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sgz o= 0 <br />OMB#: 2050-0024 Expires 11/30/2009 <br />MAIL THE <br />COMPLETED FORM United States Environmental Protection Agency <br />Lo--, <br />The appropriate EPA RCRA SUBTITLE C SITE IDENTIFICATION FORM - 2007 <br />Regional or State Office. <br />1. Reason for Submittal <br />IA. Reason for Submittal: <br />(see Instructions on <br />To provide initial notification of Regulated Waste Activity (to obtain an EPA ID Number for hazardous waste. <br />page 9) <br />universal waste, or used oil activities). <br />Street Address: 2941 Navy Drive <br />To provide subsequent notification of Regulated Waste Activity (to update site identification information). <br />Information <br />As a component of a First RCRA Hazardous Waste Part A Permit Application. <br />MARK ALL BOX(ES) <br />As a component of a Revised RCRA Hazardous Waste Part A Permit Application (Amendment # <br />THAT APPLY <br />) <br />x❑ As a component of Hazardous Waste Report. <br />2. Site EPA ID NumberI EPA ID Number: <br />(page 10) CAT000617514 <br />3. SiteName <br />Site Name: ST Services LLC (Stockton Terminal) <br />(page 10) <br />4. Site Location <br />Street Address: 2941 Navy Drive <br />Information <br />(page 10) <br />City, Town or Village: Stockton <br />State: CA <br />County Name: SAN JOAQUIN <br />Zip Code: 95206 <br />5. Site Land Type <br />(page 10) <br />Site Land Type: Ex Private ❑ County []District <br />❑ Federal []Indian [] Municipal E]State Q Other <br />6. North American Industry <br />A. B <br />Classification System <br />424710 <br />(NAICS) Code(s) for the <br />Site (page 10) <br />C. D. <br />7. Site Mailing Address <br />(page 11) <br />Street or P.O. Box: 2941 Navy Drive <br />City, Town or Village: Stockton <br />State: CA <br />Country: UNITED STATES <br />Zip Code: 95206 <br />8. Site. Contact Person <br />(page 11) <br />First Name: Stephan <br />MI: <br />Last Name: Rosen <br />Phone Number: 5107871076 Extension: <br />110 <br />Email Address: <br />9. Operator and Legal <br />Name of Site's Operator: <br />Date Became Operator (mm/dd/yyyy): <br />Owner of the Site <br />ST Services LLC <br />11/01/1998 <br />(pages 11 and 12) <br />Operator Type: [E Private [] County E] District <br />[] Federal <br />[] Indian [] Municipal E] StateE] Other <br />Name of Site's Legal Owner., <br />Date Became Owner (mm/dd/yyyy): <br />ST Services LLC <br />11/01/1998 <br />Owner Type: Z Private E] County ❑ District E] Federal E] Indian [] Municipal [] State Q Other <br />Page 1 of 7 <br />EPA Forth 8700-13 A/B (Revised 09/2007) <br />