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m <br /> P. 1 <br /> FTRAPHSMISSION RePORT <br /> w <br /> (THU) APR 29 2010 1:18 <br /> User/Account DOCUMENT8 8308577-217 <br /> DESTINATION 19182554703 TIME STORED APR 29 1 : 15 <br /> DEST.NUNBER 19162554703 1X START ; APR 28 1 : 15 <br /> DURATION ; 23sec <br /> CODE - -00.MODE :--EGM <br /> PAGES 1page <br /> RESULT OK <br /> LO <br /> 0 <br /> cy <br /> w <br /> a <br /> z <br /> 2 <br /> w <br /> J <br /> Stale of California—Canomis EroAmwn nW Protection Age" Department of Toxic Substances C-wk of-GISS <br /> P_O. Box 806,Sacramenb,CA 85812-OM <br /> CALIFORNIA HAZARDOUS WASTE PERMANENT ID NUMBER APPLICATION <br /> Please type or neatly prtnl it Ink Please renew Bre li 64rplina instructions camhify. <br /> To check an the statue of Your requeW.go to MAO&Lagov ane dkk on Repoft. <br /> NEW NUMBER ftEGUESTS Check aI thal apply. (See insi tndons.) <br /> ❑ 1. 1 am applying for a now permanent California ID number as a hazardous waste: ❑ Generator 13Transp0rter <br /> Reasarr for naw number. A. [3 Never had a number B. ❑ Business moved C. ❑Legal owner of business charged <br /> cv 1/yow business 185 than 140 JrB of RCRA hazard=washy parmordh,Contact US EPA kr a Worst W rwrnbar. <br /> r< <br /> �o <br /> ago CHAIdGES INFOBIMM FOR W W6nNG IQ NNq§jR (See kubtrcr5ons.) <br /> LD <br /> For existing 10 mmnber /� © Q 2 <br /> N 2. 1 am updating ft maffing address and/or oontact information only. <br /> 133. 1 aim tnaclivating tutus ID Number. <br /> cv fe4. I am reeclivAng this ID Number. <br /> N <br /> 5. 1 am clanging the business name only, no ownership change. <br /> m <br /> m 6. SitelFaciity/Busim s Name(include OBA)_ L4 CK PJ t AV1r, M A R 4 e:4- ir Isp'L ( (natrrrcfia�S) <br /> c g <br /> r 7. Site Location:CD <br /> 5+o C-t#o%A C-pr 9 5 2-0 S A" <br /> m -n ti-,%1 O-7 1 0 1 sad ... ?b , Counts <br />