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�-RECYCLABLE MATERIALS REPORTINGI .)RM <br /> PLEASE PRINT OR TYPE ALL INFORMATION <br /> (Sea Instructions on reverse) <br /> WHEN COMPLETED • RETURN THIS FORM TO <br /> THE LOCAL REAL <br /> TH OFFICER OR OTHER AUTHORIZED PUBLIC O F F I C E R AST: <br /> SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES! 7 o!; 2: 09 <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 445 N. SAN JOAQUIN STREET <br /> P.O. BOX 20W 388 <br /> STOCKTON, CA 95201-035$ <br /> (209) 468-3427 <br /> 1. DATES OF REPORTING PERIOD: Beginning Date: 7/1/92 Ending Date: 6/30/94 <br /> 11. FACILITY THAT RECYCLES THE MATERIAL(Please print or type). <br /> A. RECYCLING FACILITY. <br /> Facility EPA Identification Number CAD 009 115 239 <br /> Facility Name US Chemical Co. - a division of Hydrite Chemical Co. <br /> Facility Address 1448 Shaw Road <br /> City Stockton _ County San Joaquin <br /> State California Zip 95215 <br /> Contact: Last Name Ray First Name Patrick <br /> Telephone (209) 948-3035 FAX (209) 948-0204 <br /> B. OWNER OR OPERATOR OF THE RECYCLING FACILITY. <br /> Name US Chemical Co. - a division of Hydrite Chemical Co. <br /> Address 300 N. Patrick Blvd. <br /> Cit, Brookfield State WI Zip 53045 <br /> Telephone (414) 792-1555 FAX (414) 792-8779 <br /> III. GENERATOR OF THE RECYCLABLE MATERIAL(Please print or type). <br /> Was the generator of the material the same as the recycler? 0 No �g Yes <br /> If Yes, than leave Section ill blank and proceed to Section IV. <br /> A. GENERATING FACILITY. <br /> Facility EPA Identification Number <br /> Facility Name <br /> Facility Address <br /> City County <br /> State Zip <br /> Contact: Last Name First Name <br /> Telephone FAX <br /> B. OWNER OR OPERATOR OF THE GENERATING FACILITY. <br /> Name <br /> Address <br /> City Slate Zip <br /> Telephone FAX <br /> Rev:511&92 Page t of 2 <br />