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} <br /> Score M Como,,,- pan ldt Probanan Agenc 041100" T at Ta.w SudPdnen Cd"na <br /> s FOR OFFICIAL USE ONLY TRANSPORTABLE TREATMENT UNIT PERMIT BY RULE <br /> DTSC REGIONAL OFFICE SITE-SPECIFIC NOTIFICATION FiF�I-jf1 (See instructions on reverse) <br /> For use by Transportable Treatment Unit (TTU) treating hazardous waste under permit by rule <br /> Initial Notification ❑ Amended Notification <br /> 43 <br /> Put an asterisk in the left margin next to the amended information, <br /> I. GENERAL INFORMATION <br /> A. COMPANY ID NUMBER <br /> pA9Qoob31Z.le� <br /> B. TTU SERIAL NUMBER <br /> tTLI <br /> C. COMPANY BOARD OF EQUALIZATION ACCOUNT NUMBER <br /> it`f A Q -6,re o o to %q 1 <br /> D. COMPANY NAME <br /> L. 0I L e009A,u �/ <br /> E. COMPANY ADDRESS OR LEGAL DESCRIPTION OF TTU LOCATION <br /> A I Ato"PA(Ill 1111_f101 edit( Ir <br /> �1 ,6lo1q1 Sio.LtT �t, <br /> (ACOretl) <br /> w, e,z <br /> (city) )store) (ZIP code) <br /> F. COMPANY MAILING ADDRESS <br /> LL-. ojd e,oLAT R.10 )" <br /> (AOdieel <br /> A ►l A, Ft,E, 1 ,!'{ w Z 6. 4D, 5 _ <br /> (City) (State) (ZIP code) <br /> G. TTU CONTACT PERSON <br /> (tat Ndmel p.m +ame1 <br /> 1 ,L _ , � _ 3,3$•� <br /> telpnene Nu 1001(Pried code and Nuttiest) <br /> Dishfbullon: OTSC—WhNe and Yellow; NotHler—fink and Instructions <br /> DTSC U29A(I 1/91) Page I of 5 <br />