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12/06/94 ONSIT"AAZARDOUS WASTE TREATMENT Page: 1 <br /> NOTIFICATION RENEWAL FORM CAD099952996 <br /> I. NOTIFICATION CATEGORIES REGION: 1 <br /> Number of units and attached unit specific notifications: <br /> A. 0 - Conditionally Exempt-Small Quantity Treatment <br /> B. 0 - Conditionally Exempt-Specified Wastestream <br /> C. 0 - Conditionally Authorized <br /> D. 1 - Permit By Rule <br /> 1 - Total Number of Units <br /> II. GENERATOR IDENTIFICATION <br /> EPA ID NUMBER CAD099952996 BOE NUMBER HAUQ36028959 <br /> ------------ ------------ <br /> COMPANY NAME, (DBA) HOLZ RUBBER CO. , INC. <br /> ---------------------------------------- <br /> PHYSICAL LOCATION 1129 S SACRAMENTO ST <br /> ---------------------------------------- <br /> ---------------------------------------- <br /> CITY/STATE/ZIP LODI CA 95240 <br /> ---------------------------------------- <br /> COUNTY SAN JOAQUIN <br /> --------------- <br /> CONTACT PERSON TED COOPER 209/368-7171 ext. <br /> --------------- --------------- --------------------- <br /> (First Name) (Last Name) (Phone #) <br /> Mailing Address <br /> COMPANY NAME (DBA) HOLT RUBBER CO. , INC. <br /> ------------------- <br /> --------------------- <br /> STREET PO BOX 241002 <br /> ---------------------------------------- <br /> ---------------------------------------- <br /> CITY/STATE/ZIP LODI CA 95241 <br /> ---------------------------------------- <br /> COUNTRY ( if other than USA) <br /> CONTACT PERSON TED COOPER 209/368-7171 ext. <br /> --------------- --------------- --------------------- <br /> (First Name) (Last Name) (Phone //) <br /> Note: A V on a question line .Indicates that you dial not provide an answer <br /> on your application. Please change it to a Yes or No <br />