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State of Califorda-California Environmemal Protection Agency Depanmem of Toxic Subauaces Control <br /> CERTIFP: ATION OF FINANCIAL ASSURANCE _ <br /> FOR'PERNUT BY RULE AND CONDITIONALLY AUTHORI _QP9 ATIONS <br /> F <br /> Vy�c„ Aaa*h 'fae&mcdow) <br /> FOR OFFICIAL USE ONLY }; <br /> 1 � <br /> DTSC REGIONAL OFFICE_ <br /> I FJAN 9 1997 <br /> For use by owner or operator of transportable treatment unit, owner or operator of fixed tree t unit operating under P, rmit <br /> by Rule, or a generator operating pursuant to a grant of Conditional Authorization. <br /> `S`I C q A E,l <br /> 0 Initial Certification ❑ Amended Certification ❑ Annual Certification <br /> Pat an asterisk in the left margin next to the amended information. <br /> I. GENERAL INFORMATION <br /> A. TAY= OF viE3 TIC":: <br /> ❑ PBR-FTU ❑ PBR-TTU El CA ❑ OTHER <br /> If operation is a TTU, insert TTU serial number: <br /> B. FACII.ITYITTU EPA ID NO: C A D 9 8 1 3 8 7 7 4 9 <br /> C. FACILITYITTU NAME: Lustre-Cal Nameplate Corp. <br /> D. ADDRESS OR LEGAL DESCRIPTION OF FACIIITYITTU LOCATION: <br /> 110 E. Turner Road <br /> CITY: Lodi CA ZIP CODE: 95240 <br /> COUNTY: San Joaquin <br /> E. MAILING ADDRESS: <br /> 110 E. Turner Road <br /> CITY: Lodi STATE: CA ZIPCODE: 95240 <br /> F. CONTACT PERSON: <br /> Ellis James <br /> LAST NAME FIFW NAME <br /> TELEPHONE NUMBER2( 0 9 1 3 3 4 . 6263 <br /> DTSC 1232 (8/96)Foraterty 8113(1/96) PAGE 1 OF 3 <br />