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State of California - California Environmental Protection Agency Department of Toxic Substances Control - HWMP P.O. Box 806, Sacramento, CA 95812-0806 PERMANENT STATE ID NUMBER APPLICATION RECEIVED AUG 1 1 Please type or neatly print in ink. Please review the line -by-line instructions carefully. 1UI1 To check on the status of your request, go to h :lt v .hwts.dtsc.ca. ov and click on Reports. NEW NUMBER REQUESTS Check all that apply. (See instructions.) 0 1. 1 am applying for a new permanent California ID number as a hazardous waste: B Generator ❑ Transporter Reason for new number: A. ❑ Never had a number B. [5 Business moved . G Legal owner of business changed If your business generates greater than 100 kg of RCRA hazardous waste otherthafftse hazardous waste listed in 40 C1��o` 261.5 subparts (c) and (d). per month, complete Form 8700-12 for an EPA (federal) ID nu er. ._ 3 CHANGES TO STATUS OR INFORMATION FOR AN EXISTING STATE ID NUMBER AUG 11 2017 (See instiuctions.) For existing ID number: C A _ _ _ _ _ _ _ _ _ _ ❑ 2. 1 am updating the mailing address and/or contact information only. ENVIRONMENTAL HEALTH ❑ 3. 1 am inactivating this ID Number. DEPARTMENT ❑ 4. 1 am reactivating this ID Number. Reason (please select one): A. ❑ Verification Questionnaire B. ❑ Other ❑ 5. 1 am changing the business name only, no ownership change. 6. Site/Facility/Business Name (Include DBA): BEST DEAL AUTO SALES 7. Site Location: 650 EAST MINER AVE (See instructions.) CTnrKTnN CA 95202 SAN JOAQUIN 8. (a) Federal Employer ID Number68- (b) Board of Equalization Fee Account ((b) is only required from generators of gn 9. Mailing Address: 650 EAST MINER AVE (See instructions.) Street C STOCKTON A 95202 City State Zip 10. Site Contact Person: ERIK MORALES Last Name Contact Person Address: 225 MAPLE ST instructions.) M CA 95240 City State Zip Contact Person Phone Number: '2( 09) 570-1976 Fax Number: (209) 462-7190 Area Code Phone Number Area Code Fax Number Contact Person Business Email Address: ERIKM ORALES 1220@GMAIL. COMPreferred Primary Communication: D Mail o Email 11. Legal Business Owner (not property owner): IQBAL S. GILL (See instructions.) Owner Address: 4081 MADDIE CIPme STOCKTON CA 95202 Street, (O9) 462-7190 city 2( 09 )X462-4946 Zip Owner Phone Number: Fax Number: Area Code - Phone Number Area Code Fax Number 12. Standard Industrial, Classification (SIC) Code for the 13. Certification: I cern under p ty of law that the information on this document was prepared to the best of my knowledge and belief to be, true, acc d complete., I SIGNATURE r tr DATE 8/O8/ 1 7 NAME (print) TITLE SALES MANAGER PHONE 209-462-7190