number, is used to identify a business entity. Go to <br /> www.iM.SMLAbusines§nLqniVadigle/O,,id=98350.00.htmI for additional information or calf <br />' (800) 8294933. An FEIN is usually written 00-00000000. (b) If the business has a Board of <br /> Equalization (BOE) fee account number, also known as a hazardous waste generator fee account <br /> M number, please provide it. if the business does not have a BOE fee account number leave this <br /> space blank. A BOE number is only required if the business generates or produces five or more <br /> tons of hazardous waste per calendar year, regardless of the anal disposition of the waste. If you <br /> meet this criteria and do not have a number, please contact BOE at (916) 323-9534 or visit their <br /> l: website at www.boe.0a.gov. <br /> It2m : Provide the sitelbusiness mailing address. The mailing address may be different from the <br /> location address. <br /> a item 1 : Enter the site contact person's information. Select your preferred primary communication <br /> method, mail or email_ <br /> Item 11: Enter the legal business owners information. Use a company name if the business is a <br /> corporation or provide the owner's name if the b ,mess is a sole proprietorship. Do not list the <br /> s property owner or management company, if they are not e e . ung the hazardous <br /> waste. Please provide ft owner's address, and phone and fax numbers. <br /> Itgm 12: Enter the 4-digk Standard Industrial Classification Code (SIC). The SIC Code is a four- <br /> digit number that best describes your co ry awes . if your company's SIC <br /> Code is unknown, go to the Internet v/ h r html search for the Code. <br /> You may find it helpful to follow the o <br /> Item 13: Sign and date. <br /> Common SIC Codes <br /> 3599 - Machine Shop 5541 -Gas Station <br /> 5511 - Car Dealer 7532 -Auto Body Shop <br /> 7538 - Auto Repair(general) 7623 - Refriger. &Air Conditioning Repair <br /> 8021 - Dental Office 7212 - Dry Cleaner <br /> Page 3 of 4 <br /> Instructions for DTSC Form 1358(6108) <br />