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LVED <br /> EXEMPTION STATE, Z,,)/`L 'Po 1. 1990 <br /> 41,0 S!�r��c7 <br /> ,8 r,Cot �£9"r81G.tt.c <br /> I understand the requirements of Chapter 6.95, Division 20, : Ilff�t�tia=+ <br /> Health and Safety Code which pertains to emergency plannir us mate- <br /> rials. My business claims the following exemptions from the _. .. . ,vianagement Plan <br /> requirements: <br /> [ ] It does not handle a hazardous material, or a mixture containing a hazardous <br /> material, in a quantity equal to or greater than 55 gallons, 500 pounds, or 200 <br /> cubic feet at standard temperature and pressure for compressed gas at any one <br /> time or an acutely hazardous material with the associated threshold planning <br /> quantity; and/or <br /> [ ] The hazardous material handled by this business is contained solely in a <br /> consumer product packaged for direct distribution to, and use by, the general <br /> public (i.e. retail); and/or <br /> [ ] This business operates a farm for purposes of cultivating the soil or raising or <br /> harvesting an agricultural or horticultural commodity. (Checking this box will <br /> put your business in the Farm Program). <br /> [ ] This business operates a health care facility (i.e. doctor, dentist, veterinary...) <br /> [X] Other (Describe in detail for review by administering agency). <br /> No hazardous materials used or stored on premises . <br /> Name of Business LINDEN NUT COMPANY, INC. <br /> Nature of Business walnut processing Plant <br /> Mailing Address 8040 N. DeMartini Lane Phone (209) 887-3731 <br /> City Linden, Ca Zip 95236 <br /> Facility Address same Phone ( ) <br /> City Zip <br /> Nearest Intersection Fire District <br /> Owner/Manager John DeMartini, President <br /> IPRIN ) <br /> 1 swear nder nalty o rjur th t this YQmption ' • is accurate to the best of my knowledge. <br /> Signature Date /.2 <br /> 4 \ <br /> 0\1 <br />