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of t al�forua�a forma Environmental Proaxtion pacflm�nt of Toxic <br /> • � , � � minces Coaorol <br /> C-RMT-M`ATION OF MANCIAL ASSURANCE <br /> FOR PERIWIII']C BY RULE AND CONDITIONALLY AUTHORIZED OPERATIONS <br /> (Ste Attached Ins&uctions) <br /> FOR OFFICIAL USE 0W'V <br /> DISC REGIONAL OFFICE_ <br /> For use by owner or operator of transporza}le*.reatmcnt unit, owner or operator of fixed treatment unit operating under Permit <br /> by Rule, or a generator operating pursuant to a grant of Conditional Authorization. <br /> Initial Certification ❑ Amended Certification ❑ Annual CertiTcation <br /> Put ar asterisk in the left margin next to the amended information. ` <br /> 1. GENERAL INFORIIIATION <br /> A. TYPE OF OPERATION: <br /> O PBR-FTU ❑ PBR-ITU ❑ CA ❑ OTHER <br /> If operation is a TTU, insert TTU serial number: <br /> B. FACILITY/TTU EPA ID NO: C A D 9 8 0 8 9 3 1 8 4 <br /> C. FACILITY/TTU NAME: Viktron California <br /> D. ADDRESS OR LEGAL DESCRIP'T'ION OF FACILITY/TTU LOCATION: <br /> 1443 Navy Drive <br /> CITY: Stockton CA ZIP CODE: 95206 <br /> COUNTY: San Joacluin <br /> E. MAILING ADDRESS: <br /> Same As Above <br /> CITY: STATE: ZIP CODE: <br /> F. CONTACT PERSON: <br /> P4eal James <br /> LAST NAME FIRST NAME <br /> TELEPHONE NUMBER ( 2 0 9 ) 948- 0944 <br /> ITSC 1232(8/96) Formerly 8113(1/96) PAGE 1 OF 3 <br />