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} J <br /> 11;10 or C011lom,o—Envxomnant0l Protection Age, Deoanment of tone Cor,uol <br /> err <br /> FIXED TREATMENT UNIT PERMIT BY RULE <br /> INITIAL NOTIFICATION OF INTENT TO OPERATE <br /> FOR OFFICIAL USE ONLY <br /> (See instructions on reverse) <br /> DTSC REGIONAL OFFICE <br /> I. FACILITY ID NO. <br /> — l',A,Tolo,o16Y6 /182, - <br /> II. FACILITY BOARD OF EQUALIZATION ACCOUNT NUMBER <br /> ,E F,9,,wlyz,012 �.9 9 <br /> III. .FAACILIIALI <br /> FACILITY NAME `` <br /> ]ZId,U)q, ILIGG11,Ffo,M( 1eISI :1 Oc. <br /> I I , , , , I I <br /> IV. FACILITY ADDRESS OR LEGAL DESCRIPTION OF FACILITY LOCATION <br /> ,�,�,QIY, IC,LICLI%tKIoL�J IGS I�,C <br /> AAA 641g <br /> u ` (Add,") <br /> CA <br /> 4r2,3 Ito <br /> (Csy) (ZIP Code) <br /> slAlal ,ToA14au , a 1 <br /> (caunty> <br /> V. FACILI Y MAILI G ADDRES <br /> �nn,ab,Yl 1 LIG�1-I o a , C s �. <br /> r'. 101. ILK 230, I , <br /> (AtltlreY) <br /> mfaA L9 <br /> ,S <br /> (City) - f 1 <br /> (Slate) (ZIP code) <br /> VI. FACILITY OWNER NAME <br /> /,..)f <br /> +�L 2f o,t4�1 .It IOfr <br /> VII. FACILITY OWNER ApDRES <br /> o <br /> 1 '.0, <br /> I( (('' O l4 <br /> (/ )7.0, <br /> (Atltlrep) <br /> S-5-Am Go„4161 f <br /> (C,ty) <br /> (Slate) (ZIP Code) <br /> VIII. FACILITY OWNER TELEPHONE NUMBER <br /> i <br /> (Arse Cotle and Number) <br /> Distribution: DISC—white and Yellow; Notirier—Pink and Instructions <br /> DISC 8462(I I/91) Page 1 of <br />