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3E COMPANY CORPORATEHEADQUARTERS <br /> 3207 GREY HAWK COURT SUITE 200,CARLSBAD.CA 92010 USA <br /> P--1.760.602.8700 V41.760.602.9852 <br /> .. <br /> October 15,2015 <br /> St.Joseph's Medical Center Stockton <br /> 1800 N.California St. <br /> Stockton,CA 95204 <br /> To Whom It May Concern: <br /> Re:CVS Pharmacy 9 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 /> Atm: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 IF 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 /> BETHESDA,MD KINGSPORT,TN CANTON,OH COPE NHPaSEN,DFNMARK MONTREAL,QC,CANADA <br />