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State of California-California E x tat Protection Agency Departm )f Toxic Substances Control <br /> TIEFED PERMITTING PHASE I ENVIRONMENTAL ASSESSMENT CHECKLIST <br /> RELEASE INFORMATION DATA SHEET <br /> Instructions: Complete the following questions in detail for EACH release identified in .the SUMMARY <br /> CHART, the SOLID WASTE MANAGEMENT UNIT INFORMATION DATA SHEET, and the SOLID <br /> WASTE MANAGEMENT UNIT INFORMATION DATA SHEET FOR PROCESS SYSTEMS. If answers <br /> to questions aro not known, then state 'Do not]mow.' <br /> 1. Facility name: <br /> SUMIDEN WIRE PRODUCTS CORPORATION <br /> 2. Did this release come from a SWMU? If YES, which one? YES I NO <br /> X <br /> 3. When did the release occur? <br /> qQ E E 845 EVcrC. OCCvrcE <br /> 4. What was released and how much? <br /> 5. What caused the release? <br /> 6. Indicate the approximate area of the release (i.e. 3 feet diameter, 5 feet x 4 feet). <br /> 7. Was the release remediated? If YES, explain how. YES NO <br /> 8. Were samples collected? If YES, what were the results? YES NO <br /> 9. Is the release or results of the release currently under a compliance order from a YES NO <br /> federal, state, or local regulatory agency? If YES, list the date and agency issuing <br /> the order and attach a copy of the order from agencies other than the Department. <br /> 10. List any environmental reports or Studies performed on the release and attach copies of the reports <br /> not submitted to the Department. <br /> Name of preparers WAYNE MANNOR <br /> Title of the Preparer: PLANT MANAGER Date: 12-29-94 <br /> Please indicate total number of pages: Page 14 of <br /> DTSC 1151 (6/94) WORKSHOP DRAFT 19 <br />