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fum�. OMB No.2050L 26 f.pi..z 930-e6 <br /> r{eew ire M hp wkh ELrrE ryye r12 cAerecren ptr 61111111 u N*d d e,ee.onh' GSA No 0246-EPA-01 <br /> United Stites Environmental Protection Age nq' Please safer to the /nstCuctions for <br /> Washington-DC 20460 this <br /> rm.Thationbeforecompleting0 <br /> thio foie required <br /> by Claw nested ' <br /> here is t e iretl c law (Section <br /> 'Y' Notification of Hazardous Waste Activity ontRi�AcO"`°`""" <br /> For ptficiel Use Oni <br /> comments <br /> f <br /> l CAL 000 039 098 <br /> BP Oil Company, Site 11190 OeteReceivebY/- --- „`/ <br /> 1206 East March Lane proved M• <br /> l Stockton, CA 95210 <br /> PI. Name of InsUltation <br /> P , O IL C M A ' NY <br /> nstallation Mailing Address <br /> 6treet of P.O.Boa <br /> 11 2 11 $ 6 1 81 P I R 1 O S I P E C stale ZIP Code <br /> Cftv,Dr Town <br /> R N C H O C O RD V C A 9 5 6 ryr 0 <br /> Ili.Iocati oflnsUltaHon <br /> 6treet a Route Number <br /> CityT� <br /> or own _ State Z1P Code <br /> /O <br /> W o G b <br /> p;;; <br /> H /e /irrt end IhH Prx:e Nc�x erre Lode end number J. E N V R. CO 33 <br /> 6.T of Own ith enfercodee of 11:ullu ore's N ovmer <br /> B P O I L C O M P Cor oration <br /> V1.T of R uteted Waste A Merle JC'In the a ro Isle boxes. Refer to d 0 Fool <br /> n " <br /> w.Naaae6oue Waste — <br /> El Sa.C,enerata ❑ /b.teas then 1 A00 kg/mo. ❑ B.Oft•6pecNiption Used Oil Fw:boaar be%wl <br /> (anter-X-andnark apffoPr <br /> n 2'Trarnpo'W ❑ a.Generator Muketing to Bumer <br /> 13 3.Treater/Swror/Dievoen 13 0.OtMr Macteter <br /> D 4.lkWorr Vwjnd ktiection <br /> 6.Muket or B m Ota wdous Waefe Fal ❑a Burner <br /> Fenter*X0WA arts apprnpriete sour below! <br /> ❑To � Oil FU01 uaon ts" ori <br /> 13 a.Gewax Merbtw 10 staeK FFaGac�tM 09 Mae ihe61Z t on <br /> �b.OttwWAriew X VSQG <br /> Dt.evnt <br /> ypt combust <br /> VII.Waste Nalom for 44 <br /> Buminp:TypeofCbustionDevicaOF9#r7l !neNa /rk:onsd icst"t ltlevice�(ondevicefslin <br /> wfakh AAterdduS estrau&,,4x toff rpoa�aG <br /> on feted a#Aml is burned Sae ioftr <br /> A.uri"6olhr ❑ 6.k16,affiat Boiler D G Industrial Furnace <br /> Vtli. Mode of Transportation erg an —enter X In the appropriate box es <br /> IJ&^i, D E.pw ❑C M%0+weY O D.Wa,.r O E.Ottw t"cM <br /> IX. Fir or Subpmt»nt Notification <br /> FAark X'in the appropriate box to indicate whether thn n Your mgallation's rirt notiliution o1 hasa,dous uresis activity or • subseQueni <br /> roritrtlion.it flzs•roi tour first not if iCa -"enter your inaillatan's EPA ID Number in the apace provided below. <br /> TTCH'_ANGE OF OWNERSHIP C.trutdtation's EPA tD Number <br /> i4-Kti E>'ii Notif;crion ❑ B.SubaaQuaTn Hotil icatiOn/conpfera item CI <br /> �. <br /> i Continue on nvr <br />