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P. 1 <br /> Communication Result Report ( Dec. 30. 2014 5: 04PM ) <br /> 1) San Joaquin County <br /> 2) Environmental Health Department <br /> Date/Time: Dect30. 2014 5:04PM <br /> File Page <br /> No. Mode Destination Pg (s) Result Not Sent <br /> ---------------------------------------------------------------------------------------------------- <br /> 1168 Memory TX 919162554703 P. 1 OK <br /> ---------------------------------------------------------------------------------------------------- <br /> Reasonfor error <br /> E. 1) Hana upor line fail E. 2) Busy <br /> E. 3) No answer E. 4) No facsimile connection <br /> E. 5) Exceeded max. E—mai 1 s i z <br /> Sete ofCmkmia-Calfonh Enviv:tma.aal Pmmalm Agenry Deyaamentpf 7oAc9dbebrcee Cenyd-GI55 <br /> P O.9oz BCF,.evemeM,eA 9591 N1ee6 <br /> CALIFORNIA HAZARDOUS WASTE PERMANENT ID NUMBER APPLICATION <br /> Reaoe type tv really pallba�k Plaaroe re�ae,eMlneie4im instriaimv®re[ully. <br /> r a..dc en m.amen pr a eep�w.,mwalsca.wane ala<9n a.. <br /> nEN NUNBER RE�DESIS Cheat tla em appy. (Seelrsbua7pa.J <br /> D 1. I em applying W a navpn mmi California ID number as a hamdous w ME D Generabor D Transporter <br /> Reaaoni neantmhrf: A.D Nevar hedatumber a❑Busimss moved G O Legatawe dbibbaess do pd <br /> ryoureusinese genaeba far Nien 100 ofRCRA dezew.wasfr per d. 895 aB9.r fore fwd,6W ID nuaOm.. <br /> ID (See daabvedlmra) <br /> For adming ID mner.6C A a_ C _ a Z <br /> D Z,3.I I am laadaang dla malting addns.andl.r CUIY9IY Illfprrnabpn Crdy. <br /> O rma Ina dlvaenD rola ID Number <br /> f 4 <br /> ' .1 am r—Waang In!. ar <br /> ®Mamb . <br /> 13 fti lam changing the lrWnesaname ody,ro amerchiP ohenge. <br /> /�i <br /> ,( J <br /> e.SlelFaapty/eua4leaa Nam,(Hided.DBllk R�9A- QrI11A (see 191fte me)� <br /> 7.Site Location: I 19 z e�tL#- <br /> .heel V-A <br /> r <br /> 20 f <br /> 8.(.)Federal Enp10 ID Number (b)Board of N.6-don F9e1`•7/—d Number arW <br /> p r((019 regrAmdfm rrea—low ofgreaWMm S torwper--, <br /> 9.Nagng Adtlress <br /> 1 b �fpW(dYl (S�afnffinflue) <br /> zip <br /> 1%64acordact Person (see hahuce'noJ <br /> R@NI Leet Noma <br /> Cordae Paeeon Adiwr. <br /> arY-�����ryry� <br /> C.m.a Parson Phorb Number:('7!!1 't��f I L1 Fm Nwnber.(� <br /> Aner ae Phone Nambw Pres eL FmNww <br /> ConbRPorarm5usmaaa EnWIAdders Prehnea PAnary Cmrlremledby❑MW O Eeull <br /> (seednskichovJ <br /> H.Legal Busineae tiers{rolpoptaq tam.rk '�� �` <br /> Owned Addrcas: (y) <br /> "� Bir\ <br /> UMar Phone Num is:t er[r F®t NllCaymb9:[ tip_) <br /> Ams mae Phmb Nu ArN Cade F'a tenbx <br /> 12 (4-o gldumb See inabprikns. <br /> 13.Ceteatadon:Iami ft" db the beg rmy knowledge and <br /> beganle 1, <br /> SIGNATU I]A7E r 2 30��4 <br /> NAME(pant) 1E191at.� � PHONE�+rL-Y{CtO�N <br /> ' DiSC Fpan 1359(1d1T) <br />