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STANDARD PROVISION AND REPORTING REQUIREMENTS -1 i- <br /> Waste Discharge to Land <br /> U.S.Environmental Protection Agency W-5 <br /> 75 Hawthorne Street <br /> San Francisco, CA 94105 <br /> and <br /> State Water Resource Control Board <br /> Division of Water Quality <br /> P.O. Box 100 <br /> Sacramento, CA 95812 <br /> Revised January 2004 to update addresses and phone numbers <br />