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HAZARDOUS WASTE GENERATOR <br /> FILE COVER SHEET <br /> FACILITY 1D#: FA0012979 P/E: 2220 DATE: 05/12/2011 <br /> PROGRAM RECORD#: PR0517801 P/E: DATE: <br /> P/E: DATE: <br /> ADDRESS: 15237 N THORNTON RD CITY: LODI <br /> FACILITY NAME (DBA): FLYING J TRAVEL PLAZA#617 <br /> FACILITY PHONE: (209) 339-4066 FACILITY FAX: <br /> FACILITY CONTACT: JOEY CUPP PHONE: (865) 474-2826 <br /> OWNER NAME: PILOT TRAVEL CENTERS LLC CITY: KNOXVILLE <br /> OWNER ADDRESS: 5508 LONAS RD PHONE: (209) 827-1399 <br /> Water Service: ❑ Large PWS ❑ Small PWS ❑ Domestic Well <br /> Sewer Service: ❑ Public Sewer ❑ OnSite WWTX ❑ OnSite Septic System <br /> Stormwater: ❑ Street Drains ❑ Street Ditches ❑ OnSite Ponds ❑ Other <br /> EPA ID#: <br /> EH 00 18 rev 05/2007 <br /> rpt#: HWCS New Owner: Create a New Cover Sheet/Change Label of File <br />