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HomeMy WebLinkAboutDSHW-2024-008235....}1... .. . .rr.::... i:: ', 'il,t+ru-il+-} .n- DEPARTMENT OF ENVIRONMENTAL QUALITY DTVISION OF SOLID AND HAZARDOUS WASTE 288 North 1460 West P.O. Box 144880 Salt Lake City, Utatr 841 14-4880 (801) 538-6170 Voice (801 ) 538-6715 Fa,''t (8ol) 5364414 T.D.D. ,...1.,. J..:::Jr ....:::::: ::' r ..: ,,i: ii .::i:i...... ..r......,.. :;i .....rr ii: :: j.: rl il ..'. ai: ::::: :: :::i ..\r' ::: ..:: :::;:ji. ::: r:;: ..i' i.r ,.;. 11-X -.:] ::::: -.:::i- .::;i .. :'::. :::::ra.irr..I::. tir '.iill rii. .\,i:. ....1i.. Govcrnor Dianne R. Nielson, Ph.D. Executive Dircctor Dennis R. Downs Director July 29,1997 Colorland 2567 South State salt Lake city, uT 84115 Attn: Dana Ishihara, Owner Dear Mr. Ishihara: This letter is to acknowledge you have filed a Notification of Hazardous Waste Activity. Your EPA Identification Number is UTR000003160. The EPA Number must be included on all shipping manifests for transporting hazardous wastes; on all Biennial Reports that generators of hazardous waste must file with the State of Utah and other hazardous waste management reports and documents required under the Utah Solid and Hazardous Waste Act and the Utah Administrative Code (the Code). The EPA Number is site specific. If your company changes physical locations, it is your responsibility, as a generator, to notify the state and apply for a new EPA Number. If you have any questions please contact Delene Thomas at 538-6170. Sincerely, &r\r-dnur^oN Dennis R. Downs Executive Secretary Utah Solid and Hazardous Waste Control Board e,saL 5* zL, plcase print or11rp€ with ELITE tlpe (12 characters per incni in the unshaoed areas only d $7/Ltig7 1'1 :11 , rl T T.{H T)SHI{@ttrtz Form Appevfi. OllB tio. fr5&00fr Eqtree 9-Jo.r6 GgA NO. O246,EFA4T tr ;- I Please print or type with ELITE *o ,rU ater$ pcr tnch) in the unsheded areBs only Form &ffod, CMg Na. Nfr,Wfi F:plne *50-s6 6S,q ruo. 0Z4A-EPAAT ae *.trrri't'.\:' :17*.rt,t.: L-,Jt v.'.,i.1,!Ji..rr'. .., Vlfi- Type of Fegulated,Waste Activity ryaP,{"i# '{ ti:i . l,l l.. r '1 5. "' ',I::;l;;:'';,.;.,;;;,,,.,..i;l::i.I:||"1T;lIi]ir;:i'.':.'ir;i..:];;;ri.:ii''.i.:,i+:.:::i::iii:c 'ffi gff#iptl.on,ot,luaeiiftulsl.1vro,eq f*ireaara-rr,rr:*#'m #t . I - l. :.'';',,,1,';:,': f i,::,::ii;;'., iji:;'II't':l 1,:,:,:;.,... l,'.,:1:i:i:i::::.:.:Ii;i,i:i:i:;:;:i:lilj:i:i:i:i:,;i,i,,Z ol Nonlisted B.L 33;See instructlont if you nffid to list morefhan ?2 ttasfe oodes.) .,',.i,..,ii,l.i.t.i ',- ''rr'l| ,fi!......''..,',.,,.1'.\|,'',...':,J.i..:.,..,,.,,',. .. ,.-r:1.:.. C. Other Wastes. ($tete or otier wrslel requiring a lrendlet to have en t.D. numbcr; See iastruolfons,l 't:.""::',';:i ;'l!i,'::':1:i:;;;3i:";:::l::'l:1'''3 : .:_:1,,.,,,':\":'.:.'tr':. :'::':,:\1t?:i:::;:'t'.'\ .::l, : : ai,,'i:i:1< r.:.:;:::::: :::,:.:f:j,:.1.:,,,..,..;!+i ilf:r:: l\1:.l.j.r.i.lrr.::/:'{+::::::::::1: :..::t:, rIr.lr'.-rl-ll.:' I certlfy under penElty ol law that lhiE document ond al! EttEchrncot$ wsre preporcC under my dlrectlon or aupervi*lon ln tccordaoce wlth a eystemdeslgncdtoassurethatqualllladperBonnelFtopcrlyEaheranCevalsatethelnlormation3ubmlttcd. Eas€donmylnqulryolthepsreon 9t{6rson3 who rhanage thE eyetem, ot those pereons dlrectly responslblo tor gatherlng thc inlormallon, thc Informatio n gubmltted l*. lo the/hes\of myknowl€dg€andb€lief,lrue,accurete,andcomplclc. lsmswerelhuttheregreslgolllcantpenatric+?orgubmlttlngfal*lnformallon, Ir1cllrding the po**ibllity ot line end Imprl$onmcnt for knowlng vlolatione. {,rlature',/ alrqL Narne and Official Title (Typ* or print) ,|,^NF€re-- Datg $igned z /r{/ ?7 ,4.. . ..,... .,,,[i'.ir:i:.i:i:i,r.li..::;:;:ii#;,: ; ;...,, ;,r,,,,,,,,,',,;' : "' l:" Note: Mail cornpleted fortn to lfie approprlate EPA Reglonal or State Office (Se€ *ctlon lll ol ilte bao,&Ief for tddrc ses,J ' ' , ,'.'."'t:.)l'.::,1:.:vi:. ,.a . ;' ;'j.:::: i: ': : tl.{.1.(i: : :... lrll lr' EPA Form 870G12 (Rcv. t 1-3tlg3) Previous €dltion is obsolete.