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EPA ID NUMBER Page ofs, <br /> 20 <br /> .%tAQ.ING ADDRESS, fF DIF'PERF*t : <br /> COMPANY NAME (DBA) LONGS DRUG STORES CALIFORNIA, 3NC. <br /> STREET <br /> P.O. BOX 5010 <br /> CITY AN^1IOCH STATE CA ZIP 94531. 5010 <br /> COUNTRY ---- <br /> (oNy comptw If eat USA) <br /> CONTACT PERSON NANCY SCHNIDER PHONE NUMBER( 51Q 210 . 6625 <br /> (Fin Nama) (Lt Nm) <br /> M. TYPE OF COMPANY: STANDARD INDUSTRIAL CLASSIFICATION (SIC) CODE: <br /> Use either one or rwo ^coder (a four digit number) that Gert describe your company's products, tmicer, or industrial act viry <br /> Erampie: 7M Phora/inixwnr fab ,j¢jj Printed circuit boards <br /> First: 5912 RETAIL CHAIN DRUG Second: <br /> IV. PRIOR PERMIT STATUS: Check yes or no to each question: <br /> YES NO <br /> ❑ ® 1. Did you file a PBR Notice of Intent to Operate•(DTSC Form 8462) in 1992 for this locattoa? <br /> ❑ ® 2. Do you now have or have you ever held a state or federal hazardous waste facility full permit or Intent <br /> status for any of these treatment units? <br /> ❑ UG 3. Do you now have or have you ever held a state or federal full permit or interim status for any otbe <br /> hazardous waste activities a this location? <br /> ❑ ® 4. Have you ever had a variance issued by the Department of Toxic Substances Control for the treatment yo <br /> are now notifying for at this location? <br /> ❑ ❑ S. Has this location ever been inspected by the state or any local agency as a hazardous waste generator? <br /> V. PRIOR ENFORCEMENT HISTORY: Nor regwred from gorenaors only worf#ag as cvraditioras//y erupt. <br /> YES NO N/A <br /> ❑ ❑ Within the last three years, hu this facility been the subject of any convictions,judgments, settlements• or fiat <br /> orders resulting from an action by any local• state, or federal environmental, hazardous waste, or public heale <br /> enforcement agency? <br /> =or the purposes of this form, a notice of violation does not conwtuts an order and need not be reported unles <br /> was not corrected and became a final order.) <br /> ❑ If you answered Yes,check this box and attach a listing of convictions,judgments, settlements, or orders an, p <br /> of the cover show from each document. (See the Instructions for more information) <br /> DTSC 1772 (1/93) page <br />