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ERICKSON INCORPORATED <br /> CAL EPA NOTIFICATION FORM, SITE SPECIFIC AGREEMENT <br /> Operator's Name: Erickson Incorporated Date: October 21, 1993 <br /> Operator's Address: 255 Parr Boulevard Operator's Phone: (510)235-1393 <br /> Richmond California 94801 <br /> E.P.A. ID#: CAD 009 466 392 <br /> Generator's Name: _ Libbey-Owens-Ford Co. Generator's Phone: (209)858-5151 <br /> Generator's Contact: Peter Wilkens Contact's Phone: (209)858-6202 <br /> Generator's Address: 500 East Louise Avenue <br /> Lathrop, CA 95330 <br /> E.P.A. ID#: CAD 005 415 633 <br /> TREATMENT SUMMARY: <br /> Planned Treatment Dates: Start-up Date: Nov. 12, 1993 Shut-down Date: November 1994 <br /> Waste Stream (Name and/or Number): Closed Loop Cooling Water <br /> Identification of Specific Treatment Unit(s) to be Used: 82020C <br /> In Addition to the above, the following units will also be used: <br /> Wastewater from Treatment Operations will be discharged to: City of Manteca POTW <br /> Discharge Permit Enclosed? YES NO X <br /> Storage and Disposition of solids/liquids/Other Wastes Generated: Disposal to an Offsite TSD Facility <br /> EMERGENCY RESPONSE ARRANGEMENTS: <br /> Notifications have been made with the following: Contact Name (Phone#) <br /> Health: San Joaquin County Environmental Health Mike Kith (209) 468-3420 <br /> Fire: Manteca -Lathrop Fire Prevention Chief Sims (209) 858-2331 <br /> Police: Lathrop Patrol Captain Captain Ellwood(209)468-4400 <br /> Designated Primary Emergency Coordinator: On-call Supervisor Phone: _ (510) 235-1393 <br /> Pager: (510) 235-1393 <br /> Designated Secondary Emergency Coordinator: Regina R. Colbert Phone: (510)231-3754 <br /> Pager: (510) 702-4611 <br />