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r . <br />y 6YCLABLE MATERIALS REPORTING R <br />PLEASE PRINT OR TYPE ALL INFORMATION <br />(See Instructions on reverse)' <br />WHEN COMPLETE O, RETURN THIS FORM TO "'l:.J <br />THE LOCAL HEALTH OFFICE R O R OTHER AUTHORIZED PUBLIC O F F I CER A T a .: F <br />SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES MAY n 3 <br />ENVIRONMENTAL HEALTH DIVISION ')'• Vin;'' "!T;^.J. H��L i �I <br />445 N. SAN JOAQUIN STREET PERP4,I T/Sc <br />P.O. BOX 2009 <br />STOCKTON, CA 95201 <br />(209) 468-3427 <br />I. DATES OF REPORTING PERIOD: Beginning Date: .-ran 1, 1991 Ending Date: Dec. 31, 1992 <br />II. FACILITY THAT RECYCLES THE MATERIAL (Please print or type). <br />A. RECYCLING FACILITY. <br />Facility EPA Identification Number CAD 0746 4 2 901 C (D PY( <br />Facility Name Interlake, Inc . <br />Facility Address 1029 S Sacramento Street <br />City Lodi _ County San Joaquin <br />State California Zip 95240-4799 <br />Contact: Last Name Eggleton First Name Peter <br />Telephone ( 209) 333-3500 FAX ( 209) 333-3528 <br />B. OWNER OR OPERATOR OF THE RECYCLING FACILITY. <br />Name Interlake, Inc. <br />Address <br />City <br />Telephone <br />1029 S. Sacramento Street <br />Lodi <br />(209) 333-3500 <br />State CA Zip 95240-4799 <br />FAX (209) 333-3528 <br />III. GENERATOR OF THE RECYCLABLE MATERIAL (Please print or type). <br />Was the generator of the material the same as the recycler? 0 No a Yes <br />If Yes, then leave Section Ill blank and proceed to Section IV. <br />A. GENERATING FACILITY. <br />Facility EPA Identification Number CAD 074 642 901 <br />Facility Name Interlake Inc, - <br />Facility Address 1 029 S Sacramento St - <br />city Dodi County San Joaquin <br />State ra 1 i fnrn i a Zip 95240-4799 <br />Contact: Last Name Ecjgi atnn First Name Peter <br />—57— <br />Telephone ( 209) 333-3500 FAX ( 209) 333-3528 <br />B. OWNER OR OPERATOR OF THE GENERATING FACILITY. <br />Name <br />Address <br />Interlake, Inc <br />1029 S. Sacramento Street <br />City Lodi State <br />Telephone ( 209) 333-3500 <br />Rev: 511&92 <br />CA Zip 95240-4799 <br />FAX (209) 333-3528 <br />Page l of 2 <br />