DSHW-2024-009270

Michael O. leavitt
Governor
Dianne R. Nielson, Ph.D.
Executive Director
Dennis R. Downs
Director
Dennis R.
Executive
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DTVISION OF SOLID AND HAZARDOUS WASTE
288 North 1460 West
P.O. Box 144880
Salt l-ake City, Utah 841 144880
[phone] Voice
(80 I ) 538-67 15 Fa,'c
(80r) 5364414 T.D.D.
October 4, 1996
Village Cleaners Inc.
3410 East 7800 South
Salt Lake City, UT 84121
Attention: Dave C. Kitches, President
Dear Mr. Kitches:
This is to acknowledge that you have filed a Subsequent Notification of Hazardous Waste
Activity to notify a status change.
Your EPA Identification Number is UTDI45 g7g555.
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.
rLL$hW
Downs
Secretary
and Hazardous Waste Control Board
Sincerely,
Utah Solid
'it
t Forrn A1t1Please prirrt or type witlr ELII E type (12 cltaracters Ix)r irrr;lt) itt tlte utrsltaded areas orrly
Plta so refor l o tho l rr s( ru clion slor filling Nolilicallotr be loro
corfrploling tlrls lornt. I lrc
lnlorrrrntlon roquostotJ lrors is
required by law (Sectiolr 30t0
ol tlre Resource Conse tw'liotr
and Recovery Act).
Clty or Town
County t'lanrc
utT
Legal Owtrer
Notification of Re lated
Waste Activity
Urritecl Stlrtes Errvlrolrrnerrtal Protectlon Agelrcy
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(For Oflicial
OCTOs
Use Orrly)
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C. hrslallation's EPA lD Nutttber
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lll. Locatiorr of llrstallaliorr (Plrysical address rtol P.O. B<:tx or llortle Nutrrber)
Zlp Code
Counly Code
lV. lrtstallation Mailirrg Adtlress (See lrrstructlotts)
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V. lnstallaticlrt Cotrlncl (Pctsotr to lte cctttlncte<l rcgnnlittg w'nsle nclivltics al sile)
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B. land Type C. Owner Type
EPA Fornr 8700-12 (Rev. I l-3C93) Previous edition is obsolete.Continued on Reverse
fiU, ELITE type (12 clraracters per irrch) in tlre urrsltaded areas ortly
Fomt Approvod. OMB No 205O-N28 F-xpiros 9-30-96
GSA No 0246'EPA-O{
EPA Form 870G.12 (Rev. l1-3G.93) Previous edition is obsolete.