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State of California -California Environmental Protection Agency <br />Department ofToxic Substances Control <br />TIERED PERMITTING PHASE I ENVIRONMENTAL ASSESSMENT CHECKLIST <br />SECTION 1: FACILITY INFORMATION <br />Instructions: ConPlete the tullmvina descr iptive information about your facility, This inforlogion accurately describes the location ofyour facility <br />and establishes mailingg and phone contacts. If facility location and maiiing address are identical, you may put "same" into Facility mailing address <br />spaces. <br />Type of Permit: Permit by Rule X Conditional Authorization _- <br />1. CURRENT FACILITY NAME: Cepheid Bldg. 2 <br />PAST NAMES (Attach additional pages if necessary): <br />2. EPA ID. NUMBER: CAR000336537 <br />3_ NAME OF FACILITY OWNER (see definition ofowner): Cepht <br />4. NAME OF FACILITY OPERATOR: Cepheid Lodi, LLC <br />5. NAME OF PROPERTY OWNER: <br />6. FACILITY LOCATION ADDRESS: <br />STREET: 121 N. Guild Ave. <br />CITY: Lodi <br />COUNTY: San Joaquin <br />QPrPA/F[) <br />APR 20 202E <br />CYP RtUlUINAL OFFICE <br />STATE: CA ZIP CODE: 95240 <br />T FACILITY MAIL NC, ADDRESS (if different from FACILITY LOCATION ADDRESS): Same as Above <br />STREET: <br />CITY. <br />STATE: ZIP CODE: <br />8. FACILITY TELEPHONE NUMBER: (888) 838-3222 <br />9. FACILITY FAX NUMBER: <br />10. NAME OF FACILITY CONTACT PERSON: Lana Karpuk <br />11. TITLE OF FACILITY CONTACT PERSON: Sr. EHS Manager <br />12. PHONE NUMBER OF FACILITY CONTACT PERSON: 916-824-4586 <br />DTSC 1151 (06/99) <br />Please indicate total numberofpages _ of <br />