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EPA ID NUMBER Cal 000024160 rage <br /> MAILING ADDRESS, IF DIFFERENT: <br /> COMPANY NAME (DBA) Canandaigua Wine Co <br /> STREET P.O. Box 55 <br /> CITY Woodbridge STATE CA ZIp 95258 <br /> COUNTRY <br /> (only wnTlm if not USA) <br /> CONTACT PERSON PHONE NUMBER(__) <br /> (F"Name) (tae N—) <br /> III. TYPE OF COMPANY: STANDARD INDUSTRIAL CLASSIFICATION (SIC) CODE: <br /> Use either one or nvo SIC codes (a jour digit number) that but describe your company's products, services, or Industrial acdvity. <br /> Example: 7384 Photofinishing lab X671 Printed circuit boards <br /> First: 2084 Wine and Champagne Second: <br /> IV. PRIOR PERIIIIT STATUS: Check yes or no to each question: <br /> YES NO <br /> C ❑ El 1. Did you file a PBR Notice of Intent to Operate (DTSC Form 8462)in 1992 for this location? <br /> ❑ ❑ 2. Do•you now have or have you ever held a state or federal hazardous waste facility full permit or isterim <br /> status for any of these treatmenCunits? <br /> ❑ ❑ 3. Do you now have or have you ever held a state or federal full permit or interim steno for tar other <br /> hazardous waste activities at this location? <br /> ❑ ® 4. Have you ever held a variance issued by the Department of Toxic Substances Control for the treatment you <br /> are now notifying for at this location? <br /> ❑ ❑ 5. Has this location ever been inspected by the state or any local agency as a hazardous waste gereaaor? <br /> V. PRIOR ENFORCEMENT 1USTORY: Not required frau gmerators only nor*g as conditionally ezenrp[ <br /> YES NO <br /> ❑ ❑x Within the last three years, has this facility been the subject of any convictions,judgments, settlements, oa final <br /> orders resulting from an action by any local, state, or federal environmental, hazardous waste. or public health <br /> enforcement agency? <br /> (For the purposes of this form, a notice of violation does not constitute an order and need not be reported unless <br /> it 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 ands copy <br /> of the cover shoot from each document. (See the Instructions for more information) <br /> Page 2 <br /> DTSC 1772(1/93) <br />