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March if, 1996 <br /> - Attachment �, �S Gnntret pr <br /> NOTIFICATION OF EXEMPTION <br /> AS FOOD PROCESSING NEUTRALIZATION A e' <br /> COMPANY EPA ID NUMBER: CAD 1 3 J I 7 199 <br /> ppR�S <br /> COMPANY NAME (DBA): IJ¢ I l� o rv"� 5pU CA S ��cl V)t SACR <br /> COMPANY MAILING ADDRESS: C , rlC X 30 ( c) C <br /> CITY: S-t0C Ici CA ZIP CODE <br /> UNIT NAME: re<i,C./lPE'Stt� C CCI I�G1,1Qi UNIT 1D NUMBER: PI <br /> UNIT NAME: ' LCI j5l0,r 6 urt*� UNIT. NUMBER: I <br /> (for more units, add a separate page) <br /> Is your company eligible for the exemption noted on page 1? YES_Z NO_ <br /> Are you authorized for any other treatment activity? YES_ NO—L <br /> If yes, under which tier are your other units authorized? <br /> CESW_ CESQT_ CA_ PBR_ <br /> STANDARDIZED PERMIT_ FULL PERMIT_ <br /> I certify under penalty of law that this document was prepared under my direction or supervision and the <br /> information is, to thebestof my knowledge and belief, true, accurate, and complete. <br /> )c>tlYl f ter✓' Ir �G ✓)ctCIQ.✓ <br /> Name (Print or Type) Title <br /> Signatt Date Signed <br /> I ' <br /> You m"bmit two copies of this completed page by certified mail, return receipt requested, to: <br /> Department of Toxic Substances Control <br /> Program Data Management Section - HQ 10 <br /> Attn: "Food Exemption Notification" <br /> 400 P Street, 4th Floor, Room 4453 (walk in only) <br /> P.O. Box 806 <br /> Sacramento, CA 95812-0806. <br /> You must also submit one copy of this page to your local regulatory agency. <br />