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� DMCI 10,y(1CG24 Exprts9 17182 <br /> ,f"rto ?i <br /> BEFORE COPYING FORM,ATTACH SITE IDENTIFICATION LABEL w A U.S. ENVIRONMENTAL <br /> OR ENTER: ,��w �. PROTECTIO14 AGENCY <br /> SITE NAME Indy ElectroniC�S INC. +\�1�M/i/� <br /> — 1989 Hazardous Waste Report <br /> FOflM IDENTIFICATION AND <br /> II 1- I CERTIFICATION <br /> EPA 10 NO. 1x IA ITL OI nInIA 4l AIIJ,&.4FE ' <br /> CIN$TRUCTII)NS'. Read the detailed instructions beginning on page 7 of the 1989 HaZefdOUS Waste Report booklet before completing this form._ <br /> D,E.F,G.and H if same as label;If <br /> ' SEC.1 Sire name and locatlan address. Complete Items A through H. Check the box G in items A B, <br /> dltlerent,enter corrections. H label Is absent,enter information. Instruction page 7. <br /> a.sa•;eomwny,,.re. <br /> A EPA O No. Pam•.e Ie1e1 ❑ or <br /> tamepl.E•1❑ >,-- C—A 1T i 01 01 0i 61 4x611 18 12 I —Indy Electronics, Inc. <br /> IN.EPA m C <br /> IM Nle n•/rn•lu.ocl.lb Mal henq.d in <br /> s :.1@!77 F❑faaI1 1 yes <br /> o.s,",n.m.And n -eoor. s nal eppfuN•.enler nduedel wk eWalnq nun.a otherW17.3bcaldn de.cnpe.n. <br /> S'.I1y N level❑ <br /> --- 400 Industrial Park Drive — <br /> d.1;,e1, N.zip code Q, <br /> E.C"Y,rwm,Nlly...LMa <br /> F.Celrif f;emp,e.feast❑ �m.r,),I.WI J ,3 6 <br /> a.m•..'.e. ❑ nteca San Joaquin 171} +—t—I + I <br /> SEC.11 Mailing address of site. Instruction page 7. — <br /> m.u;ne add, u the•aur u IM bodice ede0u7 ® t re• (SKIP TO SEC.Ili) <br /> ❑ 't No (COMPLETE SEC 11) <br /> 9.N,.raer end tlLea Mml t•mellaq Asdrn.• <br /> Cry.ity.a.m.allege,1.1c. D.6m• E.by Code <br /> I I I I 1 IZI L <br /> SEC.III Name,title,and telophone number of the person who should be contacted if questions arise regarding this report. Instruction page 7. <br /> A f+bue ph.: WlnenM FMrrisme KU. a.flue C.TN•pran• <br /> Mitchell, William D. <br /> AffairsESpec. < G " 13 E.teruan 141+ 11414 <br /> Enter the Standard Industrial Claselltoatlon (SIC)Code that doectlbes the principal produCl6,gfoup of products,produced or distributed,of <br /> SEG N the somices rendered at the site's physical location.Enter more than one $IC Code only If no one industry description Includes the combined <br /> activities of the site.Instruction page S. <br /> L3.. �ti. a <br /> Li- ��AJNA <br /> I oertihr under penalty o}law that I hove personally examined and am lamilier with the Information submitted In this and all attached <br /> SEC.V docum ants,and that based on my Inquiry of those Individuals Immedlately responsible for obtaining the Information,I believe tnst the <br /> submitted Informallon Is true,accurate,and complete. I am aware that them are significant penalties for submitting fAISe Inrormatlon,Including <br /> the o isiblllty of fine an Imprisonment. rn — <br /> ANumWrdnormwee.•.t "ed Fo m forth OM 1 11 10t Form YfR f— I Q Pa I-1 .1-0 <br /> Form q <br /> FoL1 12 I <br /> Fl et <br /> 9.P4.print WtnNn• nems Mr. C.7`4 <br /> Jones R. E. President- <br /> _— <br /> o.Sq ur• / / E.I)Mr.or.grwu.e I I 1 .L_I_J W <br /> MO. WV VR <br /> Palle 1 of 1 0 <br /> .rro�..we,• r� _ ... ,o......,,.. i „r �� OVER —> <br />