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EPA ID NUMBER SCA,`'"11573793 Page 2 of 6 <br /> MAILING ADDRESS, IF DIFFERENT: <br /> COMPANY NAME (DBA) Heinz , U.S.A. <br /> STREET P.O. Box 57 <br /> CITY Tracy STATE CA up 95378 . 0057 <br /> COUNTRY <br /> (wdy*OnVi a if n USA) <br /> CONTACT PERSON Monroe COsme PHONE NUMBER( 209) 832 _ 4282 <br /> FAM 145.) (Lea Nkm ) <br /> M. TYPE OF COMPANY: STANDARD INDUSTRIAL CLASSIFICATION (SIC) CODE: <br /> Use either one or two SIC erxies (a four digit nwnber) that best describe your company's products, services, or industrial acrivin. <br /> Example: ZZL4 Vwjegad!h ne fab 3672 Printed circuit boards <br /> Canned Fruits <br /> First: 2033 & Vegetables second: 2032 Canned Specialties <br /> IV. PRIOR PERAUT STATUS: C?wck yes or no to each question: <br /> YES NO <br /> ❑ ® 1. Did you file it PBR Notice of Intent to Operate (DTSC Form 8462) in 1992 for this location? <br /> ❑ ❑ 2. Do you now have or have you ever held a state or federal hazardous waste facility full Permit or interim <br /> status for any of tbese treatment units? <br /> ❑ ® 3. Do you now have or have you ever beld a state or federal full permit or interim status for any other <br /> hazardous waste activities at this location? <br /> ❑ ❑ 4. Have you ever held a variance issued by the Department of Toxic Substances Control for the treatment you <br /> tt�� <br /> an now notifying for at this location? <br /> El [3 S. Has this location ever been inspected by the state or any local agency as a hazardous waste generator? <br /> V. PRIOR ENFORCEMENT HISTORY: Nor required from genermon only notifying ar aondtionally exempt. <br /> YES NO <br /> ❑ ❑ Within the last three years, has this facility been the subject of any convictions,judgments, settlements. or final <br /> orders resulting from an action by any local, state, or federal environmental, hazardous waste. or public health <br /> enforcLment agency? <br /> (For the purposes of this form, a notice of violation does not constitute an order and need not be reported unless <br /> it was not wrrmted and became a final order.) <br /> ❑ If you answered Yes, cheek this box and attach a listing of convictions,judgments, settlements, or orders and a copy <br /> of the cover sheet from each document. (See the Instructions for more information) <br /> DTSC 1772 (1/93) ?,_ - . Page 2 <br /> 6'r'd ZW13H'f—H LT :60 E6, ©E bCW <br />