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Exhibit CA — Corrected DTSC Form 1358 Page 1 Page 1 of 3 State of California California Environmental Protection Agency Department of Toxic Substances Control OEIM—Business Operations Unit Permanent State ID Number Application (DTSC Form 1358) Instructions Do not use DTSC Form 1358 to apply for a temporary State ID number or to apply for or make changes to a federal EPA ID number. Who qualifies for a State ID number? All handlers generating less than 100 kg of RCRA hazardous waste and/or 1 kg of RCRA acutely hazardous waste per month, and any amount of a non-RCRA hazardous waste can apply for a permanent State ID number. Note: All required fields must be entered legibly and completely.Any missing or illegible fields will cause your application to be rejected. Line 1 —New Number Requests • If you are applying for a new permanent State ID number, check this box. Select Generator, Transporter, or both, and select the reason you are applying. • You cannot apply for a new permanent State ID number and the inactivation of an existing permanent State ID number on the same application. Two separate applications must be submitted. Lines 2-5—Changes to Status or Information for an Existing State ID Number • Check the appropriate box to update, inactivate or reactivate a permanent State ID number or to change the business name only. • A permanent State ID number is specific to the location and owner to which it was assigned. If your business has moved or has had a change in ownership, you must apply for a new permanent State ID number. • You may change the business name without applying for a new permanent State ID number if there has been no change in legal ownership. • A Permitted Facility may change the facility information by submitting U.S. EPA Form 8700-12 electronically through the RCRAInfo System (preferred), by email, or mail. The Facility ID number is twelve characters long with either a two or three lettered prefix. Contact your Permitting Project Manager for instructions on how to update your facility's name, ownership, and operator information. Line 6—Site/Facility/Business Name • Enter the legal name of the site/facility/business, this may include a Doing Business As (DBA). Line 7—Site Location • Enter the site/business location address and include the county name. • A permanent State ID number is specific to the location and owner to which it was assigned. If your business has moved or has had a change in ownership, you must apply for a new permanent State ID number.