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EPAID NUMBER Cal 0000241 60 rags _ <br /> MAILING ADDRESS, IF DIFFEREIR7': <br /> COMPANY NAME(DBA) Canandaigua Wine Co. <br /> C STREET P.O. Box 55 <br /> CiTy Woodbridge STATE CA Zlp 95258 _ <br /> COUNTRY <br /> (only wmpleta if=USA) <br /> CONTACT PERSON PHONE NUMBER(__J _ <br /> (Fust Name) ZL Name) <br /> III. TYPE OF COMPANY: STANDARD INDUSTRIAL CLASSIFICATION (SIC) CODE: <br /> Use either one or r"SIC codes (a jour digit number)that but describe your company's products, .cervices, or industrial activity. <br /> Example: 2784 Photofinishing lab 3672 Printed circuit boards <br /> First: 2084 Wine and Champagne Second: <br /> IV. PRIOR PERMIT 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 6462) in 1992 for this location? <br /> ❑ 0 2. Do-you now have or have you ever held a state or federal hazardous waste facility full permit or interim <br /> status for any of these treatmeafunits? <br /> ❑ ❑ 3. Do you now have or have you ever held a state or federal full permit or interim status for Fay 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 treatme"You <br /> are now notifying for at this location? <br /> ❑ ❑x 5. Has this location ever been inspected by the state or any local agency as a hazardous waste geLendor? <br /> V. PRIOR ENFORCEMENT HLSf ORY: Not required from generators only nmyying as condltiona(ly emmgx <br /> YES NO , <br /> ❑ 0 Within the last three years, has this facility been the subject of any convictions,judgments, settlements, or 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 red a copy <br /> of the cover sheet from each document. (See the Instructions for more information) <br /> Page 2 <br /> DTSC 1772(1/93) <br />