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State of California - California Entiro tal Protection Agency <br />W-irtment of Toxic /substances Control <br />For Use by Transportable Treatment Unit (TTU) <br />Treating Hazardous Waste Under Permit By Rule <br />(Pursuant to Title 22, California Code of Regulations, Chapter 45) ® Initial <br />❑ Amended <br />❑ Extension <br />This form is to be used by all Permit -by -Rule (PBR) Transportable Treatment Units (TTUs) only. This <br />Transportable Treatment Unit Permit -By -Rule, Site -Specific Notification supersedes DISC Form 8429A. When submitting <br />an amended notification, put an asterisk next to the amended information. Please check the extension box only if you are <br />requesting authorization for work beyond the one year time limit. The wastestreams treated must be limited to those listed <br />in Title 22, CCR, section 67450. 11, which are also listed on this form. <br />GENERAL TTU INFORMATION <br />COMPANY EPA ID NUMBER CA - D980887202 <br />BOE NUMBER (if available) H F HQ 38007335 TTU SERIAL_ NUMBER DTX -25 <br />COMPANY NAME (DBA -Doing Business As) DELTA TECH SERVICE, INC. <br />PHYSICAL LOCATION 397 W. CHANNEL RD. <br />CITY BENICIA CA ZIP 94510 <br />r�- <br />STREET SAME <br />CITY STATE ZIP <br />OWNER PHONE NUMBER (707) 745-2080 <br />OPERATOR NAME <br />STREET <br />CITY <br />.# a <br />STATE ZIP - <br />OPERATOR PHONE NUMBER (707)745_-_2080 <br />TTU CONTACT PERSON Joe Blood PHONE NUMBER (707) 745-2080 <br />(first name) (last name) <br />DTSC Form 1197 (1/96) Page 1 <br />(Previously DTSC 8429A) <br />