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Submit by print Form Slate of California—California Environmmvlection Agency Email O Box 80Q Sacramento,CA 95812.0806 CALIFORNIA HAZARDOUS WASTE PERMANENT ID NUMBER APPLICATION Please type or neatly print in ink. Please review the line-by-line Instructions carefully. To check on the status of our request,go to rrVnY yr s. se.ca, v and Glek on Reports. NEW NUMBER REQUESTS Check all that apply. (See Instructions.) ❑ 1. 1 am applying for a new permanent California ID number as a hazardous waste: ❑ Generator ❑Transporter Reason for new number: A. ❑ Never had a number B. ❑ Business moved C. ❑ Legal owner of business changed If your business generates greater than 100 kg ofRCRA hazardous waste per month, contact US EPA fora federal ID number. CHANGES TO STATUS OR INFORMATION FOR AN EXISTING ID NUMBER (See instructions.) For existing ID number: C A L 0 0 0 2 9 1 0 6 2 ❑ 2. 1 am updating the mailing address and/or contact information only. ❑ 3. 1 am inactivating this ID Number. In 4. 1 am reactivating this ID Number. ❑ 5. I am changing the business name only,no ownership change. 1 6. Site/Facility/Business Name(Include DBA): Wasteoulp Manuractudng Company LLC (See Instructions.) 7^ Site Location: 11900 East Locke Road Sheet Lockeford CA 95237 San Joaquin city State Zip County 8.(a)Federal Employer ID Number (b)Board of Equalization Fee Account Number ((b)Is only required from generators of greater than 5 tons per calendar year.) 9. Mailing Address: Same As Above (See Instructions.) Street city State Zip 10. Site Contact Person: William Haynes (See instructions.) First Name Last Name Contact Person Address: P.O.Box 2678 Street .....I Eaton Park FL 33840-2678 City State Zip Contact Person Phone Number: 8( 63 ) 665.6507 Fax Number: ( 63 ) 583.0364 Area Code Phone Number Area Code Fax Number Contact Person Business Email Address:wlhaynesAwaslegulp.com Preferred Primary Communication: o Mail 0 Email (See Instructions.) 11. Legal Business Owner(not property owner): Wasteguip Manufacturing Company Name Owner Address: 1901 Roxborouqh Road,Suite 300 Charlotte NC 28211 Street city Slate Zip Owner Phone Number: (_124_j 366-7140 Fax Number. ( 04 1 366-7240 Area Code Phone Number Area Code Fax Number 12. Standard Industrial Classification(SIC)Code for the Site: 3 4 4 4 (4-Digit Number) (See lnsUtfctions.) 13. Certification: 1 certify under penalty of law th7(heinfir ration on this document was prepared to the best of my knowledge and belief to be,true accurate and co a e�. SIGNATOR DATE �(/(a /i/ NAME(print) William T.Haynes LTITLE V.P.Reaulatory Compliance PHONE(863)665-6507 DTSC Form 1358(6/08)