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OMB#2050-0024; Expires 05/31/2020 <br /> United States Environmental Protection Agency " <br /> RCRA SUBTITLE C SITE IDENTIFICATION FORM <br /> 1. Reason for Submittal(Select only one.) <br /> Obtaining or updating an EPA ID number for an on-going regulated activity that will continue for a period of <br /> time.(Includes HSM activity) <br /> Submitting as a component of the Hazardous Waste Report for 2017 (Reporting Year) <br /> ZSite was a TSD facility and/or generator of>1,000 kg of hazardous waste,>1 kg of acute hazardous <br /> waste,or>100 kg of acute hazardous waste spill cleanup in one or more months of the reporting year <br /> (or State equivalent LQG regulations) <br /> Notifying that regulated activity is no longer occurring at this Site <br /> Obtaining or updating an EPA ID number for conducting Electronic Manifest Broker activities <br /> Submitting a new or revised Part A Form <br /> 2. Site EPA ID Number <br /> C I A I D 1 0 1 0 1 9 1 1 1 8 1 4 1 5 1 0 1 8 <br /> 3. Site Name <br /> OCCIDENTAL CHEMICAL CORPORATION <br /> 4. Site Location Address <br /> Street Address 16777 HOWLAND ROAD <br /> City,Town, or Village LATHROP County CA077 <br /> State CA Country US Zip Code 95330 <br /> 5. Site Mailing Address ❑ Same as Location Address <br /> Street Address 101 CREEKSIDE RIDGE CT, SUITE 200 <br /> City,Town,or Village ROSEVILLE <br /> State CA Country US Zip Code 95678 <br /> 6. Site Land Type <br /> Private County District 11 Federal Tribal ❑Municipal State 11 Other <br /> 7. North American Industry Classification System(NAICS)Code(s)for the Site(at least 5-digit codes) <br /> A. (Primary) 562910 C. <br /> B. D. <br /> EPA Form 8700-12,8700-13 A/B,8700-23 Page 1 of 7 <br />