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Interested Parties — Food Processing Exemption — <br /> _March 8, 1996 <br /> Attachment <br /> NOTIFICATION OF O <br /> AS FOOD PROCESSING NEUTRALIZATIO <br /> COMPANY EPA ID NUMBER: CA_DQ L a Q_3 L I Z_6 �1A R 2 91996 <br /> j, <br /> i <br /> COMPANY NAME (DBA): ac ©Q �IL O d c e <br /> COMPANY MAILING ADDRESS: 'V. C7C7j( Rp Q <br /> CITY: L d (t_ l CA ZIP CODE S 2 <br /> UNIT NAME: n �C-it PP e Lr=t42 UNIT ID NUMBER: <br /> UNIT NAME: UNIT ID NUMBER: <br /> (for more units, add a separate page) <br /> Is your company eligible for the exemption noted on page 1? YES NO_ <br /> Are you authorized for any other treatment activity? YES_ NO- <br /> If yes, under which tier are your other units authorized? <br /> CESW_ CESQT_ CA PBR <br /> STANDARDIZED PERMIT FULL PERMIT <br /> I certify under penalty of law that this document was prepared under my direction or supervision and the <br /> information is, <br /> to the best of my knowledge and belief, true,accurate, and complete. n- I <br /> Gk'It�• AXFr,",-Iye I�v� WlEsraFrL1 <br /> Name (Print or Type) Title <br /> PLq!A � 3 l fro <br /> Signature IDate Signed <br /> You must submit two conies of this completed page by certified mail, return receipt requested, to: <br /> Department of Toxic Substances Control <br /> Program Data Management Section -HQ 10 <br /> Ann: "Food Exemption Notification" <br /> 400 P Street, 4th Floor, Room 4453 (walk in only) <br /> P.O. Box 806 <br /> Sacramento, CA 95812-0806. <br /> You must also submit one cony of this page to your local regulatory agency. <br /> is <br />