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EPA tzu NU11DZA _ CAD000626101 <br /> MAILING ADDRESS, IF DIFFERENT; <br /> COMPANY NAME (DBA) Time Oil Co. <br /> STREET 2737 West Commodore Way <br /> CITY Seattle STATE WA ZIP98199 -1233 <br /> COUNTRY <br /> (only complete if not USA) <br /> CONTACT PERSON Donald Butler PHONE NUMBER 2( 06 )286 -6445 <br /> (Fm Name) (Lar Name) <br /> III. TYPE OF COMPANY: STANDARD INDUSTRIAL CLASSIFICATION (SIC) CODE: <br /> Use either one or two SIC codes (a jour digit number) that best describe your company's products, servicer, or industrial activity. <br /> Example: 7384 Photofinislunr lab 3672 Printed circuit boards <br /> Petroleum Bulk <br /> First: 5171 Stations & Storacp 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 location? <br /> ❑ ® 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 treatment units? <br /> ❑ © 3. Do you now have or have you ever held a state or federal full permit or interim status for any 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 generator? <br /> V. PRIOR ENFORCEMENT HISTORY: Not required front gars wily nodgar conditionaBy eLanipc <br /> YES NO <br /> ❑ ® Within the last throe 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 and a copy <br /> of the cover sheet from each document. (See the Instructions for more information) <br /> pTSC 177.2 (1 1011 0, . <br />