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COMPLIANCE INFO_2019
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2200 - Hazardous Waste Program
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PR0538621
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COMPLIANCE INFO_2019
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Last modified
7/24/2020 11:29:46 AM
Creation date
7/24/2020 10:16:33 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
2019
RECORD_ID
PR0538621
PE
2249
FACILITY_ID
FA0021035
FACILITY_NAME
OCCIDENTAL CHEMICAL CORP
STREET_NUMBER
16777
STREET_NAME
HOWLAND
STREET_TYPE
RD
City
LATHROP
Zip
95330
APN
198-180-01
CURRENT_STATUS
01
SITE_LOCATION
16777 HOWLAND RD
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\dsedra
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EHD - Public
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EPA ID Number I C I A I D 1 0 1 0 1 9 1 8 1 4 1 5 1 0 1 B OMB#2050-0024; Expires 05/31/2020 <br /> 18. Comments (include item number for each comment) <br /> 19. Certification I certify under penalty of law that this document and all attachments were prepared under my direction or su- <br /> pervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information <br /> submitted.Based on my inquiry of the person or persons who manage the system,or those persons directly responsible for gath- <br /> ering the information,the information submitted is,to the best of my knowledge and belief,true,accurate,and complete,I am <br /> aware that there are significant penalties for submitting false information,including the possibility of fines and imprisonment for <br /> knowing violations. Note:For the RCRA Hazardous Waste Part A permit Application,all owners and operators must sign(see 40 <br /> CFR 270.30(b)and 270.11). <br /> Signature of legal owner,operator or authorized representative Date(mm/dd/yyyy) <br /> �- Lt 2 Q 1 t3 <br /> Printed Name(First,Middle Initial Last) Title <br /> Roger Smith Director Operations <br /> Email <br /> Roger—Smith@oxy.com <br /> Signature of legal owner,operator or authorized representative Date(mm/dd/yyyy) <br /> Printed Name(First,Middle Initial Last) Title <br /> Email <br /> EPA Form 8700-12,8700-13 A/B,8700-23 Page 6 of 7 <br />
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