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REP-% <br /> EN EV6 <br /> S 2016 Motor Guard Corporation <br /> FEB Hazardous Waste Contingency Plan and Emergency Procedures <br /> Revised January 27, 2016 <br /> Cru+ 1tl Mail to: Office of Emergency Services <br /> REPOS �S Hazardous Materials Unit <br /> WASTL�� E ENT P.O.Box 41907 <br /> Rancho Cordova,CA 95741-9047 <br /> 1. Facility Operator/Owner's Name and Mailing Address 3.US EPA ID No. <br /> MOTOR GUARD CORPORATION CAD982347304 <br /> 580 CARNEGIE STREET <br /> MANTECA, CA 95337 <br /> 2.Phone Number 4.Contact <br /> (209)239-9191 Tim Keating <br /> 5, Facility Location Name and Mailing Address 7.Contact: <br /> MOTOR GUARD CORPORATION Tim Keating <br /> 580 CARNEGIE STREET <br /> MANTECA, CA 95337 <br /> 6. Phone Number <br /> (209)239-9191 <br /> 8.Name of Individual Making Report: 9. Phone Number: <br /> 10.Date of Incident: 13.Type of Incident: <br /> Fire <br /> 11.Time of Incident: Explosion <br /> Spill <br /> Un-Planned Release <br /> 12. Location of Incident: Planned Release <br /> Other <br /> Describe: <br /> 14.Hazardous Waste Involved: 16.Quantity Recovered: <br /> 15.Quantity Involved: 17.Recovery Method: <br /> 18. Injuries/Illnesses Resulting from Incident(Describe Injury/Illness and Treatment Given): <br /> 19.Releases to Environment,Ground Water,Soil,Sewer or Drain(Describe Release and Mitigation Efforts): <br /> 20.Signature of Reporter: 21. Date Signed: <br />