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Y <br /> ■ <br /> COMPANY ♦..♦. HEADQUARTERS <br /> 32o7 GREY HAWK COURT, 200,CARLSBAD.CA 92010 USA <br /> P:+1.760.607.8700 1 <br /> October 15,2015 <br /> Stockton Fire Department <br /> 425 N.El Dorado St <br /> Stockton,CA 95202 <br /> To Whom It May Concern: <br /> Re:CVS Pharmacy#9830:6632 Pacific Ave.,Stockton,CA 95207 <br /> In accordance with 40 CFR 265.37,and 40 CFR 265.33,the above CVS Pharmacy location is attempting to <br /> make emergency response arrangements with your agency in the unlikely event of a fire,explosion,or <br /> uncontrolled release of a hazardous waste. Details about the hazardous materials and hazardous waste at <br /> this CVS Pharmacy location are identified in the Aid Notification Letter included with this document. <br /> Title 40 of the United State Code of Federal Regulations§265.37,subpart(b)requires that CVS Pharmacy <br /> record any decline to this request for support and possible response in the unlikely event of a fire, <br /> explosion,or uncontrolled release of a hazardous waste. <br /> If your Agency would like to formally decline to support and/or respond in the unlikely event of a fire, <br /> explosion,or uncontrolled release of a hazardous waste at the above mentioned CVS Pharmacy location, <br /> please state your reasons as to why you are declining support below,then sign,date,and mail this letter to: <br /> 3E Company,Regulatory Services—CVS Pharmacy#9830 <br /> Attn:Aid Notification Letter Decline <br /> 3207 Grey Hawk Court, Suite 200 <br /> Carlsbad, CA 92010 <br /> PLEASE NOTE: LETTER NEEDS TO BE SIGNED&RETURNED ONLY 1F YOUR AGENCY IS <br /> DECLINING TO PROVIDE SUPPORT IN ANY APPLICABLE CAPACITY <br /> Reason(s)for decline to support and respond: <br /> (Print Name and Title) <br /> (Signature) (Date) <br /> BFT HE SDA,MD KINGSPORT,TN CANTOM,OH COKNHACV4,DENMARK MONTREAL,QC,CANADA <br />