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FORM IC OMB#: 2050-0024 Expires 09!30/99 <br /> U.S. ENVIRONMENTAL <br /> PROTECTION AGENCY <br /> SITE NAME: SUMIDEN WIRE PRODUCTS CORPORATION <br /> EPA ID NO: CAD097068126 FORM 1997 Hazardous Waste Report <br /> IC IDENTIFICATION AND <br /> CERTIFICATION <br /> histructions: Please seethe detailed instructions beginning on page 7 of the instructions and forms booklet before completing this form. In addition, <br /> the page number for the instructions specific to each section is provided below. <br /> 01 Site name and location address. Instructions page 7. <br /> A. EPA ID No. B. County <br /> CAD097068126 San Joa uin <br /> C. Sitelcompany name D. Has the site name associated with this EPA ID changed since 1995 <br /> SUMIDEN WIRE PRODUCTS CORPORATIONt x 2 No <br /> E. Street name and number. If not applicable,enter industrial park,building name or other physical locationYes description. <br /> 1412 EI Pinal Drive <br /> F. City,town,village G. State H. Zip Code <br /> Stockton I CA 95205 <br /> Mailing address of site. Instructions page 7. <br /> A. Is the mailing address the same as the location address? <br /> ❑x 1 Yes (SKIP TO SEC III) 02 No (GO TO BOX B) <br /> B. Number and street name of mailing address <br /> 1412 EI Final Drive <br /> C. City,town,village D. State E. Zip Code <br /> Stockton I CA 95205 <br /> Name,title,and telephone number of the person who should be contacted if questions arise regarding this report Instructions page 7 <br /> A. Last Name First Name M.I. B. Title C. Telephone Number <br /> Hanlan Neil QA Manager 2094668927 Ext. 19 <br /> "I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a systE <br /> y designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persoi <br /> Sec?Iwho manage the system,or those persons directly responsible for gathering the information,the information submitted is,to the best of my <br /> knowledge and belief,true,accurate,and complete. I am aware that there are significant penalties under Section 3008 of the Resource Consen <br /> and Recovery Act for submitting false information includinq the Possibilitv of fine and imprisonment for knowing violations" Instructions page 8. <br /> A. Last Name First Name M.I. B. Title <br /> Olson _Ro erl President <br /> C. Signatur D. Date of signature IU Wj 1 <br /> MO. DAY YR. <br /> n <br />