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State of California-California Environmental Protection Agency Department of Toxic Substances Control <br /> Office of Environmental Information Management <br /> PERMANENT STATE ID NUMBER APPLICATION <br /> Please type or print legibly in ink. <br /> NEW NUMBER REQUESTS Check all that apply. <br /> E 1. 1 am applying for a new permanent California ID number as a hazardous waste: Q Generator ❑Transporter <br /> Reason for a new number: A. ❑ Never had a number B. ❑ Business moved C. ® Legal owner of business changed <br /> If your business generates greater than 100 kg of RCRA hazardous waste other than those hazardous waste listed in 40 CFR 261.5 <br /> subparts(c) and(d)per month,please complete Form 8700-12 for a federal EPA ID number. <br /> CHANGES TO STATUS OR INFORMATION FOR AN EXISTING STATE ID NUMBER <br /> For existing ID number: C A <br /> ❑ 2. 1 am updating the mailing address and/or contact information only. <br /> ❑ 3. 1 am inactivating this ID number. <br /> ❑ 4. 1 am reactivating this ID number. Reason(please select one): A. ❑ Verification Questionnaire B. ❑ Other <br /> ❑ 5. 1 am changing the business name only, no ownership change. <br /> 6. Site/Facility/Business Name(Include DBA): Pacific Steel Group <br /> 7. Site Location: 411 Gilmore Ave <br /> StoMon CA 95203 San Joaquin <br /> City State Zip Code County <br /> 8. (a)Federal Employer ID Number47-2055284 (b)Board of Equalization Fee Account Number <br /> ((b)is only required from generators of greater than 5 tons per calendar year.) <br /> 9. Mailing Address: 4805 Murphy Canyon Rd <br /> !sNt Diego CA 92123 <br /> city State Zip Code <br /> 10. Site Contact Person: Hector Vargas <br /> First Name Last Name <br /> Contact Person Address: 411 Gilmore ave <br /> Street <br /> Stockton CA 95203 <br /> City State Zip Code <br /> Contact Person Phone Number: 7( 07 ) 400-3518 Fax Number: �) <br /> Area Code Phone Number Area Code Fax Number <br /> Contact Person Business Email Address:h.yargas@pacificsteelgroup.com <br /> 11. Legal Business Owner(not property owner): Pacific Steel Group <br /> Owner Address: 4805 Murphy Canyon RcNO., CA., 92123 <br /> StreeL58 251-1100 city State Zip code <br /> Owner Phone Number: Z5�) Fax Number: �) <br /> Area Code Phone Number Area Code Fax Number <br /> 12. Standard Industrial Classification(SIC)Code for the Site: 3 4 41 (4-Digit Number) <br /> 13. Certification: I certify under penalty of law that the ' formation on this document was prepared to the best of my knowledge and <br /> belief to be true, accurst 1j�1 t <br /> < <9 <br /> SIGNATURE(handwritten) Date <br /> Name (print) — tjtr L-- Title 1 "A-f^ST- Al(L.- Phone <br /> DTSC Form 1358(09/18) <br /> Page 3 of 3 <br />