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Official Reg,stralion Form \
<br /> CEEIorrMe Water Rewurntle Control B-wd
<br /> Hazardous Substance Storage Statement
<br /> n N,,.L Fun nny nara,+n,e t�m+an�es,n env„m�•
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<br /> Je illi-A,,1^1905 Lor Ian\s orae On lannsl q 5q,re slid la pay 55 pN lank
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<br /> n you n oe e p stl000 IN nacn nit ,^r:m
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<br /> 11-deree cons....I o n n v ane to a law
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<br /> NOTE ALL UNOEROROUNO CIO repaEIIE MUST REGOnN EYEM O STATE therl LOCAL vERMITS ARE,N FONCE.
<br /> I Owner
<br /> Remaeher.Manufacturing Co Rn
<br /> v,.~ J`5023 N Flood Road Linden lca. 195236
<br /> 11 FmOtE
<br /> Ramacher Manufacturing C0111palMervin Fetzer
<br /> onirybmr s„x
<br /> R 5023 ti. Flood Rd. Highway 26
<br /> Linden fSan Joaquin x95236
<br /> ~ P.O. Box 5u6 Linden VCe. 95236
<br /> 209) 887-3815 ❑u' MOO,VENCIE Fpel Blapon 8+,r Omer_-Mfg•.-Company --
<br /> 111 N Haw Em 9O.Gy Crmtwt Porto
<br /> Mervin Fetzer 209 987-3815 Mervin Fetzer 209 931-2612
<br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER
<br /> IV Down~
<br /> A a,.Tank ❑.+Sump ❑'..Lagoon Po or Pone ❑.Omer ------ 1
<br /> B ManutacWrer hl apompnale) Vgj jA --Year or kill -1�_— C Year Installed'-_1980- ❑Unknown
<br /> 0 Corso.,Capauly 5-00 ,,allons ❑Unknown E Container sapeaeMI NOM ON Unknown ❑m Yoe Yea' --
<br /> F Is Container currently used, m n,Yes ❑n No It No.year of Iasi use -- -_--_-❑'-Unknown
<br /> G. goes Ina Gonla,Mr Blare ICMck One) O+'Waste DIN%oducl
<br /> H Open the COMe1Mr Sipe Mop Vit icie Fuel M Waste QP Q,Ver ❑u No 11 Yea.Cock wWppbia hogesl'
<br /> An Gorodde0 ❑N Regrp ON%ernum Owakki Cm Wesie Oa CN OMn(Urn - ----
<br /> V contow Conwu~
<br /> A Thickness d Pnmary Goraa,no ent.5/16 ❑Gauge a hones O Cm 0 Unknown
<br /> B O e,Vauaed tLocaled,n an pndergrQEkd Wer) Q=Non'vauXeO ❑or Unknown
<br /> C ❑o,Course W31W Qu:Single Waited 0."tined ❑N Wrapped ❑_,Unknown ❑,a NOM
<br /> 0 81r Carpet Seel ❑.Siamese Sten Oil F,breglass ON POFyvirgl Chlorine ❑,Concrele 0 Aluminum
<br /> ❑or Stere Clad ❑,•Bronze ON CorlPmle 0•,Win ortaa¢ ❑ 1 Earthen Walls
<br /> ❑o Unknown O„Omer ---- - -- _ - --- -- - - --- - --- -
<br /> E ❑^.Rubber tined C w A kyd Umng 0•,Epo.y L,o, ❑w Phenokc Llmry C •Glass Url ❑ Clay Orem
<br /> Qn•UnanM ON Unknown 0.01”,
<br /> III F 0 ,PolyMhl¢ne Wrap 0,2 Vinyl Wmppvg ❑«+Catlwde ProAsclion 0 I Unknown ❑n None Q..O,^er TAE
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